ИНВАЗИВНЫЙ МОНИТОРИНГ ГЕМОДИНАМИКИ В КАРДИОХИРУРГИИ
Ключові слова:
катетер Свана — Ганца, транспульмональная термодилюция, мониторинг гемодинамики, приобретенные пороки сердцаАнотація
Описаны основные технологии мониторинга центральной гемодинамики, которые широко применяются в клинической практике, представлены методология препульмональной и транспульмональной термодилюции, а также наиболее часто встречающиеся осложнения, возникающие при использовании этих методик. Проведена сравнительная оценка методов измерения сердечного выброса посредством катетера Свана — Ганца и с использованием транспульмональной термодилюции. Описаны преимущества и недостатки различных методов мониторинга применительно к кардиохирургическим пациентам. Показаны возможности использования получаемых данных при проведении ранней целенаправленной терапии нарушений гемодинамики в периоперационном периоде. Приведены альтернативные способы оценки адекватности транспорта кислорода.
Посилання
Continuous cardiac output monitoring during haemodynamic changes in off-pump coronary artery bypass grafting surgery / J. O. C. Auler, S. M. Kim, M. J. Carmona [et al.] // Eur. J. of Anaest. – 2006. – Vol. 23, N 10. – P. 890–898.
S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system / M. Carl, A. Alms, J. Braun [et al.] // German Medical Science. – 2010. – N 8. – P. 1612–3174.
Cecconi M. Arterial pressure waveform analysis with-out calibration: a reality? / M. Cecconi, J. Fawcett, L. Roteliuk // Int. J. of Int. Care. – 2006. – P. 43–48.
ACCM/PALS haemodynamic support guidelines for paediatric septic shock: an outcomes comparison with and without monitoring central venous oxygen saturation / C. F. de Oliveira, D. S. de Oliveira, A. F. Gottschald [et al.] // Intensive Care Med. – 2008. – Vol. 34, N 6. – P. 1065–1075.
Continuous and intermittent cardiac output measurement: pulmonary artery catheter versus aortic transpulmonary technique / G. Della Rocca, M. G. Costa, L. Pompei [et al.] // Br. J. Anaesth. – 2002. – Vol. 88, N 3. – P. 350–356.
Trends but not individual values of central oxygen saturation agree with mixed venous oxygen saturation during varying hemodynamic conditions / M. H. Dueck, M. Klimek, S. Appenrodt [et al.] // Anesthesiology. – 2005. – Vol. 103, N 2. – P. 249–257.
Greenberg S. B. Current use of the pulmonary artery catheter / S. B. Greenberg, G. S. Murphy, J. S. Vender // Curr. Opin. Crit. Care. – 2009. – N 15. – C. 249–253.
Cardiac output measurements in off-pump coronary surgery: comparison between NICO and the Swan–Ganz catheter / G. Gueret, G. Kiss, B. Rossignol [et al.] // Eur. J. of Anaest. – 2006. – Vol. 23, N 10. – P. 848–854.
Agreement between PiCCO pulse-contour analysis, pulmonal artery thermodilution and transthoracic thermodilution during off-pump coronary artery by-pass surgery / P. S. Halvorsen, A. Espinoza, R. Lundblad [et al.] // Acta Anaesthesiol. Scand. – 2006. – Vol. 50, N 9. – P. 1050–1057.
Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomised controlled trial / S. Harvey, D. A. Harrison, M. Singer [et al.] // Lancet. – 2005. – Vol. 366, N 9484. – P. 472–477.
Hofer C. Pulse contour analysis for cardiac output measurement in patients after off-pump coronary artery bypass grafting: a comparison of FloTrac and PiCCOplus with intermittent thermodilution / C. Hofer, D. Button, A. Jacomet // Critical Care. – 2006. – N 10. – P. 323.
Clinical review: practical recommendations on the management of perioperative heart failure in cardiac surgery / A. Mebazaa, A. A. Pitsis, A. Rudiger [et al.] // Critical Care. – 2010. – Vol. 14, N 2. – P. – 201.
Mohammed I. Techniques for determining cardiac output in the intensive care unit / I. Mohammed, C. Phillips // Crit. Care Clin. – 2010. – Vol. 26, N 2. – P. 355–364.
Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial / R. Pearse, D. Dawson, J. Fawcett [et al.] // Critical Care. – 2005. – Vol. 9, N 6. – P. 687–693.
Polanczyk C. A. Right heart catheterization and cardiac complications in patients undergoing noncardiac surgery: an observational study / C. A. Polanczyk, L. E. Rohde, L. Goldman // JAMA. – 2001. – Vol. 286, N 3. – P. 309–314.
A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients / P. Polonen, E. Ruokonen, M. Hippelainen [et al.] // Anesth. Analg. – 2000. – Vol. 90, N 5. – P. 1052–1059.
Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill / K. Reinhart, H. J. Kuhn, C. Hartog, D. L. Bredle // Intensive Care Med. – 2004. – Vol. 30, N 8. – P. 1572–1578.
Rex S. Prediction of fluid responsiveness in patients during cardiac surgery / S. Rex, S. Brose, S. Metzelder // Brit. J. of Anaesth. – 2004. – Vol. 93, N 6. – P. 782–788.
Ritter S. Transpulmonary thermodilution-derived cardiac function index identifies cardiac dysfunction in acute heart failure and septic patients: an observational study / S. Ritter, A. Rudiger, M. Maggiorini // Crit. Care. – 2009. – Vol. 13, N 4. – P. 133.
Early goal-directed therapy in the treatment of severe sepsis and septic shock / E. Rivers, B. Nguyen, S. Havstad [et al.] // N. Engl. J. Med. – 2001. – Vol. 345, N 19. – P. 1368–1377.
Safe, highly selective use of pulmonary artery catheters in coronary artery bypass grafting: an objective patient selection method / T. A. Schwann, A. Zacharias, C. J. Riordan [et al.] // Ann. Thorac. Surg. – 2002. – Vol. 73, N 5. – P. 1394–1401.
Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials / M. R. Shah, V. Hasselblad, L. W. Stevenson [et al.] // JAMA. – 2005. – Vol. 294, N 13. – P. 1664–1670.
Intraoperative evaluation of tissue perfusion in high-risk patients by invasive and noninvasive hemodynamic monitoring / W. C. Shoemaker, D. Thangathurai, C. C. Wo [et al.] // Crit. Care Med. 1999. – Vol. 27, N 10. – P. 2147–2152.
Single transpulmonary thermodilution and continuous monitoring of central venous oxygen saturation during off-pump coronary surgery / A. A. Smetkin, M. Y. Kirov, V. V. Kuzkov [et al.] // Acta Anaesthesiol. Scand. – 2009. – Vol. 53, N 4. – P. 505–514.
Increased extravascular lung water reduces the efficacy of alveolar recruitment maneuver in acute respiratory distress syndrome / A. A. Smetkin, V. V. Kuzkov, E. V. Suborov [et al.] // Crit. Care Res. Pract. – 2012. – Vol. 2012. – P. 606528.
