Controversy in Choice of Haemodynamic Monitoring: Invasiveness or Accuracy
(Possibilities of Haemodynamic Monitoring during Anaesthesia and Postoperative Care)
Ročeň M.1, Vychodil P.1, Machalová O.2, Cvachovec K.2
1KARIP IKEM, Praha, přednosta MUDr. E. Kieslichová 2KAR UK 2. LF a IPVZ Praha, Fakultní nemocnice Motol, Praha, přednosta doc. MUDr. K. Cvachovec, CSc. |
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Summary:
Monitoring of haemodynamics and oxygen transport in anaesthesia, postoperative care and intensive medicine may reveal
disturbances of circulation and tissue oxygenation. It should enable fast, effective and rational therapy of monitored
disorders.
Since the 1970s, physicians can monitor and evaluate haemodynamics and oxygen transport in different critical situations
using pulmonary artery catheter. In the last three decades, the development of innovative medical technologies permitted
transition from more invasive to less invasive methods and from a static to a dynamic assessment of clinical status in real
time.
In a review article, authors comment on the most common invasive, less invasive and non invasive methods of haemodynamic
monitoring. Their suitability and limitations are discussed.
Key words:
haemodynamic monitoring – anaesthesia – postoperative care
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