NDLI: Using arterial pressure waveform analysis for the assessment of fluid responsiveness.

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Using arterial pressure waveform analysis for the assessment of fluid responsiveness.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cannesson, Maxime de Backer, Daniel Hofer, Christoph K.
Description	Country affiliation: United States Author Affiliation: Cannesson M ( Department of Anesthesiology & Perioperative Care, School of Medicine, University of California, Irvine, CA, USA. mcanness@uci.edu)
Abstract	Predicting the effects of volume expansion on cardiac output and oxygen delivery is of major importance in different clinical scenarios. Functional hemodynamic parameters based on pulse waveform analysis, which are relying on the effects of mechanical ventilation on stroke volume and its surrogates, have been shown to be reliable predictors of fluid responsiveness during anesthesia and intensive care unit treatment, as demonstrated by several clinical studies and meta-analyses. However, different limitations of these parameters have to be considered when they are used in clinical practice. Today, they can be continuously and automatically monitored by a variety of commercially available devices. These parameters have been introduced into the concept of perioperative fluid management and hemodynamic optimization - an approach that may positively impact postoperative patients' outcomes. In this article, technical aspects of the assessment of the functional hemodynamic parameters derived from pulse waveform analysis are summarized, emphasizing their advantages, limitations and potential applications, primarily in a perioperative setting in order to improve patient outcome.
File Format	HTM / HTML
ISSN	17434440
Issue Number	5
Volume Number	8
e-ISSN	17452422
Journal	Expert Review of Medical Devices
Language	English
Publisher	Taylor & Francis
Publisher Date	2011-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Diagnostic Imaging Discipline Therapeutics Arteries Pathology Animals Biophysics Blood Circulation Blood Pressure Equipment And Supplies Hemodynamics Humans Postoperative Period Pressure Respiration, Artificial Methods Stroke Volume Treatment Outcome Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Surgery Biomedical Engineering

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