Comparison of cardiac function index derived from femoral and jugular indicator injection for transpulmonary thermodilution with the PiCCO-device: A prospective observational study

Herner, Alexander; Heilmaier, Markus; Mayr, Ulrich; Schmid, Roland M.; Huber, Wolfgang

doi:10.1371/journal.pone.0200740

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…One limitation of the PiCCO system is its needs of transpulmonary measurement and its invasive nature. Recent studies have shown that when more distant central lines are used, the device is not able to predict the cardiac function reliably (27). Despite its limitations, PiCCO is extremely effective in goal directed therapy of patients in ICU and early fluid resuscitation efforts, thereby, decreasing mortality (28).…”

Section: Piccomentioning

confidence: 99%

Accuracy of non-invasive and minimally invasive hemodynamic monitoring: where do we stand?

Pour-Ghaz¹,

Manolukas²,

Foray³

et al. 2019

Ann. Transl. Med.

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One of the most important variables in assessing hemodynamic status in the intensive care unit (ICU) is the cardiac function and blood pressure. Invasive methods such as pulmonary artery catheter and arterial line allow monitoring of blood pressure and cardiac function accurately and reliably. However, their use is not without drawbacks, especially when the invasive nature of these procedures and complications associated with them are considered. There are several newer methods of noninvasive and minimally invasive hemodynamic monitoring available. In this manuscript, we will review these different methods of minimally invasive and non-invasive hemodynamic monitoring and will discuss their advantages, drawbacks and limitations.

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Section: Piccomentioning

confidence: 99%

Accuracy of non-invasive and minimally invasive hemodynamic monitoring: where do we stand?

Pour-Ghaz¹,

Manolukas²,

Foray³

et al. 2019

Ann. Transl. Med.

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“…These systems can provide information on the hemodynamic status of critically ill patients and can also be used in the perioperative setting. Although abovementioned devices have made it possible to improve the treatment of critically ill patients and optimize goal-directed therapy, they are expensive, not commonly available, and have shown limitations in providing reliable data in different contexts [ 3 – 5 ].…”

mentioning

confidence: 99%

Cardiac output estimation based on arterial and venous blood gas analysis: proposal of a monitoring method

Giraldo-Gutiérrez¹,

Gutiérrez²,

Ruiz-Villa³

2021

ait

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Hemodynamic optimization is vital in high risk surgical patients. The aim is to achieve an adequate coupling between oxygen (O 2 ) supply and metabolic demands in an organism under surgical stress, thus preserving aerobic metabolism. Tissue perfusion does not necessarily correlate with arterial blood pressure. Instead, cardiac output is the most important variable that determines tissue oxygen supply.Monitoring based on the pulmonary artery cathe ter is considered the gold standard for cardiac output (CO) assessment. It is an expensive and invasive method with usefulness in various clinical conditions being a matter of debate [1,2].Nowadays, there are minimally invasive hemodynamic monitoring methods available. They are based on the estimation of cardiac output through the analysis of the pulse wave contour, such as the FloTrac system

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Transpulmonary thermodilution techniques in the haemodynamically unstable patient

Beurton

Teboul

Monnet

2019

Current Opinion in Critical Care

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Purpose of review Transpulmonary thermodilution (TPTD) devices invasively measure not only cardiac output but also several other haemodynamic variables estimating cardiac preload, cardiac preload, systolic function, the lung oedema and systolic function, the lung oedema and the pulmonary permeability. In light of the recent literature, we describe how different indices are measured, emphasize their clinical interest and list potential limits and side-effects of the technique. Recent findings Estimation of cardiac output measurement with TPTD is now well established, at least when compared with the pulmonary artery catheter. The advantage of calibrating the pulse contour analysis, as it is allowed by TPTD indices, is clearly established over uncalibrated devices. The greatest advantage of TPTD is to measure extravascular lung water and pulmonary permeability, which may be useful to diagnose acute respiratory distress syndrome and manage fluid therapy in various critical diseases. It also allows a rapid detection of left ventricular systolic failure. The information it provides must be considered complementary to that provided by echocardiography. Summary TPTD provides several indices that may help in making decisions during the therapeutic management of haemodynamically unstable patients. It should be used for the most critically ill patients, whose management requires a reliable, precise and holistic view of the cardiopulmonary condition.

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Comparison of cardiac function index derived from femoral and jugular indicator injection for transpulmonary thermodilution with the PiCCO-device: A prospective observational study

Cited by 5 publications

References 22 publications

Accuracy of non-invasive and minimally invasive hemodynamic monitoring: where do we stand?

Accuracy of non-invasive and minimally invasive hemodynamic monitoring: where do we stand?

Cardiac output estimation based on arterial and venous blood gas analysis: proposal of a monitoring method

Transpulmonary thermodilution techniques in the haemodynamically unstable patient

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