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Überwachung kritisch kranker Intensivpatienten durch halbinvasives COLD-Monitoring anstelle Pulmonalis-Katheterisierung

  • Ch. Töns
  • B. Klosterhalfen
  • V. Schumpelick
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Arterial Thermal-Dye-Dilution Instead of Pulmonary Artery Catheterization for Systematic Management of Critically Ill Patients

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.

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Literatur

  1. 1.
    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 81:76–86CrossRefGoogle Scholar
  2. 2.
    McLuckie A (1996) The COLD System of Haemodynamic Monitoring. Intensive Care World 13:24–28Google Scholar
  3. 3.
    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 145:990–998PubMedCrossRefGoogle Scholar
  4. 4.
    Schuster DP (1993) The Case For and Against Fluid Restriction and Occlusion Pressure Reduction in Adult Respiratory Distress Syndrome. New Horizons 1:478–488PubMedGoogle Scholar
  5. 5.
    Töns Ch, Winkeltau G, Schumpelick V (1993) Risikofaktoren und Strategiewandel in der Chirurgischen Intensivmedizin der akuten Pankreatitis. Akt Chir 28:156Google Scholar
  6. 6.
    Töns Ch, Schumpelick V (1993) Verbesserte Qualitätssicherung in der chirurgischen Intensivmedizin durch halbinvasives computergestütztes Farbstoff- und Thermodilutionsmonitoring. Intensivmedizin und Notfallmedizin 30:406Google Scholar
  7. 7.
    Töns Ch Intensivmedizinische Aspekte in der Therapie der diffusen Peritonitis in: Die diffuse Peritonitis Hrsg G. J. Winkeltau Wiss Verl-Ges Stuttgart 1994, pp 82–89Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • Ch. Töns
    • 1
  • B. Klosterhalfen
    • 2
  • V. Schumpelick
    • 1
  1. 1.Chirurgische KlinikAchenDeutschland
  2. 2.Institut für Pathologie der RWTH AachenAchenDeutschland

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