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Monitoring Arterial Blood Pressure and Cardiac Output using Central or Peripheral Arterial Pressure Waveforms

  • J. Smith
  • L. Camporota
  • R. Beale

Abstract

Arterial blood pressure and cardiac output are the two most important and frequently measured hemodynamic parameters in critically ill patients as they provide indirect information on global tissue perfusion and oxygen delivery, and can guide fluid management and vasoactive drug use [1, 2]. Inaccurate measurement of these parameters, both in the intensive care unit (ICU) and the operating room (OR), can lead to misdiagnosis and inappropriate treatment, potentially impacting on patient morbidity and mortality. In the ICU, arterial blood pressure is commonly measured invasively via a peripheral artery (e.g., radial) or less frequently via a central artery (e.g., femoral). However, because the arterial blood pressure is not constant throughout the arterial tree — as a consequence of changes in hydrostatic pressure, arterial stiffness, and pressure wave reflection that are dependent on individual characteristics (e.g., age, height, gender), disease state (e.g., sepsis), and the administration of vasoactive drugs — the site of arterial blood pressure measurement may not faithfully reflect organ perfusion pressure.

Keywords

Mean Arterial Pressure Arterial Blood Pressure Pulse Wave Velocity Radial Artery Vasoactive Drug 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • J. Smith
    • 1
  • L. Camporota
    • 1
  • R. Beale
    • 1
  1. 1.Department of Adult Critical Care Guy’s and St Thomas’ NHS Foundation TrustSt Thomas’ HospitalLondonUK

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