Cardiac output estimation using pulse wave analysis-physiology, algorithms, and technologies: a narrative review
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Cardiac output estimation using pulse wave analysis-physiology, algorithms, and technologies: a narrative review. / Saugel, Bernd; Kouz, Karim; Scheeren, Thomas W L; Greiwe, Gillis; Hoppe, Phillip; Romagnoli, Stefano; de Backer, Daniel.
in: BRIT J ANAESTH, Jahrgang 126, Nr. 1, 01.2021, S. 67-76.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Cardiac output estimation using pulse wave analysis-physiology, algorithms, and technologies: a narrative review
AU - Saugel, Bernd
AU - Kouz, Karim
AU - Scheeren, Thomas W L
AU - Greiwe, Gillis
AU - Hoppe, Phillip
AU - Romagnoli, Stefano
AU - de Backer, Daniel
N1 - Copyright © 2020 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.
PY - 2021/1
Y1 - 2021/1
N2 - Pulse wave analysis (PWA) allows estimation of cardiac output (CO) based on continuous analysis of the arterial blood pressure (AP) waveform. We describe the physiology of the AP waveform, basic principles of PWA algorithms for CO estimation, and PWA technologies available for clinical practice. The AP waveform is a complex physiological signal that is determined by interplay of left ventricular stroke volume, systemic vascular resistance, and vascular compliance. Numerous PWA algorithms are available to estimate CO, including Windkessel models, long time interval or multi-beat analysis, pulse power analysis, or the pressure recording analytical method. Invasive, minimally-invasive, and noninvasive PWA monitoring systems can be classified according to the method they use to calibrate estimated CO values in externally calibrated systems, internally calibrated systems, and uncalibrated systems.
AB - Pulse wave analysis (PWA) allows estimation of cardiac output (CO) based on continuous analysis of the arterial blood pressure (AP) waveform. We describe the physiology of the AP waveform, basic principles of PWA algorithms for CO estimation, and PWA technologies available for clinical practice. The AP waveform is a complex physiological signal that is determined by interplay of left ventricular stroke volume, systemic vascular resistance, and vascular compliance. Numerous PWA algorithms are available to estimate CO, including Windkessel models, long time interval or multi-beat analysis, pulse power analysis, or the pressure recording analytical method. Invasive, minimally-invasive, and noninvasive PWA monitoring systems can be classified according to the method they use to calibrate estimated CO values in externally calibrated systems, internally calibrated systems, and uncalibrated systems.
U2 - 10.1016/j.bja.2020.09.049
DO - 10.1016/j.bja.2020.09.049
M3 - SCORING: Review article
C2 - 33246581
VL - 126
SP - 67
EP - 76
JO - BRIT J ANAESTH
JF - BRIT J ANAESTH
SN - 0007-0912
IS - 1
ER -