Non-Invasive Methods of Haemodynamic Monitoring

Marcin Urbańczuk, Magdalena Urbańczuk, Tomasz Tuzim, Katarzyna Schab, Kamila Tuzim, Marcin Lewicki

Abstract


Diseases of the cardiovascular system are one of the most common causes of death in Poland and in the world. Along with the progress of medicine and development of diagnostic methods, there are a growing number of useful procedures allowing for better monitoring of patient’s cardiovascular parameters and thereby more effective treatment. Monitoring of haemodynamic parameters of the circulatory system is necessary in patients hospitalised in anaesthesiology departments and in most intensive cardiac care units. The methods employed to evaluate the work of the heart can be divided into invasive and non-invasive, depending on whether they require a disruption of the continuity of the patient's tissues. In view of the ease of implementation of non-invasive methods, their costs and their implementability in practically every patient, these methods are used with increased frequency, both in patient care, as well as in measurements taken for scientific purposes. In recent years, several new methods have been developed which in many aspects are by no means inferior to the "golden standard" constituted by the invasive methods. When supported by medical knowledge and experience of health care professionals, they become particularly useful and valuable for improving medical care. This paper presents the latest of the currently available methods of haemodynamic monitoring. The mechanism of action of each of them has been explained, as well as the possibilities they present, the limitations they hold and the examples of their use in patient care.

Keywords


haemodynamic monitoring; bioimpedance; electrocardiography

Full Text:

PDF

References


Marik PE. Noninvasive cardiac output monitors: a state-of the-art. review. Journal of Cardiothoracic and Vascular Anesthesia. 2013; 27: 121–34.

Raval NY, Squara P, Cleman M, Yalamanchili K, Winklmaier M, Burkhoff D. Multicenter evaluation of noninvasive cardiac output measurement by bioreactance technique. Journal of Clinical Monitoring and Computing. 2008; 22: 113–119.

Keren H, Burkhoff D, Squara P. Evaluation of a noninvasivecontinuous cardiac output monitoring system based on thoracic bioreactance. American Journal of Physiology. 2007; 293: H583-H589.

https://www.cheetah-medical.com/how-it-works/bioreactance/ (accessed: 2017.11.24)

Squara P, Denjean D, Estagnasie P, Brusset A, Dib JC, Dubois C. Noninvasive cardiac output monitoring (NICOM): a clinical validation. Intensive Care Medicine. 2007; 33: 1191–1194.

Kubicek WG, Karnegis JN, Patterson RP, Witsoe DA, Mattson RH. Development and evaluation of an impedance cardiac output system. Aerospace Medicine. 1966; 37(12): 1208-1212.

Siebert J. Kardiografia impedancyjna. Via Medica, Gdańsk 2006.

Sodolski T, Kutarski A. Impedance cardiography: A valuable method of evaluating haemodynamic parameters. Cardiology Journal. 2007; 14(2): 115-126.

Kim DW. Detection of physiological events by impedance. Yonsei Medical Journal. 1989; 30: 1-11.

Woltjer HH, Bogaard HJ, de Vries PM. The technique of impedance cardiography. European Heart Journal. 1997; 18: 1396-1403.

Summers RL, Shoemaker WC, Peacock WF, Ander DS, Coleman TG. Bench to bedside: electrophysiologic and clinical principles of noninvasive hemodynamic monitoring using impedance cardiography. Academic Emergency Medicine. 2003; 10: 669-680.

Strobeck J, Silver M. Beyond the four quadrants: the critical and emerging role of impedance cardiography in heart failure. Congestive Heart Failure. 2004; 10 (supl. 2): 1–6.

Krzesiński P, Gielerak G, Kowal J. Kardiografia impedancyjna – nowoczesne narzędzie terapii monitorowanej chorób układu krążenia. Kardiologia Polska. 2009; 67: 65–71.

Castor G, Molter G, Helms J, Niedermark I, Altmayer P. Determination of cardiac output during positive end-expiratory pressure--noninvasive electrical bioimpedance compared with standard thermodilution. Critical Care Medicine. 1990; 18(5): 544-546.

Spiess BD, Patel MA, Soltow LO, Wright IH. Comparison of bioimpedance versus thermodilution cardiac output during cardiac surgery: evaluation of a second-generation bioimpedance device. Journal of Cardiothoracic and Vascular Anesthesia. 2001; 15(5): 567-573.

Yung GL, Fletcher CC, Fedullo PF, Johnson FW, Kinninger K, Knowlton KU. Noninvasive cardiac index using bioimpedance in comparison to direct Fick and thermodilution methods in patients with pulmmonary hypertension. Chest. 1999; 116 (Suppl. 2): 281S.

