Original scientific paper
Haemodynamic monitors in laparoscopy
MARKO ŽLIČAR
orcid.org/0000-0003-4980-4336
; University medical centre Ljubljana, Zaloška 2, Ljubljana
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
Publication date:
1.3.2018.
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