PiCCO is indicated in all patients requiring cardiovascular monitoring and/or monitoring of circulatory volume status. This may include patients from various departments, such as surgical, medical, cardiac, neurological, paediatric and burn units, as well as other patients who require cardiovascular monitoring e.g. patients undergoing major surgical interventions.
In general, PiCCO is indicated in cases of unstable haemodynamic situations and unclear volume status as well as in therapeutic conflicts. Those situations are usually present in:
- Septic shock
- Cardiogenic shock
- Hypovolaemic shock
- Acute lung failure
- Severe burn injury
- High risk surgical procedures
Patients with arterial access restrictions due to femoral artery grafting or severe burns are usually not qualified for the placement of a PiCCO catheter into the femoral artery.
Note: The axillary or brachial artery can be used as an alternative site. Additionally a long radial artery catheter can be placed for short term use.
The PiCCO-Technology may give incorrect thermodilution measurements in patients with intracardiac shunts, aortic aneurysm, aortic stenosis, mitral or tricuspid insufficiency, pneumonectomy, large pulmonary embolism and extracorporeal circulation. Please refer to the section ‘Medical and Physiological Questions’ for more details.