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Pulse wave analysis: basic concepts and clinical application in intensive care medicine
Kristen K Thomsen1, Karim Kouz1, Bernd Saugel1,2
1Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Current Opinion in Critical Care
|April 20, 2023
Summary
Pulse wave analysis (PWA) offers real-time cardiac output (CO) monitoring for critically ill patients. This review details PWA methods and their application in managing circulatory shock and guiding fluid therapy.
Area of Science:
- Critical care medicine
- Cardiovascular physiology
- Medical technology
Background:
- Cardiac output (CO) measurement is vital for managing circulatory shock.
- Pulse wave analysis (PWA) provides continuous, real-time CO estimation via arterial waveform analysis.
- Understanding PWA methods is crucial for effective patient monitoring.
Conclusions:
- PWA is a valuable tool for continuous hemodynamic monitoring in critical care.
- Real-time CO data from PWA supports dynamic assessment of fluid responsiveness and therapeutic interventions.
- Calibrated PWA methods show promise in shock diagnosis and management strategies.
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