Arterial thermodilution: an alternative to pulmonary artery catheter for cardiac output assessment in burn patients

Holm, Charlotte; Melcer, B.; Hörbrand, F.; Donnersmarck, G. Henckel von; Mühlbauer, W.

doi:10.1016/s0305-4179(00)00088-7

Cited by 59 publications

(31 citation statements)

References 23 publications

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“…A high degree of correlation between CO pa and CO tp has been established in multiple experimental and clinical settings including cardiac surgery patients, intensive care patients, septic patients, and burn victims (7,14,26,29,38,50,57,89,113). For instance, Sakka et al (89) studied 37 surgical ICU patients, 34 of whom had sepsis.…”

Section: Data Derived From Thermodilution Measurementsmentioning

confidence: 99%

Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter

Isakow¹,

Schuster²

2006

American Journal of Physiology-Lung Cellular and Molecular Phys

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Section: Data Derived From Thermodilution Measurementsmentioning

confidence: 99%

Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter

Isakow¹,

Schuster²

2006

American Journal of Physiology-Lung Cellular and Molecular Phys

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“…17 Recently, we reported on the use of ICG for invasive monitoring and guidance of fluid therapy of severely burned patients during the resuscitation period. 18,19 After intravenous injection, ICG completely binds to plasma proteins and is exclusively distributed in the intravascular space. 20 This makes it a suitable tracer for vessel perfusion.…”

Section: Indocyanine Greenmentioning

confidence: 99%

Monitoring free flaps using laser‐induced fluorescence of indocyanine green: A preliminary experience

et al. 2002

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In a prospective, clinical study, the clinical utility of indocyanine green for intraoperative monitoring of free tissue transfer was evaluated. The study comprised 20 surgical patients undergoing elective microsurgical procedures. Indocyanine green angiography was performed intraoperatively, immediately after flap inset, and the operating team was blind to the fluoremetric findings. Thereafter, postoperative monitoring was done exclusively by clinical examination (color, temperature, time for recapillarization, and bleeding after puncture). Final outcome was compared with results of perioperative indocyanine (ICG)-imaging, and classified either as total flap loss, partial flap loss, or successful tissue transplantation. A total of 2 (10%) complications was recorded, and included one partial and one total flap loss. Both complications were detected by intraoperative ICG imaging. Another case of intraoperative subclinical arterial spasm at the place of microvascular anastomosis was revealed by dynamic ICG-videography. This flap did not develop postoperative complications. In conclusion, evaluation of perfusion by ICG imaging is feasible in all kinds of microsurgical flaps, irrespective of the type of tissue. Even though not meeting all the criteria of an ideal monitoring device, significant additional information can be obtained. In this study, cases with arterial spasm, venous congestion, and regional hypoperfusion were revealed by intraoperative ICG-videography. There was a strong correlation between intraoperative findings and clinical outcome.

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“…Der Swan-Ganz-Katheter wird über eine großlumige zentralvenöse Schleuse eingeführt, die bei ohnehin erhöhter Gefahr einer Sepsis bei Brandverletzten einen zusätzlichen potenziellen Fokus darstellt. In kürzlich publizierten Arbeiten, wurden weniger invasive Methoden zum hämodynamischen Monitoring Brandverletzter eingesetzt [18,19,12,13]. Diese beruhen auf einer transkardiopulmonalen Einzel (Kälte)-oder Doppelindikatorverdünnung (Kälte plus Farbstoff).…”

Section: Transkardiopulmonale Indikatordilutionunclassified

“…Die Berechnung des Herzzeitvolumens erfolgt dann, wie bei der pulmonalarteriellen Thermodilution, nach der Steward-Hamilton-Gleichung [18]. Für diese Techniken konnte im Vergleich zum Swan-Ganz-Katheter eine gute Korrelation der gemessenen hämo-dynamischen Parameter gezeigt werden [18,12]. Nur bei sehr hohem Herzindex (>5,5) zeigte sich eine Diskrepanz zwischen transkardiopulmonaler und pulmonalarterieller Thermodilution [18].…”

Section: Transkardiopulmonale Indikatordilutionunclassified

Fl�ssigkeitstherapie und h�modynamisches Monitoring im Verbrennungsschock

Czermak

Hartmann

Scheele

et al. 2004

Chirurg

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Successful surgical and intensive care treatment of severely burned patients requires adequate prehospital management and fluid resuscitation adjusted to individual needs of the patient. Burn shock fluid resuscitation is now predominantly performed utilizing crystalloid solutions. Whenever possible, colloid solutions should not be given in the first 24 h after burn injury. The rate of administration of resuscitation fluids should maintain urine outputs between 0.5 ml/kg per h and 1 ml/kg per h and mean arterial pressures of >70 mmHg. Extended hemodynamic monitoring can provide valuable additional information, if burn resuscitation is not proceeding as planned or volume therapy guided by these typical vital signs is not attaining the desired effect. We recommend this in patients with TBSA burns of >30%. Inhalation injuries, pre-existing cardiopulmonary diseases, or TBSA burns of >50% definitely require extended hemodynamic monitoring during burn shock resuscitation. The Swan-Ganz catheter or less invasive transcardiopulmonary indicator dilution methods can be utilized to assess hemodynamic data.

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Arterial thermodilution: an alternative to pulmonary artery catheter for cardiac output assessment in burn patients

Cited by 59 publications

References 23 publications

Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter

Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter

Monitoring free flaps using laser‐induced fluorescence of indocyanine green: A preliminary experience

Fl�ssigkeitstherapie und h�modynamisches Monitoring im Verbrennungsschock

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