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Signa vitae : journal for intesive care and emergency medicine, Vol. Volume 14 No. Supplement 1, 2018.

Original scientific paper

Haemodynamic monitors in laparoscopy

MARKO ŽLIČAR orcid id orcid.org/0000-0003-4980-4336 ; University medical centre Ljubljana, Zaloška 2, Ljubljana

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Abstract

Laparoscopic procedures are ofen performed
on high risk surgical patients that
could beneft from close haemodynamic
monitoring and goal directed fuid therapy.
Pneumoperitoneum has been shown to infuence
haemodynamic variables and alter
arterial pressure waveform upon which
many minimally invasive haemodynamic
monitors rely. Tere are a few individual
studies verifying various less invasive
haemodynamic devices. With the possible
exception of oesophageal Doppler, their
measurements under pneumoperitoneum
conditions are less reliable. Besides modifying
reliability of monitors, pneumoperitoneum
possibly also exerts independent
infuence on haemodynamic variables,
such as lowering predictive value of pulse
pressure variation for fuid responsiveness.

Keywords

pneumoperitoneum; laparoscopy; haemodynamic monitoring

Hrčak ID:

195349

URI

https://hrcak.srce.hr/195349

Publication date:

1.3.2018.

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