Survey on the knowledge of transpulmonary thermodilution as obtained with the PiCCO haemodynamic monitoring device

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StefNeyrinck, Anton Verrijcken, Kelly Merveille, Niels Van Regenmortel, Inneke Delaet, Karen Schoonheydt, Hilde Dits, Manu Malbrain


Optimal treatment of the critically ill patient demands adequate, precise and continuous monitoring of clinical parameters. Recent studies show that application of hemodynamic monitoring can improve outcome. Pulse Contour Cardiac Output monitoring with transpulmonary thermodilution (TPTD) obtained with the PiCCO system (Pulsion Medical Systems, Munich, Germany) provides information on fluid status, fluid responsiveness, cardiac output (CO), contractility of the myocardium and severity of the pulmonary edema [1]. The PiCCO is a less invasive hemodynamic monitoring device than the pulmonary artery catheter (PAC), and is increasingly being used as a haemodynamic monitoring tool to guide management in critically ill patients.No research has previously been performed on staff knowledge of basic principles and practical implementation of transpulmonary thermodilution (TPTD) measurements at the bedside. 

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