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PiCCO

Hemodynamic monitoring at the highest level

Monitoring physiological parameters is essential for the goal directed management of critical care patients. Highly invasive monitoring methods have been established in clinical practice for many years, but are increasingly the centre of critical discussion. The PiCCO Technology is the solution.

Simplify hemodynamics and learn how to understand complex conditions with PiCCO

An easy, less invasive and cost-efficient tool

PiCCO helps determining the main hemodynamic parameters of critically ill patients

  • Bedside quantification of pulmonary edema
  • Quantification of cardiac preload
  • Several arterial access points inc. for paediatric patients 
  • Precise, calibrated Cardiac Output – beat-to-beat
  • Volumetric preload parameter instead of filling pressures
  • Afterload, contractility, volume responsiveness

Related products

Hemodynamic Monitoring at the higest level

Based on two physical principles

The PiCCO Technology combines arterial pulse contour analysis using the innovative PiCCO algorithm with precise calibration via transpulmonary thermodilution

Arterial access

 Via femoral, brachial and axillary artery

Children / paediatrics application

 With special 3 french PiCCO catheter possible

Hemodynamic management of unstable patients

Picco-module constrain

The PiCCO Module for PulsioFlex helps manage patient with unstable hemodynamic conditions

  • The PiCCO Module upgrades the PulsioFlex monitor to the use of the PiCCO Technology
  • PiCCO advances the precision and reliability of hemodynamic monitoring by calibration via transpulmonary thermodilution
  • The PiCCO Module enables lung oedema diagnosis by measuring extravascular lung water
  • The PiCCO parameters, including preload volume, volume responsiveness, afterload and contractility enable the doctor to apply patient centered treatments, including using inotropes and vasopressors

The medical device is CE marked according to Directive 93/42/EEC.

PiCCO Kit

The best and safest way of using the technology is to use the complete kit
These consist of:

  • PiCCO Catheter with Seldinger insertion instruments, guide wire, canula, dilatator and
  • PiCCO Monitoring Kit with injectate sensor housing and pressure transducer


*Picture shows recommended application sites

PiCCO-man
Picco philips modul

Full functionality for IntelliVue

The PiCCO Technology is also available with full functionality as an integrated module for IntelliVue and CMS Patient Monitors from Philips Medical Systems. For more information about the module, please go to our partnership page or directly to Philips.

Technical specifications are subject to change without further notice

PiCCO practical help

Find out more how to optimize PiCCO thermodilution measurements in daily use

Containing comprehensive practical support, the PiCCO Trouble Shooting Guide assists clinicians and technicians when in need for handling information.

Getinge PiCCO

Two components of the PiCCO technology

The PiCCO technology is based on two physical principles, namely transpulmonary thermodilution and pulse contour analysis. Both principles allow the calculation of haemodynamic parameters and have been clinically tested and established for more than 20 years.

Arterial pulse contour analysis

Arterial pulse contour analysis

The pulse contour analysis provides continuous information while transpulmonary thermodilution provides static measurements. Transpulmonary thermodilution is used to calibrate the continuous pulse contour parameters.

Transpolmonary pressure thermodilutuon

Transpulmonary thermodilution

For the transpulmonary thermodilution measurement, a defined bolus (for example 15mls cold 0.9% normal saline) is injected via a central venous catheter. The cold bolus passes through the right heart, the lungs and the left heart and is detected by the PiCCO catheter, commonly placed in the femoral artery. This procedure should be repeated around three times in under 10 minutes to ensure an accurate average is used to calibrate the device and to calculate the thermodilution parameters. These thermodilution parameters (i.e. they are updated only when the thermodilution procedure is performed) should be checked whenever there is a significant change in the patient’s condition or therapy. It is recommended to calibrate the system at least 2 to 3 times per day depending on the patients condition.

  • The life of your critically ill patient depends on the right decision for the next therapeutic step. Therapeutic conflicts often arise at the critical care bedside, where you need dependable information you can trust. A set of reliable hemodynamic parameters can help determine the best individual treatment for your patients.

  • PiCCO is useful for all critically ill patients requiring hemodynamic monitoring. These may include intensive care patients from various departments. In general, PiCCO is recommended in cases of unstable hemodynamic situations, unclear volume status and in situations with therapeutic conflicts.

Improve your knowledge with our eLearning and training courses

At Getinge Educational Institute, we have dedicated material for topics related to Intensive Care, Cardiovascular Procedures, Operating Room and Sterile Processing. We can support you with information about current technologies and best practices to boost your performance and productivity.

For more information about our onsite events or remote trainings, you can also contact your local sales & service representative.

  1. 1. King D, Price AM. Measuring cardiac output using the PiCCO system. British Journal of Cardiac Nursing. 2008;3(11):512-518. DOI: 10.12968/bjca.2008.3.11.31555

  2. 2. Oren-Grinberg A. The PiCCO Monitor. International Anesthesiology Clinics. 2010;48(1):57-85. DOI: 10.1097/AIA.0b013e3181c3dc11

  3. 3. Litton E, Morgan M. The PiCCO Monitor: A Review. Anaesthesia and Intensive Care. 2012;40(3):393-408.DOI: 10.1177/0310057X1204000304

  4. 4. Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive care medicine. 2014;40(12):1795-1815.
    DOI: 10.1007/s00134-014-3525-z