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

Détails

ID Serval
serval:BIB_2BE3C885DA1A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Surveillance hemodynamique: echocardiographie transoesophagienne ou catheter de Swan-Ganz? [Hemodynamic surveillance: transesophageal echocardiography or Swan-Ganz catheter?]
Périodique
Revue Médicale de la Suisse Romande
Auteur(s)
Chassot  P. G.
ISSN
0035-3655 (Print)
Statut éditorial
Publié
Date de publication
09/2001
Volume
121
Numéro
9
Pages
667-75
Notes
Comparative Study
English Abstract
Journal Article
Review --- Old month value: Sep
Résumé
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.
Mots-clé
*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
Création de la notice
28/01/2008 11:43
Dernière modification de la notice
03/03/2018 15:26
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