Perioperative echocardiography-guided hemodynamic therapy in high-risk patients: a practical expert approach of hemodynamically focused echocardiography.

Abstract:

:The number of high-risk patients undergoing surgery is growing. To maintain adequate hemodynamic functioning as well as oxygen delivery to the vital organs (DO2) amongst this patient population, a rapid assessment of cardiac functioning is essential for the anesthesiologist. Pinpointing any underlying cardiovascular pathophysiology can be decisive to guide interventions in the intraoperative setting. Various techniques are available to monitor the hemodynamic status of the patient, however due to intrinsic limitations, many of these methods may not be able to directly identify the underlying cause of cardiovascular impairment. Hemodynamic focused echocardiography, as a rapid diagnostic method, offers an excellent opportunity to examine signs of filling impairment, cardiac preload, myocardial contractility and the function of the heart valves. We thus propose a 6-step-echocardiographic approach to assess high-risk patients in order to improve and maintain perioperative DO2. The summary of all echocardiographic based findings allows a differentiated assessment of the patient's cardiovascular function and can thus help guide a (patho)physiological-orientated and individualized hemodynamic therapy.

journal_name

J Clin Monit Comput

authors

Trauzeddel RF,Ertmer M,Nordine M,Groesdonk HV,Michels G,Pfister R,Reuter D,Scheeren TWL,Berger C,Treskatsch S

doi

10.1007/s10877-020-00534-7

subject

Has Abstract

pub_date

2020-05-26 00:00:00

eissn

1387-1307

issn

1573-2614

pii

10.1007/s10877-020-00534-7

pub_type

杂志文章,评审
  • The comparison of the technical parameters in endotracheal intubation devices: the Cmac, the Vividtrac, the McGrath Mac and the Kingvision.

    abstract::Currently, there are plenty of videolaryngoscopes that appear on the market. They have different specifications. Some of these features favor the fact that they are more suited for educational purposes of future operators and others can be characterized with an excellent clinical use. In this study we compared four ty...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-015-9727-2

    authors: Cierniak M,Timler D,Wieczorek A,Sekalski P,Borkowska N,Gaszynski T

    更新日期:2016-08-01 00:00:00

  • Analgesia nociception index (ani) monitoring in patients with thoracic paravertebral block: a randomized controlled study.

    abstract::The goal of the study was to evaluate the effectiveness of analgesia nociception index (ANI) monitoring during intraoperative period for patients with thoracic paravertebral block (TPVB) undergoing breast surgery under general anesthesia. This prospective randomized trial was performed after receiving ethics committee...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10877-017-0036-9

    authors: Dundar N,Kus A,Gurkan Y,Toker K,Solak M

    更新日期:2018-06-01 00:00:00

  • Comparison of the use of AnaConDa® versus AnaConDa-S® during the post-operative period of cardiac surgery under standard conditions of practice.

    abstract::Changes have been made to the AnaConDa device (Sedana Medical, Stockholm, Sweden), decreasing its size to reduce dead space and carbon dioxide (CO2) retention. However, this also involves a decrease in the surface area of the activated carbon filter. The CO2 elimination and sevoflurane (SEV) reflection of the old devi...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00285-0

    authors: Marcos-Vidal JM,Merino M,González R,García C,Rey S,Pérez I

    更新日期:2020-02-01 00:00:00

  • Right ventricular function in late-onset Pompe disease.

    abstract::Pompe's disease is a glycogen storage disease (type II) characterized by inherited autosomal recessive transmission. The right ventricular (RV) function is a determinant parameter of clinical outcome in patients with heart failure. We sought to characterize the RV function using Doppler-echocardiography completed by D...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-014-9551-0

    authors: Fayssoil A,Nardi O,Annane D,Orlikowski D

    更新日期:2014-08-01 00:00:00

  • EEG sources of noise in intraoperative somatosensory evoked potential monitoring during propofol anesthesia.

    abstract:OBJECTIVE:It was hypothesized that somato- sensory evoked potentials can be achieved faster by selective averaging during periods of low spontaneous electroen- cephalographic (EEG) activity. We analyzed the components of EEG that decrease the signal-to-noise ratio of somatosensory evoked potential (SEP) recordings duri...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-009-9188-6

    authors: Joutsen A,Puumala P,Lyytikäinen LP,Pajulo O,Etelämäki A,Eskola H,Jäntti V

    更新日期:2009-08-01 00:00:00

  • Atypical "tails-up" capnograph due to breach in the sampling tube of side-stream capnometer.

