Summary
The routine application of an arterial thermal-dye-dilution technique (so called COLD-Monitoring) offers new perspectives in the hemodynamic management of critically ill patients using a small invasive technique. COLD-Monitoring employs a computerized analysis of a double-indicator (temperature and dye) dilution technique which requires only a central venous catheter and a special fibre optic catheter with a temperature probe applied to the femoral artery. Especially in critically ill patients with septic course or multiple organ failure (MOF) COLD-monitoring serves to exactly measure volume and therefore distribution, to objectify capillary leakage by extravascular lung water index, to check the excretoric liver-function by plasma-deviation-rate of ICG® and to perform a well controlled epinephrine therapy by measuring cardiac function index and systemic vascular resistance index.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Hoeft A, Schorn B, Weyland A, Scholz M, Buhre W, Stepanek E, Allen SJ, Sonntag H (1994) Beside Assessment of Intravascular Volume Status in Patients Undergoing Coronary Bypass Surgery. Anaesthesiology 81:76–86
McLuckie A (1996) The COLD System of Haemodynamic Monitoring. Intensive Care World 13:24–28
Mitchell JP, Schuller D, Calandrino FS, Schuster DP (1992) Improved Outcome Based on Fluid Management in Critically 111 Patients Requiring Pulmonary Arthery Catheterization. Am Rev Respir Dis 145:990–998
Schuster DP (1993) The Case For and Against Fluid Restriction and Occlusion Pressure Reduction in Adult Respiratory Distress Syndrome. New Horizons 1:478–488
Töns Ch, Winkeltau G, Schumpelick V (1993) Risikofaktoren und Strategiewandel in der Chirurgischen Intensivmedizin der akuten Pankreatitis. Akt Chir 28:156
Töns Ch, Schumpelick V (1993) Verbesserte Qualitätssicherung in der chirurgischen Intensivmedizin durch halbinvasives computergestütztes Farbstoff- und Thermodilutionsmonitoring. Intensivmedizin und Notfallmedizin 30:406
Töns Ch Intensivmedizinische Aspekte in der Therapie der diffusen Peritonitis in: Die diffuse Peritonitis Hrsg G. J. Winkeltau Wiss Verl-Ges Stuttgart 1994, pp 82–89
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Töns, C., Klosterhalfen, B., Schumpelick, V. (1996). Überwachung kritisch kranker Intensivpatienten durch halbinvasives COLD-Monitoring anstelle Pulmonalis-Katheterisierung. In: Hartel, W. (eds) Wahrung des Bestandes, Wandel und Fortschritt der Chirurgie. Langenbecks Archiv für Chirurgie, vol 1996. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80295-9_90
Download citation
DOI: https://doi.org/10.1007/978-3-642-80295-9_90
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-61617-7
Online ISBN: 978-3-642-80295-9
eBook Packages: Springer Book Archive