Skip to main content
SpringerLink
Log in

Introduction — Hemodynamic Monitoring: A Cost/Benefit Analysis

  • Conference paper
Strategy in Bedside Hemodynamic Monitoring

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 11))

  • 70 Accesses

Abstract

Ever since its development, the flow-directed pulmonary artery catheter has enjoyed widespread use as a diagnostic procedure and monitoring tool. Because invasive in nature, decision to make use of it must arise from a careful assessment of inherent risks entailed by the procedure weighted with respect to the potential benefits that may be expected. Although a consensus exists as how this has shaped our understanding of pathophysiological events in the acutely ill, concern has been expressed as to its overuse [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Robin ED (1985) The cult of the Swan-Ganz catheter. Ann Intern Med 103: 445–449

    PubMed  CAS  Google Scholar 

  2. Matthay MA, Chatterjee K (1988) Bedside catheterization of the pulmonary artery: risks compared with benefits. Ann Intern Med 109: 826–834

    PubMed  CAS  Google Scholar 

  3. Iberti TJ, Benjamin E, Gruppi L, Raskin JM (1985) Ventricular arrhythmias during pulmonary artery catheterization in the intensive care unit. Am J Med 78: 451–454

    Article  PubMed  CAS  Google Scholar 

  4. Szajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S (1986) Central vein catheterization. Failure and complication rates by three percutaneous approaches. Ann Intern Med 146: 259–261

    Article  Google Scholar 

  5. Damen J, Bolton D (1986) A prospective analysis of 1400 pulmonary artery catheterization in patients undergoing cardiac surgery. Acta Anaesthesiol Scand 30: 386–392

    Article  PubMed  CAS  Google Scholar 

  6. Boyd KD, Thomas SJ, Gold J, Boyd AD (1983) A prospective study of complications of pulmonary artery catheterization in 500 consecutive patients. Chest 84: 245–249

    Article  PubMed  CAS  Google Scholar 

  7. Damen J, Veroef J, Bolten BW, et al (1985) Microbiologic risk of invasive hemodynamic monitoring in patients undergoing open-heart operation. Crit Care Med 13: 137–145

    Article  Google Scholar 

  8. Cohn JN, Franciosa JA, Francis GS, et al (1982) Effect of short-term infusion of sodium nitroprusside on mortality rate in acute myocardial infarction complicated by left ventricular failure. N Engl J Med 306: 1129–1135

    Article  PubMed  CAS  Google Scholar 

  9. Forrester JC, Diamond G, Swan HJ (1977) Correlative classification of clinical and hemodynamic function after acute myocardial infarction. Am J Cardiol 39: 187–190

    Article  Google Scholar 

  10. Bayliss J, Norell M, Ryan A, Thurston M, Sutton GC (1983) Bedside haemodynamic monitoring: experience in a general hospital. Br Med J [Clin Res] 287: 187–190

    Article  CAS  Google Scholar 

  11. Connors AF Jr, McCaffree DR, Gray BA (1983) Evaluation of right-heart catheterization in the critically ill patient without acute myocardial infarction. N Engl J Med 308: 263–267

    Article  PubMed  Google Scholar 

  12. Eisenberg PR, Jaffe AS, Schuster DP (1984) Clinical evaluation compared to pulmonary artery catheterization in the hemodynamic assessment of critically ill patients. Crit Care Med 12: 549–553

    Article  PubMed  CAS  Google Scholar 

  13. Fein AM, Goldberg SK, Walhenstein MD, Gershaw B, Braitman L, Lippman M (1984) Is pulmonary catheterization necessary for the diagnosis of pulmonary edema? Am Rev Respir Dis 129: 1006–1009

    PubMed  CAS  Google Scholar 

  14. Wiedmann HP, Matthay MA, Matthay RA (1984) Cardiovascular-pulmonary monitoring in the intensive care unit. Chest 85: 537–549

    Article  Google Scholar 

  15. O’Quinn R, Marini JJ (1983) Pulmonary artery occlusion pressure: clinical, physiology, measurement, and interpretation. Am Rev Respir Dis 128: 319–326

    Google Scholar 

  16. Morris AH, Chapman RH, Gardman RM (1984) Frequency of technical problems encountered in the measurement of pulmonary artery wedge pressure. Crit Care Med 12: 164–168

    Article  PubMed  CAS  Google Scholar 

  17. Connors AF Jr, Dawson NV, McCaffree DR, Gray BA, Siciliano CJ (1987) Assessing hemodynamic status in critically ill patients: do clinicians use clinical information optimally? J Crit Care 2: 174–180

    Article  Google Scholar 

  18. Shoemaker WC, Appel PL, Bland R, Hopkins JA, Chang P (1982) Clinical trial of an algorithm prediction in acute circulatory failure. Crit Care Med 10: 390–397

