Haemodynamic monitoring using arterial waveform analysis.
(2013) In Current Opinion in Critical Care 19(3). p.234-241- Abstract
- PURPOSE OF REVIEW: To describe the theory behind arterial waveform analysis, the different variables that may be obtained using this method, reliability of measurements and their clinical relevance. Areas for future research are identified. RECENT FINDINGS: The precision of cardiac output (CO) measurements varies considerably and deteriorates during haemodynamic instability. Significant device-to-device differences exist. Nevertheless, most are sufficiently accurate for tracking changes in CO. Targeted intervention guided by haemodynamic monitoring reduces mortality and morbidity in high-risk surgical patients. Dynamic changes in variables such as systolic pulse variation, pulse pressure variation (PPV) and stroke volume variation (SVV)... (More)
- PURPOSE OF REVIEW: To describe the theory behind arterial waveform analysis, the different variables that may be obtained using this method, reliability of measurements and their clinical relevance. Areas for future research are identified. RECENT FINDINGS: The precision of cardiac output (CO) measurements varies considerably and deteriorates during haemodynamic instability. Significant device-to-device differences exist. Nevertheless, most are sufficiently accurate for tracking changes in CO. Targeted intervention guided by haemodynamic monitoring reduces mortality and morbidity in high-risk surgical patients. Dynamic changes in variables such as systolic pulse variation, pulse pressure variation (PPV) and stroke volume variation (SVV) may be useful for evaluating fluid responsiveness, although important caveats exist. Newer indices such as PPV : SVV ratio may be useful in identifying preload and vasopressor-dependent patients. Peripheral arterial dP/dt has not been validated in critically ill patients and requires further investigation. SUMMARY: Despite significant limitations in measurement accuracy and inter-device differences, arterial waveform analysis is a potentially useful tool for monitoring the central circulation in critically ill patients. Future studies investigating the effects of haemodynamic management guided by arterial waveform variables in critically ill patients are urgently needed. The evaluation of cardiopulmonary interactions and usefulness of dP/dt are other areas that require further investigation. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3734279
- author
- Chew, Michelle LU and Aneman, Anders
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Current Opinion in Critical Care
- volume
- 19
- issue
- 3
- pages
- 234 - 241
- publisher
- Wolters Kluwer
- external identifiers
-
- wos:000318902200012
- pmid:23549299
- scopus:84877775064
- pmid:23549299
- ISSN
- 1531-7072
- DOI
- 10.1097/MCC.0b013e32836091ae
- language
- English
- LU publication?
- yes
- id
- f61f5974-4eb7-4cff-8a77-1f5e8db81be8 (old id 3734279)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/23549299?dopt=Abstract
- date added to LUP
- 2016-04-01 10:40:34
- date last changed
- 2022-04-20 05:07:32
@article{f61f5974-4eb7-4cff-8a77-1f5e8db81be8,
abstract = {{PURPOSE OF REVIEW: To describe the theory behind arterial waveform analysis, the different variables that may be obtained using this method, reliability of measurements and their clinical relevance. Areas for future research are identified. RECENT FINDINGS: The precision of cardiac output (CO) measurements varies considerably and deteriorates during haemodynamic instability. Significant device-to-device differences exist. Nevertheless, most are sufficiently accurate for tracking changes in CO. Targeted intervention guided by haemodynamic monitoring reduces mortality and morbidity in high-risk surgical patients. Dynamic changes in variables such as systolic pulse variation, pulse pressure variation (PPV) and stroke volume variation (SVV) may be useful for evaluating fluid responsiveness, although important caveats exist. Newer indices such as PPV : SVV ratio may be useful in identifying preload and vasopressor-dependent patients. Peripheral arterial dP/dt has not been validated in critically ill patients and requires further investigation. SUMMARY: Despite significant limitations in measurement accuracy and inter-device differences, arterial waveform analysis is a potentially useful tool for monitoring the central circulation in critically ill patients. Future studies investigating the effects of haemodynamic management guided by arterial waveform variables in critically ill patients are urgently needed. The evaluation of cardiopulmonary interactions and usefulness of dP/dt are other areas that require further investigation.}},
author = {{Chew, Michelle and Aneman, Anders}},
issn = {{1531-7072}},
language = {{eng}},
number = {{3}},
pages = {{234--241}},
publisher = {{Wolters Kluwer}},
series = {{Current Opinion in Critical Care}},
title = {{Haemodynamic monitoring using arterial waveform analysis.}},
url = {{http://dx.doi.org/10.1097/MCC.0b013e32836091ae}},
doi = {{10.1097/MCC.0b013e32836091ae}},
volume = {{19}},
year = {{2013}},
}