Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Best Pract Res Clin Anaesthesiol. 2012 Dec;26(4):453-62. doi: 10.1016/j.bpa.2012.10.003.
Hemodynamic monitoring is the cornerstone of perioperative anesthetic monitoring. In the unconscious patient, hemodynamic monitoring not only provides information relating to cardiac output, volume status and ultimately tissue perfusion, but also indicates depth of anesthesia and adequacy of pain control. In the 21st century the anesthesiologist has an array of devices to choose from. No single device provides a complete assessment of hemodynamic status, and the use of all devices in every situation is neither practical nor appropriate. This article aims to provide the reader with an overview of the devices currently available, and the information they provide, to assist anesthesiologists in the selection of the most appropriate devices for any given situation.
血流动力学监测是围术期麻醉监测的基石。在无意识的患者中,血流动力学监测不仅提供与心输出量、容量状态以及最终的组织灌注相关的信息,还能指示麻醉深度和疼痛控制的充分性。在 21 世纪,麻醉医师有多种设备可供选择。没有任何单一设备可以全面评估血流动力学状态,在每种情况下使用所有设备既不实际也不合适。本文旨在为读者提供当前可用设备及其提供信息的概述,以帮助麻醉医师选择最适合任何给定情况的设备。