    abstract:OBJECTIVE:An atypical "tails-up" capnograph pattern was noticed in a patient during the use of an accidentally crushed sampling tube with a slit-like hole. We investigated the mechanics involved in the observed capnograph pattern. METHODS:Forty consenting ASA I patients of both sexes presenting for tonsillectomy were ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1023/a:1009990210114

    authors: Tripathi M,Pandey M

    更新日期:2000-01-01 00:00:00

  • Towards an optimal paradigm for intraoperative auditory nerve monitoring with auditory steady state responses.

    abstract::Auditory steady state responses (ASSR) may offer an alternative to brainstem auditory evoked potentials for monitoring of the auditory nerve during surgical procedures. In the current study, we evaluated the influence of noise on ASSR characteristics in total intravenous anesthesia (TIVA). Simulated ASSR in real noise...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-016-9837-5

    authors: Rampp S,Rensch L,Simmermacher S,Rahne T,Strauss C,Prell J

    更新日期:2017-02-01 00:00:00

  • A motor evoked potential trending system may discriminate outcome: retrospective application with three cases.

    abstract::This report presents a method for tracking Motor Evoked Potential (MEP) amplitudes over the course of a case using a moving least squares linear regression (LSMAs). During a case, newly obtained MEP amplitudes are compared to those predicted by a just previous linear regression (least squares moving average or LSMA). ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-018-0181-9

    authors: Jasiukaitis P,Lyon R

    更新日期:2019-06-01 00:00:00

  • Breathing variability predicts the suggested need for corrective intervention due to the perceived severity of patient-ventilator asynchrony during NIV.

    abstract::Patient-ventilator asynchrony is associated with intolerance to noninvasive ventilation (NIV) and worsened outcomes. Our goal was to develop a tool to determine a patient needs for  intervention by a practitioner due to the presence of patient-ventilator asynchrony. We postulated that a clinician can determine when a ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00408-7

    authors: Tams C,Stephan PJ,Euliano NR,Martin AD,Patel R,Ataya A,Gabrielli A

    更新日期:2020-10-01 00:00:00

  • Assessment of pulmonary mechanics in mechanical ventilation: effects of imprecise breath detection, phase shift and noise.

    abstract:OBJECTIVE:In mechanical ventilation, the assessment of pulmonary mechanics, mainly of total compliance (Crs), total resistance (Rrs), and intrinsic positive end-expiratory pressure (PEEPint), is clinically important. By using airway pressure (Paw) and flow (V'aw), the least squares fit (LSF) method allows the continuou...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1023/a:1007457829405

    authors: Stegmaier PA,Zollinger A,Brunner JX,Pasch T

    更新日期:1998-02-01 00:00:00

  • Optimization of alarms: a study on alarm limits, alarm sounds, and false alarms, intended to reduce annoyance.

    abstract::Alarms in the operating room remain a major source of annoyance and confusion. Nearly all alarms result from a transgression of certain alarm limits. We surveyed manufacturers at a major meeting of anesthesiologists for their default alarm limits. We also conducted a mail survey of anesthesiologists in the United Stat...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1023/a:1009992830942

    authors: Block FE Jr,Nuutinen L,Ballast B

    更新日期:1999-02-01 00:00:00

  • A monitor for Cellular Oxygen METabolism (COMET): monitoring tissue oxygenation at the mitochondrial level.

    abstract::After introduction of the protoporphyrin IX-triplet state lifetime technique as a new method to measure mitochondrial oxygen tension in vivo, the development of a clinical monitor was started. This monitor is the "COMET", an acronym for Cellular Oxygen METabolism. The COMET is a non-invasive electrically powered optic...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-016-9966-x

    authors: Ubbink R,Bettink MAW,Janse R,Harms FA,Johannes T,Münker FM,Mik EG

    更新日期:2017-12-01 00:00:00

  • Effective hypertensive treatment using data mining in Saudi Arabia.

    abstract::In the present investigation, the data sets of NCD (Non Communicable Diseases) risk factors, a standard report of Saudi Arabia 2005, in collaboration with WHO (World Health Organisation) were employed. The Oracle Data Miner (ODM) tool was used for the analysis and prediction of data. The data sets for different age gr...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-010-9260-2

    authors: Almazyad AS,Ahamad MG,Siddiqui MK,Almazyad AS

    更新日期:2010-12-01 00:00:00

  • Validation of a mathematical model for understanding intracranial pressure curve morphology.

