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


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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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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