Evaluation of Invasive and Noninvasive Hemodynamic Monitoring in Trauma Patients

Abstract

The CI by thermodilution (CItd) correlated well with simultaneous measurements with the bioimpedance (CIbi), r2 = 0.915, r2 = 0.84, p < 0.001. The bias and precision of simultaneous measurements was -0.070 +/- 0.47 L/min/m2; agreement was considered satisfactory. In the initial resuscitation period of both monitoring systems, the CI, mean arterial blood pressure, SapO2, and tissue perfusion (reflected by invasive DO2 and VO2, and by noninvasive PtcO2/FiO2 ratio) were higher in survivors than in nonsurvivors, whereas heart rate values were higher in the nonsurvivors. We concluded that noninvasive hemodynamic monitoring provided a feasible, safe, inexpensive, accurate, continuous, on-line real-time graphic displays that are equivalent to the essential features of invasive pulmonary artery catheter monitoring.

Intensivist Bedside Ultrasound (INBU) for Volume Assessment in the Intensive Care Unit: A Pilot Study

“…The potential for noninvasive methods to estimate volume status and cardiac function is highly appealing. 11 The use of ultrasound (US) by clinician sonographers (CSs) has been well documented for various purposes only after brief, focused training periods. [12][13][14][15][16] The feasibility and utility of cardiac US by CS to determine ejection fraction has been demonstrated.…”

The anesthetic management of emergency general surgery cases: A retrospective analysis

“…Acil cerrahilerde hemodinamik parametrelerin invazif olarak yakından takip edilmesi sirkulatuar anormalliklerin erkenden yakalanması ve bunların düzel-tilerek şok, organ yetersizlikleri ve ölümün önlenmesi açısından yaşamsal öneme sahiptir 8 . Çalışmamızda da vakaların 1/3'inden fazlasında invazif mönitörizas-yon yapılmıştır.…”

Assessment and Comparison of Cardiac Function and Volume Status Using Bedside Echocardiography in Critically Ill Patients With Other Conventional Methods

“…9,10 For these reasons, the development of noninvasive tools and/or methods to estimate volume status and cardiac function is highly appealing. 11 In this study, bedside echocardiography allowed an accurate assessment of LVEF when compared with the clinical parameters.…”