    abstract::The physiology underlying the intracranial pressure (ICP) curve morphology is not fully understood. Recent research has suggested that the morphology could be dependent on arterial cerebral inflow and the physiological and pathophysiological properties of the intracranial cavity. If understood, the ICP curve could pro...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00342-8

    authors: Unnerbäck M,Ottesen JT,Reinstrup P

    更新日期:2020-06-01 00:00:00

  • A feasability study of color flow doppler vectorization for automated blood flow monitoring.

    abstract::An ongoing issue in vascular medicine is the measure of the blood flow. Catheterization remains the gold standard measurement method, although non-invasive techniques are an area of intense research. We hereby present a computational method for real-time measurement of the blood flow from color flow Doppler data, with...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-016-9953-2

    authors: Schorer R,Badoual A,Bastide B,Vandebrouck A,Licker M,Sage D

    更新日期:2017-12-01 00:00:00

  • GNARE: automated system for high-throughput genome analysis with grid computational backend.

    abstract::Recent progress in genomics and experimental biology has brought exponential growth of the biological information available for computational analysis in public genomics databases. However, applying the potentially enormous scientific value of this information to the understanding of biological systems requires comput...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-005-3463-y

    authors: Sulakhe D,Rodriguez A,D'Souza M,Wilde M,Nefedova V,Foster I,Maltsev N

    更新日期:2005-10-01 00:00:00

  • Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management.

    abstract::The Nexfin device allows for non-invasive beat-to-beat blood pressure monitoring (BP(NXF)). Perioperative hypotension and hypertension have been shown to be associated with poor clinical outcomes. The goal of the present study was to assess the ability of this device to decrease the duration of significant intraoperat...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-012-9344-2

    authors: Chen G,Chung E,Meng L,Alexander B,Vu T,Rinehart J,Cannesson M

    更新日期:2012-04-01 00:00:00

  • Non-invasive cardiac output monitoring by aortic blood flow measurement with the Dynemo 3000.

    abstract::The operating principles and methods for the continuous determination of aortic blood flow (ABF) with the Dynemo 3000 system are described in detail. The system uses a novel transesophageal ultrasonic Echo-Doppler probe simultaneously to measure aortic diameter and blood flow velocity at the same anatomic level, in re...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1023/a:1009902517388

    authors: Boulnois JL,Pechoux T

    更新日期:2000-01-01 00:00:00

  • Automated titration of propofol and remifentanil decreases the anesthesiologist's workload during vascular or thoracic surgery: a randomized prospective study.

    abstract::Closed loop target-control infusion systems using a Bispectral (BIS) signal as an input (TCI Loop) can automatically maintain intravenous anesthesia in a BIS range of 40-60 %. Our purpose was to assess to what extent such a system could decrease anesthesia workload in comparison to the use of a stand alone TCI system ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10877-013-9453-6

    authors: Dussaussoy C,Peres M,Jaoul V,Liu N,Chazot T,Picquet J,Fischler M,Beydon L

    更新日期:2014-02-01 00:00:00

  • The pressure exerted on the tongue during intubation with simultaneous cervical spine immobilisation: a comparison between four videolaryngoscopes and the Macintosh laryngoscope-a manikin study.

    abstract::Excessive pressures exerted on the tongue during intubation may be associated with serious complications and may make intubation more difficult. The aim of this study was to evaluate five different intubating devices in the hands of experienced anaesthetists during simulated conditions of reduced cervical spine mobili...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-017-0095-y

    authors: Aleksandrowicz D,Gaszyński T

    更新日期:2018-10-01 00:00:00

  • Comparison of an ultrasound-guided technique versus a landmark-guided technique for internal jugular vein cannulation.

    abstract::Central venous cannulation is a commonly preformed procedure in many branches of medicine, particularly in anaesthesia and intensive care medicine. The purpose of this study was to compare the landmark-guided technique to the ultrasound-guided technique for internal jugular vein cannulation in cardiovascular surgery p...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10877-014-9585-3

    authors: Dolu H,Goksu S,Sahin L,Ozen O,Eken L

    更新日期:2015-02-01 00:00:00

  • Real-time two-dimensional and three-dimensional echocardiographic imaging of the thoracic spinal cord: a possible new window into the central neuraxis.

    abstract::Transesophageal echocardiography of the spine has been difficult to perform, and high-quality images have been difficult to obtain with earlier available technology. New capabilities in hardware and software reconstruction may allow more reliable clinical data to be obtained. We describe an initial successful attempt ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-014-9576-4

    authors: Feinglass NG,Clendenen SR,Shine TS,Martin AK,Greengrass RA

    更新日期:2015-02-01 00:00:00

  • Ventilator-associated pneumonia: current status and future recommendations.

