Advanced cardiovascular monitoring. Issue 2 (February 2016)

• Record Type: Journal Article
• Authors: Shaw, Michelle; Chishti, Ahmed
• Is Part Of: Surgery. Volume 34:Issue 2(2016)
• Page Start: 97
• Page End: 104
• Publication Date: 2016-02
• Subjects: Arterial waveform analysis -- cardiac output -- echocardiography -- enhanced recovery -- goal directed haemodynamic therapy -- invasive pressure monitoring -- LiDCO -- oesophageal Doppler -- PiCCO; Surgery -- Periodicals; Surgery -- Periodicals; Chirurgie -- Périodiques; Thérapeutique -- Périodiques; Electronic journals; 617
• DOI: 10.1016/j.mpsur.2015.11.011
• Languages: English
• ISSNs: 0263-9319

Abstract

Abstract: Advanced cardiovascular monitoring has a role in the assessment and management of both haemodynamically unstable critically ill and high-risk perioperative patients. Clinical indicators and standard monitoring may be unreliable or insufficient in these patients. This article reviews basic cardiovascular physiology, goal directed haemodynamic therapy and advanced cardiovascular monitoring with evidence and recommendations. Specific monitoring modalities will be described including invasive pressure monitoring, arterial waveform analysis and cardiac output estimation by dilutional, Doppler and echocardiography methods. Emerging technologies will also be discussed.