Cardiac Output Assessed by Invasive and Minimally Invasive Techniques
Cardiac output (CO) measurement has long been considered essential to the assessment and guidance of therapeutic decisions in critically ill patients and for patients undergoing certain high-risk surgeries. Despite controversies, complications and inherent errors in measurement, pulmonary artery cat...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/475151 |
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| author | Allison J. Lee Jennifer Hochman Cohn J. Sudharma Ranasinghe |
| author_facet | Allison J. Lee Jennifer Hochman Cohn J. Sudharma Ranasinghe |
| author_sort | Allison J. Lee |
| collection | DOAJ |
| description | Cardiac output (CO) measurement has long been considered essential to the assessment and guidance of therapeutic decisions in critically ill patients and for patients undergoing certain high-risk surgeries. Despite controversies, complications and inherent errors in measurement, pulmonary artery catheter (PAC) continuous and intermittent bolus techniques of CO measurement continue to be the gold standard. Newer techniques provide less invasive alternatives; however, currently available monitors are unable to provide central circulation pressures or true mixed venous saturations. Esophageal Doppler and pulse contour monitors can predict fluid responsiveness and have been shown to decrease postoperative morbidity. Many minimally invasive techniques continue to suffer from decreased accuracy and reliability under periods of hemodynamic instability, and so few have reached the level of interchangeability with the PAC. |
| format | Article |
| id | doaj-art-dbbef8ad2e6240fb88a96f3f97fed1e9 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-dbbef8ad2e6240fb88a96f3f97fed1e92025-02-03T05:46:00ZengWileyAnesthesiology Research and Practice1687-69621687-69702011-01-01201110.1155/2011/475151475151Cardiac Output Assessed by Invasive and Minimally Invasive TechniquesAllison J. Lee0Jennifer Hochman Cohn1J. Sudharma Ranasinghe2Jackson Memorial Hospital, University of Miami, Miami, FL 33136, USAJackson Memorial Hospital, University of Miami, Miami, FL 33136, USAJackson Memorial Hospital, University of Miami, Miami, FL 33136, USACardiac output (CO) measurement has long been considered essential to the assessment and guidance of therapeutic decisions in critically ill patients and for patients undergoing certain high-risk surgeries. Despite controversies, complications and inherent errors in measurement, pulmonary artery catheter (PAC) continuous and intermittent bolus techniques of CO measurement continue to be the gold standard. Newer techniques provide less invasive alternatives; however, currently available monitors are unable to provide central circulation pressures or true mixed venous saturations. Esophageal Doppler and pulse contour monitors can predict fluid responsiveness and have been shown to decrease postoperative morbidity. Many minimally invasive techniques continue to suffer from decreased accuracy and reliability under periods of hemodynamic instability, and so few have reached the level of interchangeability with the PAC.http://dx.doi.org/10.1155/2011/475151 |
| spellingShingle | Allison J. Lee Jennifer Hochman Cohn J. Sudharma Ranasinghe Cardiac Output Assessed by Invasive and Minimally Invasive Techniques Anesthesiology Research and Practice |
| title | Cardiac Output Assessed by Invasive and Minimally Invasive Techniques |
| title_full | Cardiac Output Assessed by Invasive and Minimally Invasive Techniques |
| title_fullStr | Cardiac Output Assessed by Invasive and Minimally Invasive Techniques |
| title_full_unstemmed | Cardiac Output Assessed by Invasive and Minimally Invasive Techniques |
| title_short | Cardiac Output Assessed by Invasive and Minimally Invasive Techniques |
| title_sort | cardiac output assessed by invasive and minimally invasive techniques |
| url | http://dx.doi.org/10.1155/2011/475151 |
| work_keys_str_mv | AT allisonjlee cardiacoutputassessedbyinvasiveandminimallyinvasivetechniques AT jenniferhochmancohn cardiacoutputassessedbyinvasiveandminimallyinvasivetechniques AT jsudharmaranasinghe cardiacoutputassessedbyinvasiveandminimallyinvasivetechniques |