Best Practice & Research Clinical Anaesthesiology: Advances in haemodynamic monitoring for the peri-operative patient Perioperative cardiac output monitoring

Publication date: Available online 22 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Berthold Bein, Jochen RennerAbstractLess invasive or even completely non-invasive haemodynamic monitoring technologies have evolved during the last decades. But even established, invasive devices such as the pulmonary artery catheter and transpulmonary thermodilution have still an evidence-based place in the perioperative setting, albeit only in special patient populations. Accumulating evidence suggests to use continuous haemodynamic monitoring, specifically flow-based variables such as stroke volume or cardiac output, in order to prevent occult hypoperfusion and consequently decrease morbidity and mortality perioperatively. However, there is still a substantial gap between evidence provided by randomized trials and the implementation of haemodynamic monitoring in daily clinical routine. Given the fact that perioperative morbidity and mortality is higher than anticipated and anaesthesiologists are in charge to deal with this problem, the recent advances in minimal-invasive and non-invasive monitoring technologies may facilitate more widespread use in the operating theatre since besides costs, the degree of invasiveness of any monitoring tool determines the frequency of its application, at least perioperatively. This review covers the currently available invasive, non-invasive and minimally-invasive techniques and devices and addresses their indications and limit...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research