PMID: 6409246Jul 16, 1983Paper

Bedside haemodynamic monitoring: experience in a general hospital

British Medical Journal
J BaylissG C Sutton

Abstract

Bedside right heart haemodynamic monitoring was carried out on 55 occasions over 18 months in the cardiac care unit of a district general hospital. The technique was used to assist in the management of 27 patients with acute heart failure by helping to select appropriate treatment. Although the catheters were flow guided, insertion and positioning were facilitated by fluoroscopy. The procedure was safe, with one complication arising; technical difficulties occurred in eight cases. Prediction of cardiac output and left ventricular filling pressure by clinical assessment proved to be accurate in only 55% of cases: in patients with acute heart failure there was a tendency to underestimate the cardiac output (25%) and overestimate the left ventricular filling pressure (37%), whereas in patients with chronic heart failure the filling pressure was more accurately estimated (71%). Haemodynamic measurement was often invaluable in selecting and adjusting treatment, particularly in critically ill patients.

Citations

Jun 8, 2001·Critical Care Medicine·B AfessaA X Freire
Jul 14, 2000·BMJ : British Medical Journal·D K SatchithanandaA J Ritchie
Jan 1, 1986·British Heart Journal·F M McLennanJ M Rawles
Sep 26, 2003·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization
Oct 21, 2005·Chest·Yasser SakrUNKNOWN Sepsis Occurrence in Acutely Ill Patients Investigators
Jul 22, 1998·Critical Care Medicine·J L VincentP Suter
Feb 8, 1991·Journal of Intensive Care Medicine·K Chatterjee, M Matthay

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