Minimally invasive monitoring of cardiac output in the cardiac surgery intensive care unit.

Current Heart Failure Reports
Jamal A AlhashemiChristoph K Hofer

Abstract

Cardiac output monitoring in the cardiac surgery patient is standard practice that is traditionally performed using the pulmonary artery catheter. However, over the past 20 years, the value of pulmonary artery catheters has been challenged, with some authors suggesting that its use might be not only unnecessary but also harmful. New minimally invasive devices that measure cardiac output have become available. In this paper, we review their operative principles, limitations, and utility in an integrated approach that could potentially change patients' outcome. However, it is now clear that it is how the monitor is used (ie, the protocol or therapy associated with its use, or its lack thereof), and not the monitor per se, that should be questioned when a patient's outcome is being evaluated.

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Citations

Mar 1, 2013·British Journal of Anaesthesia·H D AyaA Rhodes
Jul 22, 2011·Anesthesiology Research and Practice·Allison J LeeJ Sudharma Ranasinghe
Sep 13, 2011·Annals of Intensive Care·Mike S StrundenDaniel A Reuter
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Feb 28, 2015·Journal of Clinical Monitoring and Computing·Michael T GanterChristoph K Hofer
Apr 17, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Maxime Cannesson, Joseph Rinehart
Oct 27, 2011·Expert Review of Medical Devices·Maxime CannessonChristoph K Hofer
Apr 22, 2011·Current Opinion in Critical Care·Maurizio CecconiAndrew Rhodes
Feb 20, 2021·Physiological Measurement·Gautam AnandAnubha Kalra

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