assessing the left ventricular systolic function at the bedside the role of transpulmonary thermodilution-derived indices在床边评估左心室收缩功能的作用transpulmonary thermodilution-derived指数.pdfVIP

Hindawi Publishing Corporation Anesthesiology Research and Practice Volume 2011, Article ID 927421, 4 pages doi:10.1155/2011/927421 Review Article Assessing the Left Ventricular Systolic Function at the Bedside: The Role of Transpulmonary Thermodilution-Derived Indices 1 1 1 ´ 2 Gerardo Aguilar, F. Javier Belda, Carlos Ferrando, and Jose Luis Jover 1 Departamento de Anestesiologıa y Cuidados Crıticos, Hospital Clınico Universitario de Valenica, 46010 Valencia, Spain ´ ´ ´ 2 Departamento de Anestesiologıa, Hospital Virgen de los Lirios, Alcoy, 03804 Alicante, Spain ´ Correspondence should be addressed to Gerardo Aguilar, gerardo.aguilar@uv.es Received 29 November 2010; Revised 19 March 2011; Accepted 7 June 2011 Academic Editor: Maxime Cannesson Copyright © 2011 Gerardo Aguilar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Evaluating the systolic function of the left ventricle (LV) is important in the hemodynamic management of the critically ill patients with circulatory failure. Echocardiography is considered the standard monitor for estimating the LV function at the bedside in the intensive care unit. However, it requires a trained operator and is not a real-time monitoring tool. For monitoring of the systolic function, the pulmonary artery catheter has been the gold standard for a long time. However, now there are alternatives to this device, with