Esophageal Doppler Ultrasound Monitor versus Pulmonary Artery Catheter in the Hemodynamic Management of Critically III Surgical Patients

Author(s):  
Atul K. Madan ◽  
Vincet V. UyBarreta ◽  
Shaghayegh Aliabadi-Wahle ◽  
Renee Jesperson ◽  
Renee S. Hartz ◽  
...  
2006 ◽  
Vol 291 (6) ◽  
pp. L1118-L1131 ◽  
Author(s):  
Warren Isakow ◽  
Daniel P. Schuster

The recently completed Fluid and Catheter Treatment Trial conducted by the National Institutes of Health ARDSNetwork casts doubt on the value of routine pulmonary artery catheterization for hemodynamic management of the critically ill. Several alternatives are available, and, in this review, we evaluate the theoretical, validation, and empirical databases for two of these: transpulmonary thermodilution measurements (yielding estimates of cardiac output, intrathoracic blood volume, and extravascular lung water) that do not require a pulmonary artery catheter, and hemodynamic measurements (including estimates of cardiac output and ejection time, a variable sensitive to intravascular volume) obtained by esophageal Doppler analysis of blood flow through the descending aorta. We conclude that both deserve serious consideration as a means of acquiring useful hemodynamic data for managing shock and fluid resuscitation in the critically ill, especially in those with acute lung injury and pulmonary edema, but that additional study, including carefully performed, prospective clinical trials demonstrating outcome benefit, is needed.


1999 ◽  
Vol 88 (Supplement) ◽  
pp. 37SCA ◽  
Author(s):  
CJ DiCorte ◽  
P Latham ◽  
PE Greilich ◽  
MV Cooley ◽  
&NA; Grayburn ◽  
...  

2004 ◽  
Vol 47 (2) ◽  
pp. 211 ◽  
Author(s):  
Bon Nyeo Koo ◽  
Jong Yoep Kim ◽  
Kyung Bong Yoon ◽  
Sun Joon Bae ◽  
So Young Ban ◽  
...  

1987 ◽  
Vol 15 (1) ◽  
pp. 29-34 ◽  
Author(s):  
JUDITH A. HUDSON-CIVETTA ◽  
JOSEPH M. CIVETTA ◽  
OCTAVIO V. MARTINEZ ◽  
THOMAS A. HOFFMAN

Sign in / Sign up

Export Citation Format

Share Document