Stata 12.0 (StataCorp, College Station, TX, USA) was used for statistical analysis. continuous cardiac output monitoring PiCCO 4522 982 91271.qxd 06 11 2003 13:11 Page 1. It uses the same principles of thermodilution as PACs. The Hemodynamic Extension is designed to work with the Philips Multi-Measurement Server (MMS) and includes PiCCO™ technology for continuous cardiac output monitoring through arterial pulse contour analysis and intermittent measurement through transpulmonary thermodilution. Transpulmonary thermodilution is used to calibrate the pulse contour PiCCO monitor. Figure 1 presents the patient flowchart. Less invasive Using PiCCO typically requires insertion of a thermodilution catheter in the femoral or axillary artery instead of a standard arterial line. The extension also supports traditional cardiac output monitoring … 18,19. Purpose of monitoring • Early detection, identification and treatment of life threatening conditions such as heart failure and cardiac tamponade. Highly invasive monitoring methods have been established in clinical practice for many years, but are increasingly the centre of critical discussion. The efficacy of treatment based on PiCCO monitoring was investigated in subgroups of ARDS and/or shock. PiCCO was employed to monitor cardiac output (CO) and extravascular lung water index (ELWI). PiCCO continuous cardiac output information. Monitoring physiological parameters is essential for the goal directed management of critical care patients. PARAMETERS MEASURED IN PiCCO Stroke volume Based on the demographic data and arterial waveform details an individual calibration factor is computed as the automatic start value – CO. Then pulmonary contour analysis is performed from the arterial pressure curve. The PiCCO Technology is the solution. This chapter will focus on use of pressure waveforms obtained from the PAC and CVC in the management of critically ill patients. OR Hemodynamic monitoring is the measurement and interpretation of biological sytems that describes the performance of cardiovascular system 10. Stroke volume is analysed and calibrated by comparing the systolic area with the start value - CO Stroke Volume is … PiCCO (pulse-induced contour cardiac output) A special arterial line (with a thermistor to measure temperature) is inserted into the brachial or femoral artery. The cold injectate is introduced into the superior vena cava via a CVC. Any available central venous catheter can be used for injectate solution used for the thermodilution analysis. Two-sided P values <0.05 were considered statistically significant. Results. Characteristics of the patients . Errors in data acquisition and interpretation likely pose a greater risk to patients than catheterization per se.
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