title: [Invasive and minimally invasive hemodynamic monitoring].
abstract: Advanced hemodynamic monitoring is necessary for adequate management of high-risk patients or patients with derangement of circulation. Studies demonstrate a benefit of early goal directed therapy in unstable cardiopulmonary situations. In these days we have different possibilities of minimally invasive or invasive hemodynamic monitoring. Minimally invasive measurements like pulse conture analysis or pulse wave analysis being less accurate under some circumstances, however only an artery catheter is needed for cardiac output monitoring. Pulmonary artery, transpulmonary thermodilution and lithium dilution technology have acceptable accuracy in cardiac output measurement. For therapy of unstable circulation there are additionally parameters to obtain. The pulmonary artery catheter is the device with the largest rate of complications, used by a trained crew and with a correct indication, his use is unchained justified.
authors.affiliation: Klinik für Anästhesie und operative Intensivmedizin, Klinik Schillerhöhe des Robert-Bosch-Krankenhauses Stuttgart.
authors.forename: Matthias
authors.initials: M
authors.lastname: Hansen
mesh_terms: D000758:Anesthesia / Q000379:methods; D001795:Blood Pressure Determination / Q000379:methods*; D002302:Cardiac Output; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000517:prevention & control; D003422:Critical Care / Q000379:methods; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods*; D010092:Oximetry / Q000379:methods*