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[微创心输出量监测的新进展]

[New aspects of minimally invasive cardiac output monitoring].

作者信息

Hofer Christoph K, Schmid Ursina, Zollinger Andreas

机构信息

Institut für Anästhesiologie und Intensivmedizin und Leiter des Ambulanten Perioperativen Zentrums, Stadtspital Triemli.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Feb;47(2):102-9. doi: 10.1055/s-0032-1304513. Epub 2012 Mar 8.

Abstract

The variety of minimally invasive cardiac output (CO) monitoring devices is growing rendering it difficult to keep track of new developments. In this article technical principles, limitations and validation procedures considering new aspects are reviewed. An integrated approach for their use is proposed since no single device can comply with all clinical needs. CO should be interpreted in combination with clinical information and other hemodynamic parameters. It's evident that not the monitor per se, but only the protocol / therapy based on the hemodynamic data can improve patients outcome.

摘要

微创心输出量(CO)监测设备的种类不断增加,以至于很难跟上新的发展。本文回顾了考虑新方面的技术原理、局限性和验证程序。由于没有单一设备能满足所有临床需求,因此提出了一种综合使用方法。心输出量应结合临床信息和其他血流动力学参数进行解读。显然,不是监测仪本身,而是基于血流动力学数据的方案/治疗才能改善患者的预后。

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