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"Haemodynamic Monitoring" OR "Hemodynamic Monitoring"

Ester Herrmann, A Ecke, S Fichtlscherer, A M Zeiher, B Assmus
BACKGROUND: Patients with advanced heart failure suffer from frequent hospitalizations. Noninvasive hemodynamic telemonitoring for assessment of pulmonary filling pressure has been shown to reduce hospitalizations. In this article, our experience with possible control intervals and the standardization of the follow-up care of hemodynamic telemonitoring is reported. METHODS: A literature search and our own experience in the follow-up care concerning the implantable pulmonary artery pressure sensor for noninvasive hemodynamic telemonitoring in patients with advanced heart failure are presented...
October 10, 2018: Herzschrittmachertherapie & Elektrophysiologie
J Gutierrez, H Perry, M Columb, S Bampoe, B Thilaganathan, A Khalil
BACKGROUND: Maternal haemodynamics change significantly during Caesarean Section complicated by massive haemorrhage or severe hypertensive disease. Cardiac output (CO) monitoring aids early, goal-directed haemodynamic therapy. The aim of this study was to record haemodynamic changes observed during Caesarean section using invasive (LiDCOrapid) and non-invasive (NICOM® ) devices and to assess agreement between the two devices in measuring CO. METHODS: Simultaneous hemodynamic measurements were taken from the two devices using standardized techniques in women undergoing Caesarean section at high-risk of haemodynamic instability...
October 10, 2018: Ultrasound in Obstetrics & Gynecology
Nikhil Nalluri, Nileshkumar J Patel, Varunsiri Atti, Varun Kumar, Mir B Basir, William W O'Neill
Percutaneous ventricular assist devices (PVAD) have been used at an increasing rate in patients with acute myocardial infarction complicated by cardiogenic shock (AMI-CS). Recent evidence has demonstrated that use of invasive hemodynamic monitoring with right-sided heart catheterization (RHC) was associated with improved survival in recipients of PVAD in AMI-CS. We sought to examine the utilization of RHC in patients receiving PVAD in AMI-CS. We queried the Nationwide Inpatient Sample database from 2008 to 2014 and identified patients using ICD-9-CM codes for AMI-CS (410, 785...
September 13, 2018: American Journal of Cardiology
Adam M Deane, Marianne J Chapman, Annika Reintam Blaser, Stephen A McClave, Anton Emmanuel
Gastrointestinal dysmotility causes delayed gastric emptying, enteral feed intolerance, and functional obstruction of the small and large intestine, the latter functional obstructions being frequently termed ileus and Ogilvie syndrome, respectively. In addition to meticulous supportive care, drug therapy may be appropriate in certain situations. There is, however, considerable variation among individuals regarding what gastric residual volume identifies gastric dysmotility and would encourage use of a promotility drug...
October 7, 2018: Nutrition in Clinical Practice
Nikolaos Karamichalakis, John Parissis, George Bakosis, Vasiliki Bistola, Ignatios Ikonomidis, Antonios Sideris, Gerasimos Filippatos
Reducing heart failure hospitalizations represents a major challenge for modern clinicians. Early detection of congestion plays a key role in disease management strategy. Apart from traditional methods (patient reporting symptoms, body weight monitoring), novel home-care strategies allow guided adjustments in medical therapy through telemonitoring embedded in cardiac electronic implantable devices or through stand-alone diagnostic devices for hemodynamic monitoring. Wireless pulmonary artery pressure monitoring seems to reduce re-admission risk and is currently approved for this purpose in patients with heart failure...
October 4, 2018: Heart Failure Reviews
Mustafa Gazi, Süheyla Abitağaoğlu, Güldem Turan, Ceren Köksal, Fatma Nur Akgün, Dilek E Ari
Objectives To compare analgesia nociception index (ANI) values, visual analog scale (VAS) values, and hemodynamic parameters in hysteroscopy patients who received remifentanil and dexmedetomidine during general anesthesia. Methods: In total, 30 patients who underwent hysteroscopy between March and September 2016 at the University of Health Sciences Fatih Sultan Mehmet Health Research and Application Center, Ankara, Turkey were included in this prospective study. Standard hemodynamic monitoring, ANI, and bispectral index (BIS) monitoring were applied to the patients...
October 2018: Saudi Medical Journal
Bernd Saugel, Samir G Sakka
No abstract text is available yet for this article.
