Mechanical ventilation with positive end-expiratory pressure in critically ill patients: comparison of CW-Doppler ultrasound cardiac output monitoring (USCOM) and thermodilution (PiCCO)

2012 ◽  
Vol 67 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Sophia Horster ◽  
Hans Joachim Stemmler ◽  
Jakob Sparrer ◽  
Johanna Tischer ◽  
Andreas Hausmann ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Cardiac Output ◽  
Critically Ill ◽  
Doppler Ultrasound ◽  
Critically Ill Patients ◽  
Cardiac Output Monitoring ◽  
Positive End Expiratory Pressure ◽  
Output Monitoring

scholarly journals The Incidence of Radial Artery Occlusion in Critically Ill Patients after Cannulation with a Long Catheter

2021 ◽  
Vol 10 (14) ◽  
pp. 3172
Author(s):  
Magdalena Wujtewicz ◽  
Bartosz Regent ◽  
Rozalia Marszałek-Ratnicka ◽  
Aneta Smugała ◽  
Edyta Szurowska ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Critically Ill ◽  
Radial Artery ◽  
Critically Ill Patients ◽  
Artery Occlusion ◽  
Cardiac Output Monitoring ◽  
Artery Cannulation ◽  
Radial Artery Occlusion ◽  
Output Monitoring ◽  
The Right

Cardiac output monitoring is a common practice in critically ill patients. The PiCCO (pulse index continuous cardiac output) method requires artery cannulation. According to the manufacturer, the cannula in the radial artery should be removed after three days. However, longer monitoring is sometimes necessary. The aim of this study was to assess the incidence of radial artery occlusion (RAO) after three days of cannulation and to check whether five-day cannulation is related to a higher occlusion rate. An additional assessment was made to verify the presence of occlusion three, fourteen and thirty days after decannulation. The PiCCO cannula was inserted into the radial artery after the Barbeau test and Doppler assessment of blood flow. It was left for three or five days. Doppler was performed immediately after its removal and at three, fourteen and thirty days following decannulation. Thirty-seven patients were randomly assigned for three or five days of cannulation, and twenty-three of them were eligible for further analysis. RAO was found in thirteen (56.5%) patients. No statistical difference was found between the RAO rate for three and five day cannulations (p = 0.402). The incidence of RAO was lower when the right radial artery was cannulated (p = 0.022; OR 0.129). Radial artery cannulation with a PiCCO catheter poses a risk of RAO. However, the incidence of prolonged cannulation appeared to not increase the risk of artery occlusion. ClinicalTrials.gov ID NCT02695407.

scholarly journals Anthracycline-Induced Cardiotoxicity: Cardiac Monitoring by Continuous Wave-Doppler Ultrasound Cardiac Output Monitoring and Correlation to Echocardiography

Onkologie ◽  
2012 ◽  
Vol 35 (5) ◽  
pp. 241-246 ◽  
Author(s):  
Sandra Geiger ◽  
Hans Joachim Stemmler ◽  
Patricia Suhl ◽  
Petra Stieber ◽  
Veronika Lange ◽  
...  
Keyword(s):  
Cardiac Output ◽  
Doppler Ultrasound ◽  
Continuous Wave ◽  
Cardiac Monitoring ◽  
Cardiac Output Monitoring ◽  
Continuous Wave Doppler ◽  
Output Monitoring
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