Stroke Volume Optimization : Utilization of the Newest Cardiac Vital Sign: Considerations in Recovery from Cardiac Surgery - 26/07/19
, Jillian Stevenson, RN, BSN, CCRN, Hong Gu, RN, MSN, CCRN, Jeffrey Huml, MD, FCCP, SCCMRésumé |
The hemodynamic monitoring landscape is rapidly evolving from pressure-based and static parameters to more blood flow–based and dynamic parameters. Consensus guidelines for cardiac surgery state that the pulmonary artery catheter is neither required nor helpful in most patients. In the meantime, critical care has been searching for the alternatives to the pulmonary artery catheter and protocols for use. Best available evidence for any protocol developed suggests the inclusion of stroke volume optimization to determine fluid responsiveness. Additional strategies to using stroke volume to optimize hemodynamics, including case studies, are discussed.
Le texte complet de cet article est disponible en PDF.Keywords : Stroke volume, Hemodynamics, Stroke volume optimization, Cardiac output, Fluid management, Passive leg raise, Mean arterial pressure, Pulmonary artery catheter
Plan
| Disclosure: The authors have nothing to disclose. |
Vol 31 - N° 3
P. 329-348 - septembre 2019 Retour au numéro
Article précédent
- A Review of Tetralogy of Fallot and Postoperative Management
- Johnna Forman, Rachel Beech, Lucy Slugantz, Amy Donnellan
- Managing Vasoactive Medications Following Cardiothoracic Surgery
- Michael Petty, Kathleen Kopp
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?