Monitoreo hemodinámico no invasiva en anestesiología
DOI:
https://doi.org/10.26820/recimundo/4.(3).julio.2020.62-75Keywords:
Monitorización cardiovascular, presión arterial, variables hemodinámicas avanzadas, gasto cardíaco continuo, análisis del contorno del pulsoAbstract
El monitoreo hemodinámico es una parte fundamental del paciente en el período perioperatorio, durante la última década el monitoreo en la cabecera del paciente ha crecido a pasos gigantes, desde el área de emergencia, la sala de operaciones, hasta el área de Cuidados Intensivos. Uno de sus avances más importantes es la disminución en el uso del catéter de la arteria pulmonar, que está siendo reemplazado por ultrasonido y técnicas de monitoreo menos invasivas, en este artículo revisaremos desde el comienzo del monitoreo hasta los monitores menos invasivos más utilizados actualmente.Downloads
References
Benes, J., Giglio, M., Brienza, N., & Michard, F. (2014). The effects of goal directed fluid therapy based on dynamic parameters on post-surgical outcome: a meta-analysis of randomized controlled trials. Crit Care, 584.
Benes, J., Simanova, A., & Tovarnicka, T. (2014). Continuous non-invasive monitoring improves blood pressure stability in upright position: randomized controlled trial. J Clin Monit Comput, 7-11.
Broch, O., Carstens, A., & Gruenewald, M. (2016). Non-invasive hemodynamic optimization in major abdominal surgery: a feasibility study. Minerva Anestesiol, 1158–69.
Broch, O., Carstens, A., & Gruenewald, M. (2016). Non-invasive hemodynamic optimization in major abdominal surgery: a feasibility study. Minerva Anestesiol, 1158–69.
Fellahi, J., & Brossier, D. (2014). Early goal-directed therapy based on endotracheal bioimpedance cardiogra-phy: a prospective, randomized controlled study in coronary surgery. J Clin Monit Comput, 29.
Forget, P., Lois, F., & de Kock, M. (2010). Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management. . Anesth Analg, 910–4.
Funcke, S., Sander, M., Goepfert, M., Groesdonk, H., Heringlake, M., & Hirsch, J. (2015). Practice of hemodynamic monitoring and management in German, Austrian, and Swiss intensive care units: the multicenter cross-sectional ICU-CardioMan Study. . Ann Intensive Care.
García Fernández, M. (2016). ¿Es posible entrenar a no cardiólogos para realizar ecocardiografia? Rev Esp Cardiol, 168-170.
Guerrero, G., Rubén, P., & López, E. (2020). Monitoreo hemodinámico invasivo, mínimamente invasivo y no invasivo en medicina perioperatoria. J Anesth Crit Care Acceso abierto, 7-19.
Leclercq, T., Lilot, M., & Schulz, T. (2017). Endotracheal bioimpedance cardiography improves immediate postoperative outcome: a case-control study in off-pump coronary surgery. J Clin Monit Comput.
Michard, F. (2016). Hemodynamic monitoring in the era of digital health. Ann Intensive Care, 6-15.
Michard, F., Giglio, M., & Brienza, N. (2017). Perioperative goal-directed therapy with uncalibrated pulse contour methods: impact on fluid management and post-operative outcome. Br J Anaesth, 22–30.
Pestana, D., Espinosa, E., Eden, A., Najera, D., Collar, L., & Aldecoa, C. (2014). Perioperative goal-directed hemodynamic optimization using noninvasive cardiac output monitoring in major abdominal surgery: a prospective, randomized, multicenter, pragmatic trial: POEMAS study (PeriOperative goal-directed thErapy in Major Abdominal Surg. Anesth Analg, 579-87.
Roche, A., & Miller, T. (2010). Goal-directed or goal-misdirected – how should we interpret the literature? Crit Care, 14:129.
Saugel, B., & Cecconi, M. (2015). Noninvasive continuous cardiac output monitoring in perioperative and intensive care medicine. . Br J Anaesth, 562–75.
Saugel, B., Vincent, J., & Wagner, J. (2017). Personalized hemodynamic management. Curr Opin Crit Care, 334–41.
