MiCo, Vallamand, Switzerland.
Department of Anesthesiology and Intensive Care, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Br J Anaesth. 2024 Dec;133(6):1367-1370. doi: 10.1016/j.bja.2024.03.008. Epub 2024 Apr 15.
Anaesthesiologists overwhelmingly favour pulse wave analysis techniques as their primary method to monitor cardiac output during high-risk noncardiac surgery. In patients with a radial arterial catheter in place, pulse wave analysis techniques have the advantage of instantly providing non-operator-dependent and continuous haemodynamic monitoring information. Green pulse wave analysis techniques working with any standard pressure transducer are as reliable as techniques requiring dedicated pressure transducers. They have the advantage of minimising plastic waste and related carbon dioxide emissions, and also significantly reducing hospital costs. The future integration of pulse wave analysis algorithms into multivariable bedside monitors, obviating the need for standalone haemodynamic monitors, could lead to wider use of haemodynamic monitoring solutions by further reducing their cost and carbon footprint.
麻醉师普遍赞成使用脉搏波分析技术作为监测高危非心脏手术中心输出量的主要方法。对于已放置桡动脉导管的患者,脉搏波分析技术具有即时提供非操作人员依赖和连续血流动力学监测信息的优势。与需要专用压力传感器的技术相比,任何标准压力传感器都能可靠地使用绿色脉搏波分析技术。它具有减少塑料废物和相关二氧化碳排放的优势,还可以大大降低医院成本。未来,将脉搏波分析算法集成到多变量床边监测仪中,从而不再需要单独的血流动力学监测仪,这可能会通过进一步降低成本和减少碳足迹来扩大血流动力学监测解决方案的使用。