Assaad, S., Shelley, B. and Perrino, A. (2017) Transpulmonary thermodilution: its role in assessment of lung water and pulmonary edema. Journal of Cardiothoracic and Vascular Anesthesia, 31(4), pp. 1471-1480. (doi: 10.1053/j.jvca.2017.02.018) (PMID:28465120)
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Abstract
Tissue edema, in particular pulmonary edema, increasingly is recognized as a perioperative complication affecting outcome. Management strategies directed at avoiding excessive fluid administration, reducing inflammatory response, and decreasing capillary permeability commonly are advocated in perioperative care protocols. In this review, transpulmonary thermodilution (TPTD) as a bedside tool to quantitatively monitor lung water accumulation and optimize fluid therapy is examined. Furthermore, the roles of TPTD as an early detector of fluid accumulation before the development of overt pulmonary edema and in risk stratification are explored. In addition, the ability of TPTD to provide insight into the etiology of pulmonary edema, specifically differentiating hydrostatic versus increased pulmonary capillary permeability, is emerging as an aid in therapeutic decision-making. The combination of hemodynamic and lung water data afforded by TPTD offers unique benefits for the care of high-risk perioperative patients.
Item Type: | Articles |
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Keywords: | Extravascular lung water, fluid-guided therapy, perioperative period, transpulmonary thermodilution. |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Shelley, Dr Benjamin |
Authors: | Assaad, S., Shelley, B., and Perrino, A. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
Journal Name: | Journal of Cardiothoracic and Vascular Anesthesia |
Publisher: | Elsevier |
ISSN: | 1053-0770 |
ISSN (Online): | 1532-8422 |
Published Online: | 04 February 2017 |
Copyright Holders: | Copyright © 2017 Elsevier |
First Published: | First published in Journal of Cardiothoracic and Vascular Anesthesia 31(4):1471-1480 |
Publisher Policy: | Reproduced in accordance with the copyright policy of the publisher |
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