Transcription of Arterial waveform analysis - SEMES
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Arterial waveform analysis - SEMES
5 Arterial waveform analysisStephen A. Esper, MD, MBA, Assistant Professor ofAnesthesiologya,*,Michael R. Pinsky, MD, CM, Dr hc, Professor of Critical CareMedicine, Bioengineering, Cardiovascular Diseases andAnesthesiologya,baDepartment of Anesthesiology, University of Pittsburgh, Pittsburgh, PA, USAbDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USAK eywords: Arterial waveformarterial lineminimally invasive monitoringdevicescardiac outputstroke volume variationThe bedside measurement of continuous Arterial pressure valuesfrom waveform analysis has been routinely available via indwellingarterial catheterization for>50 years. Invasive blood pressuremonitoring has been utilized in critically ill patients, in both theoperating room and critical care units, to facilitate rapid diagnoses ofcardiovascular insufficiency and monitor response to treatmentsaimed at correcting abnormalities before the consequences of eitherhypo- or hypertension are seen.
Technical aspects of pressure monitoring Invasive monitoring requires the insertion of a catheter into a vessel, with all the associated po-tential complications of bleeding, thrombosis, and infection.
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