Surveillance hemodynamique: echocardiographie transoesophagienne ou catheter de Swan-Ganz? [Hemodynamic surveillance: transesophageal echocardiography or Swan-Ganz catheter?]

Details

Serval ID
serval:BIB_2BE3C885DA1A
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Surveillance hemodynamique: echocardiographie transoesophagienne ou catheter de Swan-Ganz? [Hemodynamic surveillance: transesophageal echocardiography or Swan-Ganz catheter?]
Journal
Revue Médicale de la Suisse Romande
Author(s)
Chassot  P. G.
ISSN
0035-3655 (Print)
Publication state
Published
Issued date
09/2001
Volume
121
Number
9
Pages
667-75
Notes
Comparative Study
English Abstract
Journal Article
Review --- Old month value: Sep
Abstract
Pulmonary artery catheter (PAC) and transoesophageal echocardiography (TOE) are two different windows on haemodynamics. PAC observes mainly right heart and pulmonary circulation; it measures pressures and outputs. Its contribution is essential to the management of situations accompanied by hypervolemia, pulmonary stasis, and severe pulmonary pathology, whereas it has little impact on diagnosis of hypovolemia and ventricular function. TOE offers a dynamic vision of the four heart chambers and their valves; it measures flows, surfaces and volumes. It allows quantification of systolic and diastolic functions for each ventricle. It is particularly adapted to the evaluation of hypovolemia and to the differential diagnosis of intractable hypotension. Its applications in cardiac surgery are numerous. The cost/benefice ratio of each technique is dependent of their indications and of their impact on therapy. Both require specific knowledge and learning time in order to have an major clinical impact.
Keywords
*Catheterization, Swan-Ganz/economics Cost-Benefit Analysis *Echocardiography, Transesophageal/economics Education, Medical Heart Diseases/physiopathology/surgery *Hemodynamic Processes Humans Hypotension/physiopathology Myocardial Ischemia/physiopathology *Population Surveillance Ventricular Function
Pubmed
Create date
28/01/2008 10:43
Last modification date
20/08/2019 13:11
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