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Perioperative hemodynamic monitoring in cardiac surgery.

Authors :
Grant MC
Salenger R
Lobdell KW
Source :
Current opinion in anaesthesiology [Curr Opin Anaesthesiol] 2024 Feb 01; Vol. 37 (1), pp. 1-9. Date of Electronic Publication: 2023 Nov 20.
Publication Year :
2024

Abstract

Purpose of Review: Cardiac surgery has traditionally relied upon invasive hemodynamic monitoring, including regular use of pulmonary artery catheters. More recently, there has been advancement in our understanding as well as broader adoption of less invasive alternatives. This review serves as an outline of the key perioperative hemodynamic monitoring options for cardiac surgery.<br />Recent Findings: Recent study has revealed that the use of invasive monitoring such as pulmonary artery catheters or transesophageal echocardiography in low-risk patients undergoing low-risk cardiac surgery is of questionable benefit. Lesser invasive approaches such a pulse contour analysis or ultrasound may provide a useful alternative to assess patient hemodynamics and guide resuscitation therapy. A number of recent studies have been published to support broader indication for these evolving technologies.<br />Summary: More selective use of indwelling catheters for cardiac surgery has coincided with greater application of less invasive alternatives. Understanding the advantages and limitations of each tool allows the bedside clinician to identify which hemodynamic monitoring modality is most suitable for which patient.<br /> (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)

Details

Language :
English
ISSN :
1473-6500
Volume :
37
Issue :
1
Database :
MEDLINE
Journal :
Current opinion in anaesthesiology
Publication Type :
Academic Journal
Accession number :
38085877
Full Text :
https://doi.org/10.1097/ACO.0000000000001327