[Monitoring critically ill intensive care patients by semi-invasive COLD (Cardiac-Output-Liver-Diseases) monitoring instead of pulmonary artery catheterization].
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.
Töns
C
C
Chirurgische Klinik, RWTH Aachen.
Klosterhalfen
B
B
Schumpelick
V
V
D006328:Cardiac Catheterization / Q000295:instrumentation*; D003422:Critical Care; D004395:Dye Dilution Technique / Q000295:instrumentation*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008111:Liver Function Tests / Q000295:instrumentation; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D009102:Multiple Organ Failure / Q000503:physiopathology / Q000628:therapy*; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D012680:Sensitivity and Specificity; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D018746:Systemic Inflammatory Response Syndrome / Q000503:physiopathology / Q000628:therapy*
Uberwachung kritisch kranker Intensivpatienten durch halbinvasives COLD-Monitoring anstelle Pulmonalis-Katheterisierung.