Dynamic indices of preload in postcardiac surgery patients by pulse power analysis

Barbon, Emma; Caliandro, Francesca; Kamdar, J; Puntis, Michael; Meeran, Hanif; Rhodes, Andrew; Dewhurst, A; Cecconi, Maurizio

doi:10.1186/cc9474

Cited by 2 publications

(2 citation statements)

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“…Despite the initial enthusiastic approach, LiDCOrapid failed to demonstrate a good correlation for SV values when compared with the PiCCO pulse contour [64] or transesophageal Doppler [65]. Regarding the ability of the LiDCOrapid-SVV to predict the fluid responsiveness, some studies performed in high risk vascular surgery [66] and in cardiac surgery [67] confirmed that this parameter is an adequate predictor of the CO response to fluid administration. LiDCOrapid was never used in GDT protocols in cardiac surgery but in obstetrics where the main advantages were less maternal hypotension and much less neonatal hypercapnia and hypoxemia in the GDT group than in the control group [68].…”

Section: Lidcorapid (Lidco Ltd Cambridge Uk)mentioning

confidence: 99%

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Hendy

Bubenek

2016

Rom J Anaesth Int Care

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Hemodynamic monitoring has evolved and improved greatly during the past decades as the medical approach has shifted from a static to a functional approach. The technological advances have led to innovating calibrated or not, but minimally invasive and noninvasive devices based on arterial pressure waveform (APW) analysis. This systematic clinical review outlines the physiologic rationale behind these recent technologies. We describe the strengths and the limitations of each method in terms of accuracy and precision of measuring the flow parameters (stroke volume, cardiac output) and dynamic parameters which predict the fluid responsiveness. We also analyzed the place of the APW monitoring devices in goaldirected therapy (GDT) protocols in cardiac surgical patients. According to the data from the three GDTrandomized control trials performed in cardiac surgery (using two types of APW techniques PiCCO and FloTrac/Vigileo), these devices did not demonstrate that they played a role in decreasing mortality, but only decreasing the ventilation time and the ICU and hospital length of stay.

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Section: Lidcorapid (Lidco Ltd Cambridge Uk)mentioning

confidence: 99%

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Hendy

Bubenek

2016

Rom J Anaesth Int Care

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“…Multiple studies are ongoing using the LiDCO rapid to gauge fluid responsiveness and guide fluid management. [ 52 – 54 ]. The LiDCO rapid is also currently being used in a large government-supported multicenter trial currently underway in the UK, OPTIMISE, aimed at improving surgical outcomes by optimizing cardiovascular management [ 55 ].…”

Section: Pulse Power Analysismentioning

confidence: 99%

Cardiac Output Assessed by Invasive and Minimally Invasive Techniques

Lee

Cohn

Ranasinghe

2011

Anesthesiology Research and Practice

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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.

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Dynamic indices of preload in postcardiac surgery patients by pulse power analysis

Cited by 2 publications

References 1 publication

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Pulse waveform hemodynamic monitoring devices: recent advances and the place in goal-directed therapy in cardiac surgical patients

Cardiac Output Assessed by Invasive and Minimally Invasive Techniques

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