Document Detail

Cardiac output monitoring using indicator-dilution techniques: basics, limits, and perspectives.
MedLine Citation:
PMID:  20185659     Owner:  NLM     Status:  MEDLINE    
The ability to monitor cardiac output is one of the important cornerstones of hemodynamic assessment for managing critically ill patients at increased risk for developing cardiac complications, and in particular in patients with preexisting cardiovascular comorbidities. For >30 years, single-bolus thermodilution measurement through a pulmonary artery catheter for assessment of cardiac output has been widely accepted as the "clinical standard" for advanced hemodynamic monitoring. In this article, we review this clinical standard, along with current alternatives also based on the indicator-dilution technique, such as the transcardiopulmonary thermodilution and lithium dilution techniques. In this review, not only the underlying technical principles and the unique features but also the limitations of each application of indicator dilution are outlined.
Daniel A Reuter; Cecil Huang; Thomas Edrich; Stanton K Shernan; Holger K Eltzschig
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  110     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-26     Completed Date:  2010-03-19     Revised Date:  2011-01-05    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  799-811     Citation Subset:  AIM; IM    
Department of Anesthesiology, Hamburg-Eppendorf University Hospital, Martinistr. 52, 20246 Hamburg, Germany.
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MeSH Terms
Cardiac Output*
Catheterization, Swan-Ganz
Coronary Circulation
Critical Care / methods*
Indicator Dilution Techniques*
Indicators and Reagents / administration & dosage
Injections, Intra-Arterial
Lithium Chloride / administration & dosage,  diagnostic use
Models, Cardiovascular
Monitoring, Physiologic / methods*
Predictive Value of Tests
Pulmonary Circulation
Reproducibility of Results
Time Factors
Reg. No./Substance:
0/Indicators and Reagents; 7447-41-8/Lithium Chloride
Comment In:
Anesth Analg. 2011 Jan;112(1):250-1   [PMID:  21173213 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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