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Alternatives to the Swan-Ganz catheter

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Alternatives to the Swan-Ganz catheter. / De Backer, Daniel; Bakker, Jan; Cecconi, Maurizio; Hajjar, Ludhmila; Liu, Da Wei; Lobo, Suzanna; Monnet, Xavier; Morelli, Andrea; Myatra, Sheila Neinan; Perel, Azriel; Pinsky, Michael R; Saugel, Bernd; Teboul, Jean-Louis; Vieillard-Baron, Antoine; Vincent, Jean-Louis.

In: INTENS CARE MED, Vol. 44, No. 6, 06.2018, p. 730-741.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

De Backer, D, Bakker, J, Cecconi, M, Hajjar, L, Liu, DW, Lobo, S, Monnet, X, Morelli, A, Myatra, SN, Perel, A, Pinsky, MR, Saugel, B, Teboul, J-L, Vieillard-Baron, A & Vincent, J-L 2018, 'Alternatives to the Swan-Ganz catheter', INTENS CARE MED, vol. 44, no. 6, pp. 730-741. https://doi.org/10.1007/s00134-018-5187-8

APA

De Backer, D., Bakker, J., Cecconi, M., Hajjar, L., Liu, D. W., Lobo, S., Monnet, X., Morelli, A., Myatra, S. N., Perel, A., Pinsky, M. R., Saugel, B., Teboul, J-L., Vieillard-Baron, A., & Vincent, J-L. (2018). Alternatives to the Swan-Ganz catheter. INTENS CARE MED, 44(6), 730-741. https://doi.org/10.1007/s00134-018-5187-8

Vancouver

De Backer D, Bakker J, Cecconi M, Hajjar L, Liu DW, Lobo S et al. Alternatives to the Swan-Ganz catheter. INTENS CARE MED. 2018 Jun;44(6):730-741. https://doi.org/10.1007/s00134-018-5187-8

Bibtex

@article{13a55de315a64d7798d717ed5a034d2d,
title = "Alternatives to the Swan-Ganz catheter",
abstract = "While the pulmonary artery catheter (PAC) is still interesting in specific situations, there are many alternatives. A group of experts from different backgrounds discusses their respective interests and limitations of the various techniques and related measured variables. The goal of this review is to highlight the conditions in which the alternative devices will suffice and when they will not or when these alternative techniques can provide information not available with PAC. The panel concluded that it is useful to combine different techniques instead of relying on a single one and to adapt the {"}package{"} of interventions to the condition of the patient. As a first step, the clinical and biologic signs should be used to identify patients with impaired tissue perfusion. Whenever available, echocardiography should be performed as it provides a rapid and comprehensive hemodynamic evaluation. If the patient responds rapidly to therapy, either no additional monitoring or pulse wave analysis (allowing continuous monitoring in case potential degradation is anticipated) can be applied. If the patient does not rapidly respond to therapy or complex hemodynamic alterations are observed, pulse wave analysis coupled with TPTD is suggested.",
keywords = "Journal Article, Review",
author = "{De Backer}, Daniel and Jan Bakker and Maurizio Cecconi and Ludhmila Hajjar and Liu, {Da Wei} and Suzanna Lobo and Xavier Monnet and Andrea Morelli and Myatra, {Sheila Neinan} and Azriel Perel and Pinsky, {Michael R} and Bernd Saugel and Jean-Louis Teboul and Antoine Vieillard-Baron and Jean-Louis Vincent",
year = "2018",
month = jun,
doi = "10.1007/s00134-018-5187-8",
language = "English",
volume = "44",
pages = "730--741",
journal = "INTENS CARE MED",
issn = "0342-4642",
publisher = "Springer",
number = "6",

}

RIS

TY - JOUR

T1 - Alternatives to the Swan-Ganz catheter

AU - De Backer, Daniel

AU - Bakker, Jan

AU - Cecconi, Maurizio

AU - Hajjar, Ludhmila

AU - Liu, Da Wei

AU - Lobo, Suzanna

AU - Monnet, Xavier

AU - Morelli, Andrea

AU - Myatra, Sheila Neinan

AU - Perel, Azriel

AU - Pinsky, Michael R

AU - Saugel, Bernd

AU - Teboul, Jean-Louis

AU - Vieillard-Baron, Antoine

AU - Vincent, Jean-Louis

PY - 2018/6

Y1 - 2018/6

N2 - While the pulmonary artery catheter (PAC) is still interesting in specific situations, there are many alternatives. A group of experts from different backgrounds discusses their respective interests and limitations of the various techniques and related measured variables. The goal of this review is to highlight the conditions in which the alternative devices will suffice and when they will not or when these alternative techniques can provide information not available with PAC. The panel concluded that it is useful to combine different techniques instead of relying on a single one and to adapt the "package" of interventions to the condition of the patient. As a first step, the clinical and biologic signs should be used to identify patients with impaired tissue perfusion. Whenever available, echocardiography should be performed as it provides a rapid and comprehensive hemodynamic evaluation. If the patient responds rapidly to therapy, either no additional monitoring or pulse wave analysis (allowing continuous monitoring in case potential degradation is anticipated) can be applied. If the patient does not rapidly respond to therapy or complex hemodynamic alterations are observed, pulse wave analysis coupled with TPTD is suggested.

AB - While the pulmonary artery catheter (PAC) is still interesting in specific situations, there are many alternatives. A group of experts from different backgrounds discusses their respective interests and limitations of the various techniques and related measured variables. The goal of this review is to highlight the conditions in which the alternative devices will suffice and when they will not or when these alternative techniques can provide information not available with PAC. The panel concluded that it is useful to combine different techniques instead of relying on a single one and to adapt the "package" of interventions to the condition of the patient. As a first step, the clinical and biologic signs should be used to identify patients with impaired tissue perfusion. Whenever available, echocardiography should be performed as it provides a rapid and comprehensive hemodynamic evaluation. If the patient responds rapidly to therapy, either no additional monitoring or pulse wave analysis (allowing continuous monitoring in case potential degradation is anticipated) can be applied. If the patient does not rapidly respond to therapy or complex hemodynamic alterations are observed, pulse wave analysis coupled with TPTD is suggested.

KW - Journal Article

KW - Review

U2 - 10.1007/s00134-018-5187-8

DO - 10.1007/s00134-018-5187-8

M3 - SCORING: Review article

C2 - 29725695

VL - 44

SP - 730

EP - 741

JO - INTENS CARE MED

JF - INTENS CARE MED

SN - 0342-4642

IS - 6

ER -