Transpulmonary thermodilution: its role in assessment of lung water and pulmonary edema

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)

[img]
Preview
Text
141029.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

664kB

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
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

University Staff: Request a correction | Enlighten Editors: Update this record