This article reviews use of partial carbon dioxide rebreathing devices to determine cardiac output and their application for hemodynamic monitoring in the ICU and operating room. The primary focus is on the NICO monitoring device. Compared with conventional cardiac output methods, these techniques are noninvasive, easily automated, and provide real-time and continuous cardiac output monitoring....

Fluid administration during and after surgery is a fundamental strategy for maintaining hemodynamic stability. Technology offers different strategies for hemodynamic monitoring and decision making about fluids administration. In particular patients may be divided into fluid-responding patients and non-fluid-responding patients. Central venous pressure, measured by a central venous catheter, is ...

In neonates, cardiovascular system development does not stop after the transition from intra-uterine to extra-uterine life and is not limited to the macrocirculation. The microcirculation (MC), which is essential for oxygen, nutrient, and drug delivery to tissues and cells, also develops. Developmental changes in the microcirculatory structure continue to occur during the initial weeks of life ...

231– 41 2. De Hert SG: Assessment of Fluid Responsiveness Insights in a “gray zone.” ANESTHESIOLOGY 2011; 115:229 –30 3. Marik PE, Cavallazzi R, Vasu T, Hirani A: Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: A systematic review of the literature. Crit Care Med 2009; 37:2642–7 4. Pinsky MR: Hemodynamic evaluation and monitor...

Invasive hemodynamic monitoring with a pulmonary catheter has been relatively routine in cardiovascular and complex surgical operations as well as in the management of critical illnesses. However, due to multiple potential complications and its invasive nature, its use has decreased over the years and less invasive methods such as transesophageal echocardiography and hemodynamic sensors have ga...

The aim of this study was to investigate the effect of bispectral index (BIS) monitoring on hemodynamic parameters, drug consumption and awareness during total intravenous anesthesia (TIVA) with remifentanil and propofol in lumbar discectomies. After institutional ethical committee approval, ASAI-II 56 patients were divided as control and BIS groups. Anesthesia was induced by bolus remifentanil...

AIM The aim of this study was to investigate the clinical significance of minimally invasive hemodynamic monitoring in the early catheter-based intervention for acute massive pulmonary embolism (PE). METHODS A total of 40 cases with acute massive PE were randomized into experimental and control group with 20 cases in each group. In the experimental group, the hemodynamics was monitored via Vi...

In the critically ill patient, early and effective hemodynamic management including fluid therapy and administration of vasoactive drugs to maintain vital organ perfusion and oxygen delivery is mandatory. Understanding the different approaches in the management of critically ill patients during the resuscitation and further management is essential to initiate adequate context- and time-specific...

OBJECTIVE To clarify the role of the pulmonary artery catheter in the intensive care unit. DATA SOURCES Recent and relevant literature from MEDLINE and authors' personal databases. STUDY SELECTION Studies on pulmonary artery catheter use and use of other monitoring devices in critically ill patients. DATA EXTRACTION Based largely on clinical experience and assessment of the relevant publi...