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Journal of Clinical Monitoring and Computing

Erschienen in:

23.03.2016 | Letter to the Editor

Minimally invasive monitoring of cardiac output and lung gas exchange: taking it mainstream

verfasst von: Philip Peyton

Erschienen in: Journal of Clinical Monitoring and Computing | Ausgabe 6/2016

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Excerpt

Measurement of cardiac output dramatically expands the scope of haemodynamic assessment available to the clinician. When combined with routine measurements of circulatory pressure, calculation of vascular resistance can be done, and this directly informs decision making about volume, inotrope and vasoactive drug therapy. Measurement of stroke volume or cardiac output also provides the most direct assessment of fluid responsiveness in a patient. The potential value of this kind of advanced haemodynamic assessment to improve patient management in major surgery and critical care has been a focus of considerable research interest [1]. …

Pearse RM, Harrison DA, MacDonald N, et al. Effect of a perioperative, cardiac output-guided hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review. JAMA. 2014;311(21):2181–90.CrossRefPubMed

Fick A. Ueber die Messung des Blutquantums in den Herzventrikeln Verhandlungen der Physikalisch-medicinischen Gesellschaft in Wurzburg, 1870, pp. XVI–XVII.

Gedeon A, Forslund L, Hedenstierna G, Romano E. A new method for noninvasive bedside determination of pulmonary blood flow. Med Biol Eng Comput. 1980;18:411–8.CrossRefPubMed

Peyton P, Chong S. Minimally invasive measurement of cardiac output during surgery and critical care: a meta-analysis of accuracy and precision. Anesthesiology. 2010;113(5):1220–35.CrossRefPubMed

Hällsjö Sander C, Lönnqvist PA, Hallbäck M, Sipmann FS, Wallin M, Oldner A, Björne H. Capnodynamic assessment of effective lung volume during cardiac output manipulations in a porcine model. J Clin Monit Comput. 2015. doi:10.1007/s10877-015-9767-7.

Yem JS, Tang Y, Turner MJ, Baker AB. Sources of error in noninvasive pulmonary blood flow measurements by partial rebreathing: a computer model study. Anesthesiology. 2003;98(4):881–7.CrossRefPubMed

Hällsjö Sander C, Hallbäck M, Wallin M, Emtell P, Oldner A, Björne H. Novel continuous capnodynamic method for cardiac output assessment during mechanical ventilation. Br J Anaesth. 2014;112(5):824–31.CrossRefPubMed

Hällsjö Sander C, Hallbäck M. Suarez Sipmann F, Wallin M, Oldner A, Björne H. A novel continuous capnodynamic method for cardiac output assessment in a porcine model of lung lavage. Acta Anaesthesiol Scand. 2015;59(8):1022–31.CrossRefPubMed

Peyton P, Venkatesan Y, Hood S, Junor P, May C. Non-invasive, automated and continuous cardiac output monitoring by pulmonary capnodynamics: breath by breath comparison with ultrasonic flow probe. Anesthesiology. 2006;105:72–80.CrossRefPubMed

10.

Peyton P. Continuous minimally invasive peri-operative monitoring of cardiac output by pulmonary capnotracking: comparison with thermodilution and transesophageal echocardiography. J Clin Monit Comput. 2012;26(2):121–32.CrossRefPubMed

Titel: Minimally invasive monitoring of cardiac output and lung gas exchange: taking it mainstream
verfasst von: Philip Peyton
Publikationsdatum: 23.03.2016
Verlag: Springer Netherlands
Erschienen in: Journal of Clinical Monitoring and Computing / Ausgabe 6/2016
Print ISSN: 1387-1307
Elektronische ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-016-9866-0

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Minimally invasive monitoring of cardiac output and lung gas exchange: taking it mainstream

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