Document Detail


Physiologic and Clinical Principles behind Noninvasive Resuscitation Techniques and Cardiac Output Monitoring.
MedLine Citation:
PMID:  21860802     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Clinical assessment and vital signs are poor predictors of the overall hemodynamic state. Optimal measurement of the response to fluid resuscitation and hemodynamics has previously required invasive measurement with radial and pulmonary artery catheterization. Newer noninvasive resuscitation technology offers the hope of more accurately and safely monitoring a broader range of critically ill patients while using fewer resources. Fluid responsiveness, the cardiac response to volume loading, represents a dynamic method of improving upon the assessment of preload when compared to static measures like central venous pressure. Multiple new hemodynamic monitors now exist that can noninvasively report cardiac output and oxygen delivery in a continuous manner. Proper assessment of the potential future role of these techniques in resuscitation requires understanding the underlying physiologic and clinical principles, reviewing the most recent literature examining their clinical validity, and evaluating their respective advantages and limitations.
Authors:
Anthony M Napoli
Publication Detail:
Type:  Journal Article     Date:  2011-08-16
Journal Detail:
Title:  Cardiology research and practice     Volume:  2012     ISSN:  2090-0597     ISO Abbreviation:  Cardiol Res Pract     Publication Date:  2012  
Date Detail:
Created Date:  2011-08-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101516542     Medline TA:  Cardiol Res Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  531908     Citation Subset:  -    
Affiliation:
Department of Emergency Medicine, Brown University Medical School, 593 Eddy Street, Davol 142, Providence, RI 02903, USA.
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