Article Data

  • Views 1988
  • Dowloads 170

Original Research

Open Access

Current practice of hemodynamic monitoring with PiCCO in a single general surgical ICU in a university hospital - a short report


1University Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Sveti Duh University Hospital, HR-10000 Zagreb, Croatia

2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, HR-31000 Osijek, Croatia

DOI: 10.22514/SV131.032017.9 Vol.13,Issue S1,May 2017 pp.61-64

Published: 08 May 2017

*Corresponding Author(s): VIŠNJA NESEK ADAM E-mail:


Background: In recent years, there has been an overall trend toward using less in-vasive hemodynamic monitoring in surgi-cal intensive care units. The pulse contour cardiac output monitor (PiCCO) is one of them. 

Objectives: The aim of this study was to evaluate our practice of hemodynamic monitoring with PiCCO in the periopera-tive period. 

Methods: A retrospective descriptive analysis was performed in a single general surgical intensive care unit (ICU) run by anesthesiologists for the years 2013-2016. We collected information about patients, ICU quality parameters and monitoring equipment available in the ICU. The pri-mary endpoint was the incidence of PiC-CO use. 

Results: Out of 2972 patients admitted to the general surgical ICU in a 4-year pe-riod, besides basic monitoring with elec-trocardiography (ECG), pulse oximetry and blood pressure monitoring, more than half of the patients received central venous catheterization (55.1%), less than the half invasive arterial catheterization (44.1 %) and only a small proportion PiCCO (0.91%). No patient received a pulmonary arterial catheter. Mortality rate was 7.47 %. Conclusion: The use of PiCCO in our ICU is far below reported in literature. In the majority of cases, our anesthesiologists make clinical decisions based on measure-ment of central venous and invasive arte-rial pressure.


hemodynamic monitoring, in-tensive care unit, general surgery

Cite and Share

TATJANA GORANOVIĆ,VIŠNJA NESEK ADAM,ELVIRA GRIZELJ-STOJČIĆ,MIROSLAVA JAKŠIĆ,ANA JADRIJEVIĆ,MAJA KARAMAN ILIĆ,MARTINA MATOLIĆ. Current practice of hemodynamic monitoring with PiCCO in a single general surgical ICU in a university hospital - a short report. Signa Vitae. 2017. 13(S1);61-64.


1. Saugel B, Malbrain ML, Perel A. Hemodynamic monitoring in the era of evidence-based medicine. Crit Care 2016;20:401.

2. Watson X, Cecconi M. Hemodynamic monitoring in the perioperative period: the past, the present and the future. Anaesthesia 2017;72(Suppl 1):7-15.

3. Geisen M, Rhodes A, Cecconi M. Less-invasive approaches to perioperative hemodynamic optimization. Curr Opin Crit Care 2012;18:377-84.

4. About Pulsion history. [cited 2017 Jan 31] Available from:

5. Bellomo R, Uchino S. Cardiovascular monitoring tools: use and misuse. Curr Opin Crit Care 2003;9:225-9.

6. Wernly B, Lichtenauer M, Franz M, Fritzenwanger M, Kabisch B, Figulla HR, et al. Pulse contour cardiac output monitoring in acute heart failure patient: Assessment of hemodynamic measurements. Wien Klin Wochenschr 2016;128:864-9. 

7. MutohT, KazumataK, IshikawaT, Terasaka S. Performance of bedside transpulmonary thermodilution monitoring for goal-directed hemodynamic management after subarachnoid hemorrhage. Stroke 2009;40:2368–74.

8. Yamada T, Tsutsui M, Sugo Y, Sato T, Akazawa T, Sato N, et al. Multicenter study verifying a method of noninvasive continuous cardiac output measurement using pulse wave transit time: a comparison with intermittent bolus thermodilution cardiac output. Anesth Analg 2012;115:82-7.

9. Yuanbo Z, Jin W, Fei S, Liangong L, Xunfa L, Shihai X, et al. ICU management based on PiCCO parameters reduces duration of mechanical ventilation and ICU length of stay in patients with severe thoracic trauma and acute respiratory distress syndrome. Ann Intensive Care 2016;6:113.

10. 1Funcke S, Sander M, Goepfert MS, Groesdonk H, Heringlake M, Hirsch J, et al. ICU-CardioMan Investigators. Practice of hemo-dynamic monitoring and management in German, Austrian, and Swiss intensive care units: the multicenter cross-sectional ICU-CardioMan Study. Ann Intensive Care 2016;6:49.

11. Gidwani UK, Goel S. The Pulmonary Artery Catheter in 2015: The Swan and the Phoenix. Cardiol Rev 2016;24:1-13.

12. Vincent JL, Pelosi P, Pearse R, Payen D, Perel A, Hoeft A, et al. Perioperative cardiovascular monitoring of high-risk patients: a con-sensus of 12. Crit Care 2015;19:224.

13. Vincent JL, Rhodes A, Perel A, Martin GS, Della Rocca G, Vallet B, et al. Clinical review: update on hemodynamic monitoring—a consensus of 16. Crit Care 2011;15:229.

14. Cecconi M, De Backer D, Antonelli M, Beale R, Bakker J, Hofer C, et al. Consensus on circulatory shock and hemodynamic monitor-ing. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 2014;40:1795–815.

15. Cannesson M, Pestel G, Ricks C, Hoeft A, Perel A. Hemodynamic monitoring and management in patients undergoing high risk surgery: a survey among North American and European anesthesiologists. Crit Care 2011;15:R197

16. Boulain T, Boisrame-Helms J, Ehrmann S, Lascarrou JB, Bouglé A, Chiche A, et al. Volume expansion in the first 4 days of shock: a prospective multicentre study in 19 French intensive care units. Intensive Care Med 2015;41:248-56.

17. Preau S, Dewavrin F, Demaeght V, Chiche A, Voisin B, Minacori F, et al. The use of static and dynamic hemodynamic parameters be-fore volume expansion: A prospective observational study in six French intensive care units. Anaesth Crit Care Pain Med 2016;35:93-102.

18. Hofkens PJ, Verrijcken A, Merveille K, Neirynck S, Van Regenmortel N, De Laet I, et al. Common pitfalls and tips and tricks to get the most out of your transpulmonary thermodilution device: results of a survey and state-of-the-art review. Anaesthesiol Intensive Ther 2015;47:89-116.

19. Feltracco P, Biancofiore G, Ori C, Saner FH, Della Rocca G. Limits and pitfalls of hemodynamic monitoring systems in liver trans-plantation surgery. Minerva Anestesiol 2012;78:1372-84.

20. Siegenthaler N, Giraud R, Saxer T. Hemodynamic monitoring in the intensive care unit: results from a Web-Based Swiss Survey. Biomed Res Int 2014;Volume 2014, Article ID 129593, 9 pages,

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time