Verhoeve PE, Cadwell CA, Tsadok S. Reproducibility of noninvasive bioimpedance measurements of cardiac function. Journal of Cardiac Failure. 1998; 4 (supl.): S3 (streszczenie).

Van De Water JM, Miller TW, Vogel RL, Mount BE, Dalton ML. Impedance cardiography: the next vital sign technology? Chest. 2003; 123: 2028-2033.

Yancy C, Abraham WT. Noninvasive hemodynamic monitoring in heart failure: utilization of impedance cardiography. Congestive Heart Failure. 2003; 9: 241-250.

Żuchowski B, Guzik P. Elektryczna bioimpedancja klatki piersiowej. Anesteziologia i Ratownictwo. 2008; 2: 434-442.

Zoremba N, Bickenbach J, Krauss B, Rossaint R, Kuhlen R, Schälte G. Comparison of electrical velocimetry and thermodilution techniques for the measurement of cardiac output. Acta Anaesthesiologica Scandinavica. 2007; 51: 1314-1319.

Chutkowski R, Malec-Milewska M. Kardiometria elektryczna – nowa metoda nieinwazyjnego monitorowania hemodynamicznego. Borgis - Postępy Nauk Medycznych. 2014; 5: 346-351.

Grollmuss O, Demontoux S, Capderou A, Serraf A, Belli E. Electrical velocimetry as a tool for measuring cardiac output in small infants after heart surgery. Intensive Care Medicine. 2012; 38(6): 1032-1039.

Schmidt C, Theilmeier G, Van Aken H, Korsmeier P, Wirtz SP, Berendes E et al. Comparison of electrical velocimetry and transoesophageal doppler echocardiography for measuring stroke volume and cardiac output. British Journal of Anaesthesia. 2005; 95(5): 603-610.

Osthaus WA, Hubert D, Beck C, Winterhalter M, Boethig D, Wessel A et al. Comparison of electrical velocimetry and transpulmonary thermodilution for measuring cardiac output in piglets. Pediatric Anesthesia. 2007; 17(8): 749-755.

Norozi K, Beck C, Osthaus WA, Wille I, Wessel A, Bertram H. Electrical velocimetry for measuring cardiac output in children with congenital heart disease. British Journal of Anaesthesia. 2008; 100(1): 88-94.

Raue W, Swierzy M, Koplin G, Schwenk W. Comparison of electrical velocimetry and transthoracic thermodilution technique for cardiac output assessment in critically ill patients. European Journal of Anaesthesiology. 2009; 26: 1067-1071.

O’Rourke MF, Seward JB. Centralne ciśnienie tętnicze i ciśnienie tętna sto lat po odkryciu Korotkowa. Medycyna po Dyplomie. 2007; 16: 99-110.

Kucewicz E, Czech B, Juszczyk G, Pawlak S, Szapiel G, Czaban S et al. Bezpośredni pomiar ciśnienia tętniczego krwi w tętnicy promieniowej – wiarygodność pomiaru w wybranych stanach klinicznych. Anestestezjologia i Intensywna Terapia. 2002; 2: 131-134.

Kaplan JA, Reich DL, Konstandt SN. Kaplan’s Cardiac Anesthesia, Elsevier Inc. 2006

http://www.medipment.pl/produkt/CNSYSTEMS-CNAP-Monitor-65305 (accessed: 2017.11.26)

https://www.draeger.com/Products/Content/infinity-cnap-smartpod-pi-9068562-pl.pdf (accessed: 2017.12.05)

Pawlak J, Zalewski P, Klawe JJ, Tafil-Klawe M. Nowoczesna metoda nieinwazyjnego ciągłego pomiaru ciśnienia krwi za pomocą urządzenia CNAP® Monitor 500 – praca przeglądowa. Acta Bio-Optica et Informatica Medica. 2012; 18: 202-205.

Dewhirst E, Corridore M, Klamar J, Beebe A, Rice J, Barry N et al. Accuracy of the CNAP monitor, a noninvasive continuous blood pressure device, in providing beat-to-beat blood pressure readings in the prone position. Journal of Clinical Anesthesia. 2013; 25(4): 309-313.

Ilies C, Kiskalt H, Siedenhans D, Meybohm P, Steinfath M, Bein B et al. Detection of hypotension during Caesarean section with continuous non-invasive arterial pressure device or intermittent oscillometric arterial pressure measurement. British Journal of Anaesthesia. 2012; 109(3): 413–419.

Piechota M. Monitorowanie czynności i dynamiki układu krążenia. MakMed. Lublin 2016




DOI: http://dx.doi.org/10.5281/zenodo.1305464

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

Journal Language(s): English 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2  www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.

Website: www.infobaseindex.com

Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)