Utility of esophageal Doppler as a minimally invasive hemodynamic monitor: a review
作者:Kevin B. Laupland、Colin J. Bands
DOI:10.1007/bf03017329
日期:2002.4
PURPOSE The current bedside "gold standard" for cardiac output (CO) monitoring is thermodilution using a pulmonary artery catheter (PAC) but there is a number of risks associated with its use. The primary objective of this review was to evaluate the utility of esophageal Doppler (ED) as a minimally invasive monitor of CO. SOURCE Medline literature search from 1966 to 2001 with citation review for studies
目的当前用于心输出量(CO)监测的床头“金标准”是使用肺动脉导管(PAC)进行的热稀释,但是使用它存在许多风险。这篇综述的主要目的是评估食管多普勒(ED)作为CO的微创监测器的实用性。资料来源1966年至2001年的Medline文献检索,包括引文综述,用于比较ED和PAC热稀释对围手术期和危重病人中CO的研究耐心。主要发现确定了25篇出版物,比较了广泛患者的ED和PAC对CO的测量结果。ED和热稀释法测定的CO之间具有良好的总体相关性(n = 18研究,中位R = 0.89,范围0.52至0.98)和最小偏差(n = 13,中位-0.01,范围1.38至2 L x min(- 1))。根据协议的限制,ED的准确性总体上是公平的。发现ED技术对检测热稀释CO的变化具有响应性,并且可靠地证明了观察者内和观察者间的低差异。据报道,经过最少的培训,ED很容易插入并且安全,没有发现明显的并发症。结
MPAI-Ligand Accelerated Pd-Catalyzed C(<i>sp</i><sup>3</sup>)–H Arylation of Free Aliphatic Acids