Less invasive hemodynamic monitoring in critically ill patients

被引：206

作者：

Teboul, Jean-Louis ^{[1
]}

Saugel, Bernd ^{[2
]}

Cecconi, Maurizio ^{[3
]}

De Backer, Daniel ^{[4
]}

Hofer, Christoph K. ^{[5
]}

Monnet, Xavier ^{[1
]}

Perel, Azriel ^{[6
]}

Pinsky, Michael R. ^{[7
]}

Reuter, Daniel A. ^{[2
]}

Rhodes, Andrew ^{[3
]}

Squara, Pierre ^{[8
]}

Vincent, Jean-Louis ^{[9
]}

Scheeren, Thomas W. ^{[10
]}

机构：

[1] Hop Univ Paris Sud, Hop Bicetre, AP HP, Serv Reanimat Med, 78 Rue Gen Leclerc, F-94270 Le Kremlin Bicetre, France

[2] Univ Med Ctr Hamburg Eppendorf, Dept Anesthesiol, Ctr Anesthesiol & Intens Care Med, D-20246 Hamburg, Germany

[3] St Georges Hosp & Med Sch, Anaesthesia & Intens Care, London, England

[4] Univ Libre Bruxelles, CHIREC Hosp, Dept Intens Care, Brussels, Belgium

[5] Triemli City Hosp, Inst Anesthesiol & Intens Care Med, Dept Transversal Med, Zurich, Switzerland

[6] Tel Aviv Univ, Dept Anesthesiol & Intens Care, Sheba Med Ctr, Tel Aviv, Israel

[7] Univ Pittsburgh, Dept Crit Care Med, Pittsburgh, PA 15261 USA

[8] Clin Ambroise Pare, F-92200 Neuilly Sur Seine, France

[9] Univ Libre Bruxelles, Erasme Univ Hosp, Dept Intens Care, Brussels, Belgium

[10] Univ Groningen, Univ Med Ctr Groningen, Dept Anesthesiol, Groningen, Netherlands

来源：

INTENSIVE CARE MEDICINE | 2016年 / 42卷 / 09期

关键词：

Hemodynamic monitoring; Pulse contour analysis; Transpulmonary thermodilution; Pulse pressure variation; Esophageal Doppler; Bioreactance; CARDIAC-OUTPUT MEASUREMENTS; PLETH VARIABILITY INDEX; PREDICT FLUID RESPONSIVENESS; CENTRAL VENOUS-PRESSURE; ARTERY APPLANATION TONOMETRY; RIGHT-HEART CATHETERIZATION; EXTRAVASCULAR LUNG WATER; PULSE-CONTOUR ANALYSIS; PULMONARY-ARTERY; STROKE VOLUME;

D O I：

10.1007/s00134-016-4375-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Over the last decade, the way to monitor hemodynamics at the bedside has evolved considerably in the intensive care unit as well as in the operating room. The most important evolution has been the declining use of the pulmonary artery catheter along with the growing use of echocardiography and of continuous, real-time, minimally or totally non-invasive hemodynamic monitoring techniques. This article, which is the result of an agreement between authors belonging to the Cardiovascular Dynamics Section of the European Society of Intensive Care Medicine, discusses the advantages and limits of using such techniques with an emphasis on their respective place in the hemodynamic management of critically ill patients with hemodynamic instability.

引用

页码：1350 / 1359

页数：10

共 78 条

[1] Accuracy of Noninvasive Estimated Continuous Cardiac Output (esCCO) Compared to Thermodilution Cardiac Output: A Pilot Study in Cardiac Patients [J].