Department of Anesthesiology, VA Western New York Healthcare System, State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY 14215, USA.
Intern Emerg Med. 2012 Apr;7(2):163-71. doi: 10.1007/s11739-011-0738-9. Epub 2011 Dec 7.
To evaluate cardiac output (CO), both invasive and semi-invasive monitors are used in critical care medicine. The pulmonary artery catheter is an invasive tool to assess CO with the major criticism that the level of its invasiveness is not supported by an improvement in patients' outcomes. The interest in a lesser invasive techniques is high. Therefore, alternative techniques have been developed recently, and are used frequently in critical care medicine. Cardiac output can be monitored continuously by different devices that analyze the stroke volume and CO. The purpose of this review is to understand these new technologies and their applications and limitations.
为了评估心输出量(CO),重症监护医学中同时使用有创和半有创监测器。肺动脉导管是一种评估 CO 的有创工具,主要的批评是其侵入性水平并没有提高患者的预后。因此,人们对创伤更小的技术很感兴趣。因此,最近开发了替代技术,并在重症监护医学中经常使用。通过分析每搏量和 CO 的不同设备可以连续监测心输出量。本文的目的是了解这些新技术及其应用和局限性。