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Tytuł:
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Best practice & research clinical anaesthesiology: Advances in haemodynamic monitoring for the perioperative patient: Perioperative cardiac output monitoring.
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Autorzy:
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Bein B; Department of Anaesthesiology and Intensive Care Medicine, Asklepios Klinik St. Georg, Hamburg, Germany. Electronic address: .
Renner J; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Germany. Electronic address: .
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Źródło:
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Best practice & research. Clinical anaesthesiology [Best Pract Res Clin Anaesthesiol] 2019 Jun; Vol. 33 (2), pp. 139-153. Date of Electronic Publication: 2019 Jul 22.
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Typ publikacji:
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Journal Article; Review
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Język:
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English
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Imprint Name(s):
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Publication: 2002- : Amsterdam : Elsevier
Original Publication: Amsterdam : Harcourt Publishers, c2001-
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MeSH Terms:
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Cardiac Output/*physiology
Hemodynamic Monitoring/*methods
Monitoring, Intraoperative/*methods
Perioperative Care/*methods
Thermodilution/*methods
Hemodynamic Monitoring/trends ; Humans ; Monitoring, Intraoperative/trends ; Perioperative Care/trends ; Thermodilution/trends
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Contributed Indexing:
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Keywords: haemodynamic monitoring; invasive, minimally invasive, non-invasive, cardiac output; pulmonary arterial, transpulmonary thermodilution; pulse contour analysis; stroke volume
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Entry Date(s):
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Date Created: 20191005 Date Completed: 20200220 Latest Revision: 20200220
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Update Code:
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20240104
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DOI:
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10.1016/j.bpa.2019.05.008
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PMID:
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31582094
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Less invasive or even completely non-invasive haemodynamic monitoring technologies have evolved during the last decades. Even established, invasive devices such as the pulmonary artery catheter and transpulmonary thermodilution have still an evidence-based place in the perioperative setting, albeit only in special patient populations. Accumulating evidence suggests to use continuous haemodynamic monitoring, especially flow-based variables such as stroke volume or cardiac output to prevent occult hypoperfusion and, consequently, decrease morbidity and mortality perioperatively. However, there is still a substantial gap between evidence provided by randomised trials and the implementation of haemodynamic monitoring in daily clinical routine. Given the fact that perioperative morbidity and mortality are higher than anticipated and anaesthesiologists are in charge to deal with this problem, the recent advances in minimally invasive and non-invasive monitoring technologies may facilitate more widespread use in the operating theatre, as in addition to costs, the degree of invasiveness of any monitoring tool determines the frequency of its application, at least perioperatively. This review covers the currently available invasive, non-invasive and minimally invasive techniques and devices and addresses their indications and limitations.
(Copyright © 2019 Elsevier Ltd. All rights reserved.)