Noninvasive physiologic monitoring of high-risk surgical patients

William C. Shoemaker, Charles C J Wo, Michael H. Bishop, Juan A. Asensio, Demetrios Demetriades, Paul L. Appel, Duraiyah Thangathurai, Ramish S. Patil

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Objectives: To study the feasibility of multicomponent non-invasive monitoring, consisting of a new bioimpedance method for estimating cardiac output together with routine pulse oximetry and transcutaneous oximetry, and to compare physiologic data obtained noninvasively with hemodynamic and oxygen transport data obtained by standard invasive pulmonary artery thermodilution catheter to evaluate circulatory function in high-risk surgical patients. Design: Prospective descriptive analysis of the time course of physiologic patterns in surgical patients. Setting: University-run county hospital. Patients: Seventy-one consecutively monitored, high-risk, critically ill surgical patients in their perioperative period. Outcome Measures: Simultaneous measurements by invasive and noninvasive methods to describe and compare the temporal physiologic patterns of survivors and nonsurvivors. Results: The new impedance cardiac output estimations closely approximated those of the thermodilution method (r=0.82, P

Original languageEnglish
Pages (from-to)732-737
Number of pages6
JournalArchives of Surgery
Volume131
Issue number7
StatePublished - 1996
Externally publishedYes

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Physiologic Monitoring
Thermodilution
Cardiac Output
Transcutaneous Blood Gas Monitoring
County Hospitals
Perioperative Period
Oximetry
Feasibility Studies
Electric Impedance
Critical Illness
Pulmonary Artery
Survivors
Catheters
Hemodynamics
Outcome Assessment (Health Care)
Oxygen

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Shoemaker, W. C., Wo, C. C. J., Bishop, M. H., Asensio, J. A., Demetriades, D., Appel, P. L., ... Patil, R. S. (1996). Noninvasive physiologic monitoring of high-risk surgical patients. Archives of Surgery, 131(7), 732-737.

Noninvasive physiologic monitoring of high-risk surgical patients. / Shoemaker, William C.; Wo, Charles C J; Bishop, Michael H.; Asensio, Juan A.; Demetriades, Demetrios; Appel, Paul L.; Thangathurai, Duraiyah; Patil, Ramish S.

In: Archives of Surgery, Vol. 131, No. 7, 1996, p. 732-737.

Research output: Contribution to journalArticle

Shoemaker, WC, Wo, CCJ, Bishop, MH, Asensio, JA, Demetriades, D, Appel, PL, Thangathurai, D & Patil, RS 1996, 'Noninvasive physiologic monitoring of high-risk surgical patients', Archives of Surgery, vol. 131, no. 7, pp. 732-737.
Shoemaker WC, Wo CCJ, Bishop MH, Asensio JA, Demetriades D, Appel PL et al. Noninvasive physiologic monitoring of high-risk surgical patients. Archives of Surgery. 1996;131(7):732-737.
Shoemaker, William C. ; Wo, Charles C J ; Bishop, Michael H. ; Asensio, Juan A. ; Demetriades, Demetrios ; Appel, Paul L. ; Thangathurai, Duraiyah ; Patil, Ramish S. / Noninvasive physiologic monitoring of high-risk surgical patients. In: Archives of Surgery. 1996 ; Vol. 131, No. 7. pp. 732-737.
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