심박출량 감시의 최근 경향과 경심폐 열희석법을 이용한 혈역학 지표들

Currently, hemodynamic monitoring system is developing rapidly,with many different devices now available, which makes anesthesiologistsfeel somewhat confused by the various possibilities andissue of noninvasiveness. By the order of degree of invasiveness,these devices can be classified into the highly invasive pulmonaryartery catheter and the completely noninvasive bioimpedance/bioreactance technique and Doppler echocardiography. Recently,trans-cardiopulmonary thermodilution-derived hemodynamic parameters,such as global end-diastolic volume, global ejection fraction,cardiac function index, extravascular lung water, pulmonary vascularpermeability index and its cardiac output, are available in anestheticpractice by PiCCOⓇ (Pulsion Medical Systems) and VolumeViewⓇ(Edwards Life Sciences). This article provides objective review ofthe monitoring systems, as well as the advantages and limitations,in order to offer better management of the critically ill patientsundergoing surgery. KCI Citation Count: 0