Invasive Hemodynamic Monitoring

被引:10
作者
Magder, Sheldon [1 ]
机构
[1] McGill Univ, Dept Crit Care, Royal Victoria Hosp, Ctr Hlth, Montreal, PQ H3A 1A1, Canada
关键词
Cardiac output; Central venous pressure; Pulmonary artery catheter; Pulmonary artery occlusion pressure; Pulmonary pressure; RANDOMIZED CONTROLLED-TRIAL; PULMONARY-ARTERY CATHETERS; CRITICALLY-ILL PATIENTS; CONTINUOUS CARDIAC-OUTPUT; CENTRAL-VENOUS-PRESSURE; ACUTE LUNG INJURY; PLEURAL PRESSURE; FILLING PRESSURE; FLUID-MANAGEMENT; SURGERY;
D O I
10.1016/j.ccc.2014.08.004
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Although invasive hemodynamic monitoring requires considerable skill, studies have shown a striking lack of knowledge of the measurements obtained with the pulmonary artery catheter (PAC). This article reviews monitoring using a PAC. Issues addressed include basic physiology that determines cardiac output and blood pressure; methodology in the measurement of data obtained from a PAC; use of the PAC in making a diagnosis and for patient management, with emphasis on a responsive approach to management; and uses of the PAC that are not indications by themselves for placing the catheter, but can provide useful information when a PAC is in place.
引用
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页码:67 / +
页数:22
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