Alternatives to the Swan–Ganz catheter View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-06

AUTHORS

Daniel De Backer, Jan Bakker, Maurizio Cecconi, Ludhmila Hajjar, Da Wei Liu, Suzanna Lobo, Xavier Monnet, Andrea Morelli, Sheila Neinan Myatra, Azriel Perel, Michael R. Pinsky, Bernd Saugel, Jean-Louis Teboul, Antoine Vieillard-Baron, Jean-Louis Vincent

ABSTRACT

While the pulmonary artery catheter (PAC) is still interesting in specific situations, there are many alternatives. A group of experts from different backgrounds discusses their respective interests and limitations of the various techniques and related measured variables. The goal of this review is to highlight the conditions in which the alternative devices will suffice and when they will not or when these alternative techniques can provide information not available with PAC. The panel concluded that it is useful to combine different techniques instead of relying on a single one and to adapt the "package" of interventions to the condition of the patient. As a first step, the clinical and biologic signs should be used to identify patients with impaired tissue perfusion. Whenever available, echocardiography should be performed as it provides a rapid and comprehensive hemodynamic evaluation. If the patient responds rapidly to therapy, either no additional monitoring or pulse wave analysis (allowing continuous monitoring in case potential degradation is anticipated) can be applied. If the patient does not rapidly respond to therapy or complex hemodynamic alterations are observed, pulse wave analysis coupled with TPTD is suggested. More... »

PAGES

730-741

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    http://scigraph.springernature.com/pub.10.1007/s00134-018-5187-8

    DOI

    http://dx.doi.org/10.1007/s00134-018-5187-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1103781890

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29725695


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