2018: Frontiers in Medicine
Shivpal Dan Charan, Mohd Yunus Khilji, Rashmi Jain, Vishal Devra, Madhu Saxena
Context: Postoperative sore throat (POST) occurs in 21%-65% of patients. Nebulization of ketamine reduces POST. Aims: The aim of this study is to see the effectiveness of nebulized ketamine in different doses to reduce POST and observe adverse effects, if any. Settings and Design: This was a prospective, randomized, and double-blind controlled trial. One hundred and fifty patients of the American Society of Anesthesiologists physical status Classes I and II, in the age group of 18-60 years, of either sex, undergoing surgery under general anesthesia were randomized into three groups...
July 2018: Anesthesia, Essays and Researches
Umair Ahmad, Scott M Lilly
Convergence of the fields of heart failure (HF) and interventional cardiology has led to the formation of a discipline referred to as interventional HF. Although the term may be applied to essentially any invasive procedure performed in patients with HF (eg, coronary angiography, percutaneous coronary intervention, invasive assessment of hemodynamics), it is more commonly reserved for the application of invasive diagnostic or therapeutic procedures to improve the clinical decision-making, functional status, and outcomes of HF patients...
October 2018: Heart Failure Clinics
M Heringlake, M Sander, S Treskatsch, S Brandt, C Schmidt
Despite broad availability, extended hemodynamic monitoring is used in practice only in the minority of critical care patients. Pathophysiological reasoning suggests that systemic perfusion pressure (and thereby arterial as well as central venous pressure), cardiac stroke volume, and the systemic oxygen balance are key variables in maintaining adequate organ perfusion. In line with these assumptions, several studies support that a goal-directed optimization of these hemodynamic variables leads to a reduction in morbidity and mortality...
October 2018: Der Anaesthesist
Veselin Mitrovic, Wolf-Georg Forssmann, Jan Schnitker, Stephan B Felix
AIMS: Acute decompensated heart failure (ADHF) has a poor prognosis and limited treatment options. No direct comparisons between ularitide-a synthetic natriuretic peptide being evaluated in ADHF-and other vasoactive substances are available. The aim of this meta-analysis was to determine haemodynamic effect sizes from randomized double-blind trials in ADHF. METHODS AND RESULTS: Eligible studies enrolled patients with ADHF requiring hospitalization and haemodynamic monitoring...
September 24, 2018: ESC Heart Failure
Valerie Y Chock, Gabriel F T Variane, Alexandre Netto, Krisa P Van Meurs
Near-infrared spectroscopy (NIRS) monitoring provides a noninvasive, bedside measure of cerebral and somatic oxygenation in neonates at risk for hemodynamic instability and brain injury. This technology has been increasingly utilized in the neonatal intensive care unit, however clinicians perceive a lack of evidence for the added value of NIRS monitoring. We present six clinical scenarios illustrating the value of NIRS monitoring for the diagnosis and management of critically ill newborns.
September 23, 2018: Journal of Maternal-fetal & Neonatal Medicine
C E Angermann, S Rosenkranz
Heart failure (HF) is an emerging epidemic associated with significant morbidity and mortality, impaired quality of life and high healthcare costs. Despite major advances in pharmacological and device-based therapies, mortality and morbidity have remained high after an index hospitalization for acute cardiac decompensation (ACD). Randomized trials evaluating various forms of noninvasive telemonitoring failed to improve rehospitalization rates in such patients, possibly due to lack of sensitivity of clinical signs and symptoms as early indicators of HF...
October 2018: Der Internist
Anne E Huibers, Jan Westerink, Evelien E de Vries, Anne Hoskam, Hester M den Ruijter, Frans L Moll, Gert J de Borst
INTRODUCTION: Cerebral hyperperfusion syndrome (CHS) is a preventable cause of stroke after carotid endarterectomy (CEA). There are currently no pooled data available on the incidence of CHS after carotid artery stenting (CAS). The aim of this review was to assess the relevance of CHS in the procedural stroke rate following CAS. METHOD: A systematic search on incidence rates of CHS after CAS was conducted in the MEDLINE, EMBASE, and Cochrane databases in November 2017...
