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Transpulmonary Thermodilution: Its Role in Assessment of Lung Water and Pulmonary Edema.

Abstract：

:Tissue edema, in particular pulmonary edema, increasingly is recognized as a perioperative complication affecting outcome. Management strategies directed at avoiding excessive fluid administration, reducing inflammatory response, and decreasing capillary permeability commonly are advocated in perioperative care protocols. In this review, transpulmonary thermodilution (TPTD) as a bedside tool to quantitatively monitor lung water accumulation and optimize fluid therapy is examined. Furthermore, the roles of TPTD as an early detector of fluid accumulation before the development of overt pulmonary edema and in risk stratification are explored. In addition, the ability of TPTD to provide insight into the etiology of pulmonary edema, specifically differentiating hydrostatic versus increased pulmonary capillary permeability, is emerging as an aid in therapeutic decision-making. The combination of hemodynamic and lung water data afforded by TPTD offers unique benefits for the care of high-risk perioperative patients.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Assaad S,Shelley B,Perrino A

doi

10.1053/j.jvca.2017.02.018

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

1471-1480

issue

4

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(17)30068-X

journal_volume

31

pub_type

杂志文章,评审

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