Assessing the Left Ventricular Systolic Function at the Bedside The Role of Transpulmonary Thermodilution-Derived Indices英文文献资料.docVIP

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Assessing the Left Ventricular Systolic Function at the Bedside The Role of Transpulmonary Thermodilution-Derived Indices英文文献资料.doc

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Assessing the Left Ventricular Systolic Function at the Bedside The Role of Transpulmonary Thermodilution-Derived Indices英文文献资料

HindawiPublishingCorporation AnesthesiologyResearchandPractice Volume2011,ArticleID927421,4pages doi:10.1155/2011/927421 ReviewArticle AssessingtheLeftVentricularSystolicFunctionattheBedside: TheRoleofTranspulmonaryThermodilution-DerivedIndices GerardoAguilar, F.JavierBelda, CarlosFerrando, andJos′eLuisJover 1 1 1 2 1 2 DepartamentodeAnestesiolog′?ayCuidadosCr′?ticos,HospitalCl′?nicoUniversitariodeValenica,46010Valencia,Spain DepartamentodeAnestesiolog′?a,HospitalVirgendelosLirios,Alcoy,03804Alicante,Spain CorrespondenceshouldbeaddressedtoGerardoAguilar,gerardo.aguilar@uv.es Received29November2010;Revised19March2011;Accepted7June2011 AcademicEditor:MaximeCannesson Copyright?2011GerardoAguilaretal. This is an open access article distributed under the Creative Commons Attribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Evaluatingthesystolicfunctionoftheleftventricle(LV)isimportantinthehemodynamicmanagementofthecriticallyillpatients withcirculatoryfailure.EchocardiographyisconsideredthestandardmonitorforestimatingtheLVfunctionatthebedsidein theintensivecareunit.However,itrequiresatrainedoperatorandisnotareal-timemonitoringtool.Formonitoringofthe systolicfunction,thepulmonaryarterycatheterhasbeenthegoldstandardforalongtime.However,nowtherearealternatives tothisdevice,withtranspulmonarythermodilutionbeingoneofthem.Thispaperprovidesanoverviewoftheusefulnessofthe transpulmonarythermodilution-derivedindicesforassessingsystolicfunctionatthebedside. 1.Introduction Morerecently,thetranspulmonarythermodilutiontech- nique with single thermal indicator (incorporated into the PiCCO monitor, Pulsion Medical System, Munich, Germany)wasproposedasa“lessinvasive”hemodynamic monitoring system for critically care patients. The sys- temprovidesintermittent(transpulmonarythermodilution- derived)andcontinuous(pulsecontour-derived)assessment ofcardiacoutputand