Functional Hemodynamic Monitoring

Overview

Journal Crit Care Clin

Specialty Critical Care

Date 2014 Dec 2

PMID 25435480

Citations 31

Authors

Michael R Pinsky

Affiliations

Soon will be listed here.

Abstract

Functional hemodynamic monitoring is the assessment of the dynamic interactions of hemodynamic variables in response to a defined perturbation. Recent interest in functional hemodynamic monitoring for the bedside assessment of cardiovascular insufficiency has heightened with the documentation of its accuracy in predicting volume responsiveness using a wide variety of monitoring devices, both invasive and noninvasive, and across multiple patient groups and clinical conditions. However, volume responsiveness, though important, reflects only part of the overall spectrum of functional physiologic variables that can be measured to define the physiologic state and monitor response to therapy.

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References

DellItalia L, Starling M, ORourke R . Physical examination for exclusion of hemodynamically important right ventricular infarction. Ann Intern Med. 1983; 99(5):608-11. DOI: 10.7326/0003-4819-99-5-608. View

Slama M, Masson H, Teboul J, Susic D, Frohlich E, Andrejak M . Respiratory variations of aortic VTI: a new index of hypovolemia and fluid responsiveness. Am J Physiol Heart Circ Physiol. 2002; 283(4):H1729-33. DOI: 10.1152/ajpheart.00308.2002. View

Mesquida J, Espinal C, Gruartmoner G, Masip J, Sabatier C, Baigorri F . Prognostic implications of tissue oxygen saturation in human septic shock. Intensive Care Med. 2012; 38(4):592-7. DOI: 10.1007/s00134-012-2491-6. View

Guyette F, Suffoletto B, Castillo J, Quintero J, Callaway C, Puyana J . Prehospital serum lactate as a predictor of outcomes in trauma patients: a retrospective observational study. J Trauma. 2011; 70(4):782-6. DOI: 10.1097/TA.0b013e318210f5c9. View

Gomez H, Torres A, Polanco P, Kim H, Zenker S, Puyana J . Use of non-invasive NIRS during a vascular occlusion test to assess dynamic tissue O(2) saturation response. Intensive Care Med. 2008; 34(9):1600-7. DOI: 10.1007/s00134-008-1145-1. View

Jardin F, Vieillard-Baron A . Ultrasonographic examination of the venae cavae. Intensive Care Med. 2006; 32(2):203-206. DOI: 10.1007/s00134-005-0013-5. View

Slama M, Masson H, Teboul J, Arnould M, Nait-Kaoudjt R, Colas B . Monitoring of respiratory variations of aortic blood flow velocity using esophageal Doppler. Intensive Care Med. 2004; 30(6):1182-7. DOI: 10.1007/s00134-004-2190-z. View

SHARPEY-SCHAFER E . Effects of Valsalva's manoeuvre on the normal and failing circulation. Br Med J. 1955; 1(4915):693-5. PMC: 2061457. DOI: 10.1136/bmj.1.4915.693. View

Monnet X, Rienzo M, Osman D, Anguel N, Richard C, Pinsky M . Esophageal Doppler monitoring predicts fluid responsiveness in critically ill ventilated patients. Intensive Care Med. 2005; 31(9):1195-201. DOI: 10.1007/s00134-005-2731-0. View

10.

Nagdev A, Merchant R, Tirado-Gonzalez A, Sisson C, Murphy M . Emergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure. Ann Emerg Med. 2009; 55(3):290-5. DOI: 10.1016/j.annemergmed.2009.04.021. View

11.

Benomar B, Ouattara A, Estagnasie P, Brusset A, Squara P . Fluid responsiveness predicted by noninvasive bioreactance-based passive leg raise test. Intensive Care Med. 2010; 36(11):1875-81. DOI: 10.1007/s00134-010-1990-6. View

12.

Pinsky M . Clinical significance of pulmonary artery occlusion pressure. Intensive Care Med. 2003; 29(2):175-8. DOI: 10.1007/s00134-002-1616-8. View

13.

Guyette F, Gomez H, Suffoletto B, Quintero J, Mesquida J, Kim H . Prehospital dynamic tissue oxygen saturation response predicts in-hospital lifesaving interventions in trauma patients. J Trauma Acute Care Surg. 2012; 72(4):930-5. PMC: 3770128. DOI: 10.1097/TA.0b013e31823d0677. View

14.

Zema M, Masters A, Margouleff D . Dyspnea: the heart or the lungs? Differentiation at bedside by use of the simple Valsalva maneuver. Chest. 1984; 85(1):59-64. DOI: 10.1378/chest.85.1.59. View

15.

Delerme S, Renault R, Le Manach Y, Lvovschi V, Bendahou M, Riou B . Variations in pulse oximetry plethysmographic waveform amplitude induced by passive leg raising in spontaneously breathing volunteers. Am J Emerg Med. 2007; 25(6):637-42. DOI: 10.1016/j.ajem.2006.11.035. View

16.

Sakr Y, Dubois M, De Backer D, Creteur J, Vincent J . Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock. Crit Care Med. 2004; 32(9):1825-31. DOI: 10.1097/01.ccm.0000138558.16257.3f. View

17.

Yu M, Pei K, Moran S, Edwards K, Domingo S, Steinemann S . A prospective randomized trial using blood volume analysis in addition to pulmonary artery catheter, compared with pulmonary artery catheter alone, to guide shock resuscitation in critically ill surgical patients. Shock. 2010; 35(3):220-8. DOI: 10.1097/SHK.0b013e3181fc9178. View

18.

Pottecher J, Deruddre S, Teboul J, Georger J, Laplace C, Benhamou D . Both passive leg raising and intravascular volume expansion improve sublingual microcirculatory perfusion in severe sepsis and septic shock patients. Intensive Care Med. 2010; 36(11):1867-74. DOI: 10.1007/s00134-010-1966-6. View

19.

Pearse R, Dawson D, Fawcett J, Rhodes A, Grounds R, Bennett E . Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445]. Crit Care. 2005; 9(6):R687-93. PMC: 1414018. DOI: 10.1186/cc3887. View

20.

Feissel M, Michard F, Faller J, Teboul J . The respiratory variation in inferior vena cava diameter as a guide to fluid therapy. Intensive Care Med. 2004; 30(9):1834-7. DOI: 10.1007/s00134-004-2233-5. View