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Chapter 30 - Cardiovascular Monitoring

from Section 6 - Advanced Monitoring

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

When the rapid detection of haemodynamic change is imperative, the ‘gold standard’ is direct arterial pressure monitoring. Other indications for invasive arterial pressure monitoring include severe underlying cardiovascular disease, the inability to obtain indirect measurements and the need for frequent blood sampling. While the radial artery is the most frequently used site, other commonly used arterial cannulation sites include the femoral, brachial, axillary and dorsalis pedis arteries. Complications of arterial cannulation include haemorrhage, thrombosis, vasospasm, distal ischaemia, dissection, infection, unintentional arterial drug administration, pseudoaneurysm and arteriovenous fistula formation.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Gelman, S. Venous function and central venous pressure: a physiologic story. Anesthesiology 2008; 108: 735-48.CrossRefGoogle ScholarPubMed
Michard, F, Boussat, S, Chemla, D, et al. Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med 2000; 162: 134-8.CrossRefGoogle ScholarPubMed
Michard, F, Teboul, J. Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest 2002; 121: 2000–8.CrossRefGoogle ScholarPubMed
Rivers, EP, Otero, R, Garcia, JA, Reinhart, K, Suarez, A. Venous oximetry. In Civetta, JM, Taylor, RW, Kirby, RR (eds.), Civetta, Taylor & Kirby’s Critical Care, 4th edn. Philadelphia, PA: Lippincott Williams & Wilkins; 2009, pp. 296315.Google Scholar
Schroeder, RA, Barbeito, A, Bar-Yosef, S, Mark, JB. Cardiovascular monitoring. In Miller, RD (ed), Miller’s Anesthesia, 8th edn. Philadelphia, PA: Churchill Livingstone Elsevier; 2015, pp. 1345–95.Google Scholar

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