    Article  PubMed  CAS  Google Scholar 

  19. Schiller NB, Botvinick EH (1977) Right ventricular compression as a sign of cardiac tamponade. Circulation 56: 774–779

    PubMed  CAS  Google Scholar 

  20. Broaddus VC, Berthiaume Y, Biondi J, Matthay MA (1987) Management of pulmonary hemodynamics in patients with adult respiratory distress syndrome. J Intens Care Med 2: 190–213

    Article  Google Scholar 

  21. Rinaldo JE (1988) Resolution of pulmonary edema in man: is active transport an active mechanism for the resolution of alveolar edema? Am Rev Respir Dis 137: 228A

    Google Scholar 

  22. Huntsman LL, Steward DK, Barnes SR, Franklin SB, Colocousis JS, Hessel EA (1983) Non invasive Doppler determination of cardiac output in man. Circulation 67: 593–602

    Article  PubMed  CAS  Google Scholar 

  23. Chandraratna A, Nanna M, McKay C, et al. (1984) Determination of cardiac output by transmural continuous-wave ultrasonic Doppler computer. Am J Cardiol 53: 234–237

    Article  PubMed  CAS  Google Scholar 

  24. Levy PI, Payen DM, Tedgui A, Xhaard M, McIlroy MB (1985) Noninvasive ultrasonic cardiac output measurements in intensive care unit. Ultrasound Med Biol 11: 841–849

    Article  PubMed  CAS  Google Scholar 

  25. Lunt MJ (1975) Accuracy and limitations of the ultrasonic Doppler blood velocimeter and zero crossing detector. Ultrasound Med Biol 2: 1–10

    Article  PubMed  CAS  Google Scholar 

  26. Bennet ED, Barclay SA, Davis AL, Mannering D, Metha N (1984) Ascending aortic blood velocity and acceleration using Doppler ultrasound in the assessment of left ventricular function. Cardiovasc Res 18: 632–638

    Article  Google Scholar 

  27. Fratacci MD, Payen DM, Dupuy P, et al (1990) Post-cardiotomy pulsed Doppler analysis of ascending aortic and pulmonary blood flows and left ventricular function using implanted microprobes. Anesthesiology (in press)

    Google Scholar 

  28. Sabbah HN, Khaja F, Brymer JF, et al (1986) Noninvasive evaluation of left ventricular performance based on peak aortic blood acceleration measured with a continuous wave Doppler velocimeter. Circulation 74: 323–329

    Article  PubMed  CAS  Google Scholar 

  29. Van der Bogaerde JF, Scheldewaert RG, Rijckaert DL, Clement DL, Colardyn FA (1986) Comparison between ultrasonic and thermodilution cardiac output in intensive care patients. Crit Care Med 14: 294–297

    Article  Google Scholar 

  30. Payen DM, Ecoffey C, Carli P, Dubousset AM (1987) Pulsed Doppler ascending aortic, carotid, brachial, and femoral artery blood flows during caudal anesthesia in infants. Anesthesiology 67: 681–685

    Article  PubMed  CAS  Google Scholar 

  31. Mark JB, Steinbrook RA, Gugino LD, et al (1986) Continuous noninvasive monitoring of cardiac output with esophageal Doppler ultrasound during cardiac surgery. Anesth Analg 65: 1013–1020

    Article  PubMed  CAS  Google Scholar 

  32. Abrams JH, Weber RE, Holmen ZD (1989) Continuous cardiac output determination using transtracheal Doppler: initial results in humans. Anesthesiology 71: 11–15

    Article  PubMed  CAS  Google Scholar 

  33. Frattacci MD, Laborde F, Dupuy P, Greck E, Payen DM (1987) Monitoring of cardiac output by pulsed Doppler aortic implantable microprobes after cardiac surgery. Anesthesiology 67: A637

    Article  Google Scholar 

  34. Segal J, Pearl DS, Ford AJ, Stern RA, Gerbach SM (1989) Instantaneous and continuous cardiac output obtained with a Doppler pulmonary artery catheter. J Am Coll Cardiol 13: 1382–1392

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. J.-F. Dhainaut
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. Payen
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Intensive Care, Cochin Port-Royal University Hospital, 27 rue du Faubourg St Jacques, 75674, Paris Cedex 14, France

    Jean-François Dhainaut

  2. Department of Anesthesiology and Intensive Care, Lariboisière University Hospital, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France

    Didier Payen

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Dhainaut, JF., Payen, D. (1991). Introduction — Hemodynamic Monitoring: A Cost/Benefit Analysis. In: Dhainaut, JF., Payen, D. (eds) Strategy in Bedside Hemodynamic Monitoring. Update in Intensive Care and Emergency Medicine, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84167-5_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-84167-5_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52471-7

  • Online ISBN: 978-3-642-84167-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation