scholarly journals Volkman’s Contracture, Persistent Limb Ischaemia, and Amputation: A Complication of Brachial Artery Catheterisation for Haemodynamic Monitoring Using PiCCO

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Veejay Bagga ◽  
Marion Palmer ◽  
Ramesh Sadasivan ◽  
Govindan Raghuraman
Keyword(s):  
Brachial Artery ◽  
Multiorgan Failure ◽  
Pulse Contour Analysis ◽  
Pulse Contour ◽  
Haemodynamic Monitoring ◽  
Limb Ischaemia ◽  
Contour Analysis ◽  
Left Hand ◽  
Limb Perfusion ◽  
Analysis System

We report a case of a 64-year-old woman who was admitted to intensive care unit with multiorgan failure secondary toPlasmodium falciparummalaria. Haemodynamic monitoring using the transpulmonary thermodilution with pulse contour analysis system (PiCCO) was achieved via the left brachial artery. Two days later, a flexion deformity of the left hand was noted, and examination revealed left lower arm ischaemia. Removal of the catheter resulted in an immediate improvement of the contracture. However, distal pulses were still absent, and the arm remained ischaemic resulting in a below elbow amputation. This is the first documented case of a persistent limb ischaemia following the insertion of an arterial catheter for haemodynamic monitoring with PiCCO. We therefore highlight the need for regular assessment of limb perfusion after arterial catheterisation for haemodynamic monitoring with PiCCO. In addition, the brachial artery should be avoided, and femoral artery catheterisation is recommended.

Interpretation of Noninvasive and Invasive Information

2017 ◽  
Author(s):  
Borzoo Farhang ◽  
Erik P Anderson ◽  
Mark P Hamlin
Keyword(s):  
Critically Ill ◽  
Hemodynamic Monitoring ◽  
Critically Ill Patients ◽  
Pulse Contour Analysis ◽  
Pulse Contour ◽  
Response To Therapy ◽  
Contour Analysis ◽  
Central Venous ◽  
Arterial Blood ◽  
Pulmonary Arterial

Traditional, static measures of resuscitation, such as vital signs, central venous pressure, and pulmonary arterial pressure, provide momentary glimpses evolving hemodynamic states. In patients with shock, these measures of resuscitation are poor indicators of response to therapy. As a result, dynamic assessments of cardiovascular status are now used in critically ill patients to facilitate resuscitation. Some of these approaches focus on fluid responsiveness. These assessments allow care to be tailored to each patient’s response to interventions. An evolving aspect of hemodynamic monitoring is evaluation of the adequacy of tissue perfusion and oxygen delivery. In this review, we consider the use of arterial, central venous, and pulmonary arterial blood pressure monitoring; echocardiography; transesophageal Doppler technology; pulse contour analysis; bioimpedance and bioreactance; and partial rebreathing monitoring modalities to assess hemodynamic status in critically ill patients.  This review contains 22 figures, 5 tables, and 38 references. Key words: echocardiography, esophageal Doppler technology, invasive and noninvasive hemodynamic monitoring, pulse contour analysis, shock 

scholarly journals Incorporating pulse wave velocity into model-based pulse contour analysis method for estimation of cardiac stroke volume

2020 ◽  
Vol 195 ◽  
pp. 105553
Author(s):  
Rachel Smith ◽  
Joel Balmer ◽  
Christopher G. Pretty ◽  
Tashana Mehta-Wilson ◽  
Thomas Desaive ◽  
...  
Keyword(s):  
Stroke Volume ◽  
Pulse Wave Velocity ◽  
Wave Velocity ◽  
Pulse Wave ◽  
Pulse Contour Analysis ◽  
Pulse Contour ◽  
Analysis Method ◽  
Contour Analysis ◽  
Model Based ◽  
Cardiac Stroke Volume

Arterial stiffness and pulse contour analysis: an age old concept revisited

2002 ◽  
Vol 103 (4) ◽  
pp. 379-380 ◽  
Author(s):  
JOHN R. COCKCROFT ◽  
IAN B. WILKINSON
Keyword(s):  
Arterial Stiffness ◽  
Pulse Contour Analysis ◽  
Pulse Contour ◽  
Contour Analysis
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