    abstract:OBJECTIVE:Ventilator-associated pneumonia (VAP) is a common hazardous complication in ICU patients. The aim of the current review is to give an update on the current status and future recommendations for VAP prevention. METHODS:This article gives an updated review of the current literature on VAP. The first part brief...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s10877-010-9228-2

    authors: Efrati S,Deutsch I,Antonelli M,Hockey PM,Rozenblum R,Gurman GM

    更新日期:2010-04-01 00:00:00

  • Computerized tests to evaluate recovery of cognitive function after deep sedation with propofol and remifentanil for colonoscopy.

    abstract::The use of sedation for diagnostic procedures including gastrointestinal endoscopy is rapidly growing. Recovery of cognitive function after sedation is important because it would be important for most patients to resume safe, normal life soon after the procedure. Computerized tests have shown being accurate descriptor...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-018-0134-3

    authors: Borrat X,Ubre M,Risco R,Gambús PL,Pedroso A,Iglesias A,Fernandez-Esparrach G,Ginés À,Balust J,Martínez-Palli G

    更新日期:2019-02-01 00:00:00

  • Endotracheal tube inflation tubing defect: an unusual cause of intraoperative volume leak.

    abstract::Loss of endotracheal cuff pressure can lead to airway compromise and loss of volume delivery in mechanical ventilation requiring immediate intervention. A 40 years old male posted for bilateral interpositional arthroplasty was intubated nasally with 7.5 mm flexometallic endotracheal tube. In the intraoperative period ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 信件

    doi:10.1007/s10877-020-00607-7

    authors: Kumar A,Kumar A,Kumar N,Kumar A

    更新日期:2020-10-23 00:00:00

  • Monitoring of breathing phases using a bioacoustic method in healthy awake subjects.

    abstract:OBJECTIVE:To test the ability of a microphone recording system, located distal to the respiratory outflow tract, to track the timing of the inspiratory and expiratory phases of breathing in awake healthy subjects. METHODS:Fifteen subjects participated. Breath sounds were recorded using a microphone embedded in a face ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10877-011-9307-z

    authors: Alshaer H,Fernie GR,Bradley TD

    更新日期:2011-10-01 00:00:00

  • EEG-derived pain threshold index for prediction of postoperative pain in patients undergoing laparoscopic urological surgery: a comparison with surgical pleth index.

    abstract::Recently a novel pain recognition indicator derived from electroencephalogram(EEG) signals, pain threshold index(PTI) has been developed. The aim of this study was to determine whether PTI can be used for prediction of postoperative acute pain while surgical pleth index(SPI) applied as control. Eighty patients undergo...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-020-00604-w

    authors: Wang R,Deng Y,Zhou S,Zhang J

    更新日期:2020-10-12 00:00:00

  • Utility of near infrared light to determine tissue oxygenation during hepato-biliary surgery.

    abstract::Near-infrared spectrophotometry assesses cerebral oxygen saturation (ScO2) based on the absorption spectra of oxygenated and deoxygenated hemoglobin, and the translucency of biological tissue, in the near-infrared band. There is increasing evidence that optimising cerebral oxygenation, guided by ScO2, is associated wi...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-014-9642-y

    authors: Murphy N,Fröhlich S,Kong T,Boylan JF,Conlon N

    更新日期:2015-10-01 00:00:00

  • Focus on renal blood flow in mechanically ventilated patients with SARS-CoV-2: a prospective pilot study.

    abstract::Mechanically ventilated patients with ARDS due to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) seem particularly susceptible to AKI. Our hypothesis was that the renal blood flow could be more compromised in SARS-CoV-2 patients than in patients with "classical" ARDS. We compared the renal resistivit...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-020-00633-5

    authors: Fogagnolo A,Grasso S,Dres M,Gesualdo L,Murgolo F,Morelli E,Ottaviani I,Marangoni E,Volta CA,Spadaro S

    更新日期:2021-01-01 00:00:00

  • Bi-spectral index guided closed-loop anaesthesia delivery system (CLADS) in pheochromocytoma.

    abstract:OBJECTIVES:Anaesthetic management of pheochromocytoma is far from satisfactory even though various techniques are available. Feasibility as well as safety of Bi-spectral Index (BIS)-guided closed-loop control of anaesthesia has been shown in various clinical settings. We evaluated the performance of BIS-guided closed-l...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-009-9181-0

    authors: Hegde HV,Puri GD,Kumar B,Behera A

    更新日期:2009-08-01 00:00:00