September 2018: European Journal of Vascular and Endovascular Surgery
Gilbert H L Tang, Lawrence Y Ong, Ryan Kaple, Basel Ramlawi, Tanya Dutta, Syed Zaid, Hasan Ahmad, Robert Kalimi, Cenap Undemir, Asaad Khan, Matias B Yudi, M Adnan Nadir, Farhan Majeed, Omar Ali, Jeffrey Skiles, Chandra Bhim, Martin Cohen, Steven L Lansman, Samin K Sharma, Annapoorna Kini
OBJECTIVES: We report our multicenter experience on continuous hemodynamic monitoring using exclusively the steerable guide catheter (SGC) during MitraClip repair. BACKGROUND: Left atrial pressure (LAP) and V-wave are useful to evaluate MitraClip repair but no simple method of continuous monitoring exists. METHODS: From 11/2016 to 8/2017, 74 patients from four centers with symptomatic moderate-severe to severe mitral regurgitation (MR), underwent MitraClip NT repair with continuous hemodynamic monitoring via the SGC...
August 30, 2018: Journal of Interventional Cardiology
Halim Ulugol, Ugur Aksu, Muharrem Kocyigit, Meltem Kilercik, Gulsum Karduz, Murat Okten, Fevzi Toraman
PURPOSE: The purpose of this study was to evaluate the effect of different cardioplegic solutions on endothelial integrity and oxidative stress in cardiovascular surgery. METHODS: In this randomized prospective study, after ethics approval and informed consent, 60 surgical patients were included. Patients undergoing coronary bypass surgery were randomized into two groups as warm blood cardioplegia (n = 30) and cold crystalloid cardioplegia (n = 30) following the cross-clamping...
August 28, 2018: Annals of Thoracic and Cardiovascular Surgery
Alexander Zarbock, Jay L Koyner, Eric A J Hoste, John A Kellum
Acute kidney injury (AKI) in the perioperative period is a common complication and is associated with increased morbidity and mortality. A standard definition and staging system for AKI has been developed, incorporating a reduction of the urine output and/or an increase of serum creatinine. Novel biomarkers may detect kidney damage in the absence of a change in function and can also predict the development of AKI. Several specific considerations for AKI risk are important in surgical patients. The surgery, especially major and emergency procedures in critically ill patients, may cause AKI...
August 22, 2018: Anesthesia and Analgesia
Anneli Talvik, Paola Rebora, Marika Heinpalu-Kuum, Sabrina Salerno, Eliza Miszkowska-Nagórna, Xiaoqiu Liu, Tommaso Comotti, Ewa Świerblewska, Maria Grazia Valsecchi, Fadl Elmula M Fadl Elmula, Anne Cecilie Larstorp, Krzysztof Narkiewicz, Gianfranco Parati, Stéphane Laurent, Margus Viigimaa
BACKGROUND: In the BEAUTY study we investigated whether utilizing non-invasive monitoring of hemodynamic parameters combined with a drug selection algorithm (integrated hemodynamic management-IHM) compared to conventional drug selection may improve home BP in patients with uncontrolled hypertension. METHODS: Uncontrolled (office systolic blood pressure (SBP) > 140 mmHg and ambulatory daytime SBP >135 mmHg while taking ≥2 antihypertensive drugs) essential hypertensive patients were referred to 5 European Hypertension Excellence Centers and, if eligible, were randomized into IHM-guided vs conventional treatment adjustment...
August 21, 2018: Blood Pressure
Aaron M Wolfson, Michael Fong, Luanda Grazette, Joseph E Rahman, David M Shavelle
Heart failure (HF) has a large societal and economic burden and is expected to increase in magnitude and complexity over the ensuing years. A number of telemonitoring strategies exploring remote monitoring and management of clinical signs and symptoms of congestion in HF have had equivocal results. Early studies of remote haemodynamic monitoring showed promise, but issues with device integrity and implantation-associated adverse events hindered progress. Nonetheless, these early studies established that haemodynamic congestion precedes clinical congestion by several weeks and that remote monitoring of intracardiac pressures may be a viable and practical management strategy...
August 18, 2018: Heart: Official Journal of the British Cardiac Society
Jesse M Conyers, Prabhakar Rajiah, Richard Ahn, Suhny Abbara, Sachin S Saboo
Cardiovascular devices and hemodynamic monitoring systems continue to evolve with the goal of allowing for rapid clinical intervention and management. Cardiovascular devices including the CardioMicroelectromechanical (CardioMEMS) device, implantable loop recorder, and right ventricular (RV) leadless pacemaker are now widely used for treatment and monitoring of advanced cardiac conditions, as many of these devices have been shown to significantly improve patient outcomes. Additionally, hemodynamic monitoring devices have shown utility in monitoring patients with aortic aneurysms after endovascular aortic repair (EVAR) for early detection of Type I and Type II endoleaks...
July 2018: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
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