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Most Carereg;: a minimally invasive system for hemodynamic monitoring powered by the Pressure Recording Analytical Method (PRAM)

机译：MostCare®：由压力记录分析方法（PRAM）驱动的用于血液动力学监测的微创系统

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Invasive hemodynamic monitoring is a cornerstone of the care of critically ill and hemodynamically unstable patients in both intensive care units and operating rooms. The assessment of cardiac output by means of the pulmonary artery catheter has been considered the clinical gold standard. Nevertheless, several concerns have been raised regarding its invasiveness, usefulness, and associated complica-tions. These disadvantages have led to the development, during the last years, of a number of less invasive technologies for cardiac output determination. Among them, those based on the analysis of a peripheral arterial waveform have become commonly used. Most Care® is a minimally invasive arterial pressure based monitor powered by the Pressure Recording Analytical Method (PRAM), the only algorithm that does not require prior calibration or pre-calculated parameters and which is based of flow. PRAM provides the measurement of the main factors of hemodynamics, such as systemic blood pressures, stroke volume, cardiac output, and vascular resistances. Moreover, dynamic indices of fluid responsiveness are continuously displayed. In the present paper, we reviewed the current literature focusing on advantages and limitations of PRAM.
机译：侵入性血液动力学监测是重症监护病房和手术室中危重和血液动力学不稳定患者的护理基石。通过肺动脉导管评估心输出量被认为是临床的金标准。然而，关于它的侵入性，有用性和相关的复杂性已经引起了一些关注。这些缺点导致最近几年用于心输出量测定的许多微创技术的发展。其中，基于周围动脉波形的分析的那些已被普遍使用。 Most Care ®是一种基于微创动脉压的监护仪，由压力记录分析方法（PRAM）驱动，这是唯一一种无需事先校准或预先计算的参数且基于流量的算法。 PRAM可测量血液动力学的主要因素，例如全身血压，中风量，心输出量和血管阻力。此外，连续显示流体响应性的动态指标。在本文中，我们回顾了有关PRAM优点和局限性的现有文献。

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