Document Detail


A computer module for the continuous monitoring of cardiac output in the operating theatre and the ICU.
MedLine Citation:
PMID:  1015235     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new pulse contour method to determine stroke volume and cardiac output continuously in patients on a beat-to-beat basis from the aortic pressure wave has been implemented in the form of a simple, inexpensive, fully automatic computing module for a commercially available patients monitoring system (Philips Medical Systems). Its reliability has been tested and shown in a computer analog, in experimental studies in 10 dogs (not reported here), in 22 hemodynamic studies on 20 young healthy volunteers and during 41 days in 20 postsurgical patients in the ICU, the most important result being that erros figures (15 and 19% respectively in the two human studies) are of the same order as when two standard methods, Fick and dye dilution are compared. The clinical studies have further indicated the easy applicability of the module 1 degree in the monitoring of critically ill patients in ICU's, 2 degrees as a monitor of the systemic circulation during anesthesia, and 3 degrees as a tool for studying the hemodynamic effects of pharmacological agents. The instrument consitutes no burden to the patients and has, several times during the course of the evaluation, provided an early warning of a deteriorating hemodynamic status of the patient to the physician.
Authors:
K H Wesseling; R Purschke; N T Smith; H J Wüst; B de Wit; H A Weber
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Belgica     Volume:  27 suppl     ISSN:  0001-5164     ISO Abbreviation:  Acta Anaesthesiol Belg     Publication Date:  1976  
Date Detail:
Created Date:  1977-03-21     Completed Date:  1977-03-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421022     Medline TA:  Acta Anaesthesiol Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  327-41     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Blood Pressure
Cardiac Output*
Cardiac Surgical Procedures / methods
Computers, Analog*
Heart Rate
Humans
Intensive Care Units*
Models, Biological
Monitoring, Physiologic / instrumentation*
Operating Rooms*
Time Factors

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


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