[A method for continuous monitoring of total peripheral and pulmonary vascular resistance in high risk cardiac patients].
In this study we present a computer-assisted monitoring system ("Opserver") which allows a continuous registration of directly measured values: hear rate (HR), systolic, diastolic and mean arterial pressure (SAP, DAP, MAP): systolic, diastolic and mean pulmonary arterial pressure (PAPs, PAPd, PAPm), central venous pressure (CVP), mixed venous oxygen saturation (SvO2), pulse-oxymetrically measured oxygen saturation (SaO2), cardiac output (CO) and calculated haemodynamic parameters: cardiac index (CI), total peripheral vascular resistance (TPVR) and pulmonary vascular resistance (PVR). The basic principle of this on-line monitoring system is the registration of calculated parameters combining data of various devices by specially-developed software. The procedure is shown in several clinical examples. The advantages of this system are:--monitoring of critical haemodynamic responses in cardiac high-risk patients relating to induction and finishing of anaesthesia including in- and extubation, recovery from anaesthesia, operation and transport and--exact documentation of the data for the purpose of clinical studies. Based on continuous measurement, this monitoring system allows an optimum evaluation of cardiorespiratory acute incidents, thereby permitting a problem-oriented therapy in high-risk patients with vasoactive medication in the perioperative period and in the intensive care unit.
Apitzsch
H
H
Klinik und Poliklinik für Anästhesiologie und Intensivtherapie der Universität Leipzig.
Olthoff
D
D
Lange
S
S
Thiem
V
V
D000768:Anesthesia, General / Q000295:instrumentation*; D001018:Aortic Diseases / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics / Q000187:drug effects / Q000502:physiology*; D006801:Humans; D008168:Lung / Q000098:blood supply*; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D005996:Nitroglycerin / Q000008:administration & dosage; D012307:Risk Factors; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D013318:Stroke Volume / Q000187:drug effects / Q000502:physiology; D014655:Vascular Resistance / Q000187:drug effects / Q000502:physiology*; D014665:Vasodilator Agents / Q000008:administration & dosage
D014665:Vasodilator Agents; D005996:Nitroglycerin
Eine Methode zur kontinuierlichen Erfassung des Totalen Peripheren und Pulmonalen Gefässwiderstandes bei kardialen Hochrisikopatienten.