picco简介PPT.pptVIP

PiCCO ... ...Simple – Safe – Speedy - Specific PiCCO-Technology PiCCO plus Standalone Monitor Contents What is the PiCCO-Technology? What are the advantages of the PiCCO-Technology? How does the PiCCO-Technology work? How to use the PiCCO-Technology? Which disposables do I need for the PiCCO-Technology? References…………………………………………………………………………………….. 7. Where can I get what I need? 3 4 6 19 22 24 25 1. What is the PiCCO-Technology? The PiCCO Technology is a combination of 2 techniques for advanced hemodynamic and volumetric management without the necessity of a pulmonary artery catheter in most patients: 2. What are the advantages of the PiCCO-Technology? Thermodilution Parameters Cardiac Output CO Global Enddiastolic Volume GEDV Intrathoracic Blood Volume ITBV Extravascular Lung Water EVLW* Pulse Contour Parameters Pulse Continuous Cardiac Output PCCO Systemic Vascular Resistance SVR Stroke Volume Variation SVV * not available in USA The PiCCO measures the following main parameters: 2. What are the advantages of the PiCCO-Technology? Less Invasiveness - Only central venous and arterial access required - No pulmonary artery catheter required - Applicable also in small children Short Set-up Time - Can be installed within minutes Dynamic, Continuous Measurement - Cardiac Output, Afterload and Volume Responsiveness are measured beat-by-beat No Chest X-ray - To confirm correct catheter position no x-ray is necessary Cost Effective - Less expensive than pulmonary artery catheter technique  - Arterial PiCCO catheter can be in place for 10 days or more - Potential to reduce ICU stay and costs More Specific Parameters - PiCCO parameters are easy to use and interpret even for less experienced clinical staff Extravascular Lung Water* - Lung edema can be excluded or quantified at the bed-side * not available in USA Central venous line (CV) Thermodilution catheter with lumen for arterial pressure measurement Axillary (A) Brachial (