Less Invasive Hemodynamic Monitoring in Critically Ill Patients

Overview

Journal Intensive Care Med

Specialty Critical Care

Date 2016 May 9

PMID 27155605

Citations 124

Authors

Jean-Louis Teboul

Bernd Saugel

Maurizio Cecconi

Daniel De Backer

Christoph K Hofer

Xavier Monnet

Azriel Perel

Michael R Pinsky

Daniel A Reuter

Andrew Rhodes

Pierre Squara

Jean-Louis Vincent

Thomas W Scheeren

Affiliations

Soon will be listed here.

Abstract

Over the last decade, the way to monitor hemodynamics at the bedside has evolved considerably in the intensive care unit as well as in the operating room. The most important evolution has been the declining use of the pulmonary artery catheter along with the growing use of echocardiography and of continuous, real-time, minimally or totally non-invasive hemodynamic monitoring techniques. This article, which is the result of an agreement between authors belonging to the Cardiovascular Dynamics Section of the European Society of Intensive Care Medicine, discusses the advantages and limits of using such techniques with an emphasis on their respective place in the hemodynamic management of critically ill patients with hemodynamic instability.

Citing Articles

Changes in central venous pressure during a fluid challenge have limited value for guiding fluid therapy.

de Oliveira P, da Silva Ramos F, Tomotani D, Machado F, de Freitas F Crit Care Sci. 2024; 36:e20240073en.

PMID: 39630827 PMC: 11634234. DOI: 10.62675/2965-2774.20240073-en.

Veno-Arterial Partial Pressure of Carbon Dioxide Difference as a Metric of Systemic Oxygen Delivery: Insights from a Correlative Meta-Analysis.

Loomba R, Farias J, Savorgnan F, Acosta S, Flores S, Villarreal E J Pediatr Intensive Care. 2024; 13(4):372-378.

PMID: 39629341 PMC: 11584265. DOI: 10.1055/s-0042-1743501.

Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting.

Rali A, Butcher A, Tedford R, Sinha S, Mekki P, Van Spall H US Cardiol. 2024; 16:e12.

PMID: 39600839 PMC: 11588176. DOI: 10.15420/usc.2021.34.

Novel Treatment for Pre-XDR Tuberculosis Linked to a Lethal Case of Acute Myocarditis.

Kotoulas S, Poulios P, Chasapidou G, Angeloudi E, Bargiota T, Stougianni M Diagnostics (Basel). 2024; 14(19).

PMID: 39410543 PMC: 11475236. DOI: 10.3390/diagnostics14192139.

Agreement between manual and automatic ultrasound measurement of the velocity-time integral in the left ventricular outflow tract in intensive care patients: evaluation of the AUTO-VTI® tool.

Louart B, Muller L, Emond B, Boulet N, Roger C J Clin Monit Comput. 2024; .

PMID: 39287731 DOI: 10.1007/s10877-024-01215-5.

References

Marik P . Iatrogenic salt water drowning and the hazards of a high central venous pressure. Ann Intensive Care. 2014; 4:21. PMC: 4122823. DOI: 10.1186/s13613-014-0021-0. View

Kupersztych-Hagege E, Teboul J, Artigas A, Talbot A, Sabatier C, Richard C . Bioreactance is not reliable for estimating cardiac output and the effects of passive leg raising in critically ill patients. Br J Anaesth. 2013; 111(6):961-6. DOI: 10.1093/bja/aet282. View

Saugel B, Meidert A, Langwieser N, Wagner J, Fassio F, Hapfelmeier A . An autocalibrating algorithm for non-invasive cardiac output determination based on the analysis of an arterial pressure waveform recorded with radial artery applanation tonometry: a proof of concept pilot analysis. J Clin Monit Comput. 2013; 28(4):357-62. DOI: 10.1007/s10877-013-9540-8. View

Wagner J, Sarwari H, Schon G, Kubik M, Kluge S, Reichenspurner H . Radial Artery Applanation Tonometry for Continuous Noninvasive Cardiac Output Measurement: A Comparison With Intermittent Pulmonary Artery Thermodilution in Patients After Cardiothoracic Surgery. Crit Care Med. 2015; 43(7):1423-8. DOI: 10.1097/CCM.0000000000000979. View

Squara P . Central venous oxygenation: when physiology explains apparent discrepancies. Crit Care. 2014; 18(6):579. PMC: 4282012. DOI: 10.1186/s13054-014-0579-9. View

Scheeren T, Wiesenack C, Gerlach H, Marx G . Goal-directed intraoperative fluid therapy guided by stroke volume and its variation in high-risk surgical patients: a prospective randomized multicentre study. J Clin Monit Comput. 2013; 27(3):225-33. DOI: 10.1007/s10877-013-9461-6. View

Cannesson M, Desebbe O, Rosamel P, Delannoy B, Robin J, Bastien O . Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth. 2008; 101(2):200-6. DOI: 10.1093/bja/aen133. View

Biais M, Cottenceau V, Petit L, Masson F, Cochard J, Sztark F . Impact of norepinephrine on the relationship between pleth variability index and pulse pressure variations in ICU adult patients. Crit Care. 2011; 15(4):R168. PMC: 3387606. DOI: 10.1186/cc10310. View

Chen G, Meng L, Alexander B, Tran N, Kain Z, Cannesson M . Comparison of noninvasive cardiac output measurements using the Nexfin monitoring device and the esophageal Doppler. J Clin Anesth. 2012; 24(4):275-83. DOI: 10.1016/j.jclinane.2011.08.014. View

10.

Perel A, Saugel B, Teboul J, Malbrain M, Belda F, Fernandez-Mondejar E . The effects of advanced monitoring on hemodynamic management in critically ill patients: a pre and post questionnaire study. J Clin Monit Comput. 2015; 30(5):511-8. DOI: 10.1007/s10877-015-9811-7. View

11.

Monnet X, Picard F, Lidzborski E, Mesnil M, Duranteau J, Richard C . The estimation of cardiac output by the Nexfin device is of poor reliability for tracking the effects of a fluid challenge. Crit Care. 2012; 16(5):R212. PMC: 3682316. DOI: 10.1186/cc11846. View

12.

Thiele R, Bartels K, Gan T . Cardiac output monitoring: a contemporary assessment and review. Crit Care Med. 2014; 43(1):177-85. DOI: 10.1097/CCM.0000000000000608. View

13.

Maisch S, Bohm S, Sola J, Goepfert M, Kubitz J, Richter H . Heart-lung interactions measured by electrical impedance tomography. Crit Care Med. 2011; 39(9):2173-6. DOI: 10.1097/CCM.0b013e3182227e65. View

14.

Broch O, Renner J, Gruenewald M, Meybohm P, Schottler J, Caliebe A . A comparison of the Nexfin® and transcardiopulmonary thermodilution to estimate cardiac output during coronary artery surgery. Anaesthesia. 2012; 67(4):377-83. DOI: 10.1111/j.1365-2044.2011.07018.x. View

15.

Monnet X, Guerin L, Jozwiak M, Bataille A, Julien F, Richard C . Pleth variability index is a weak predictor of fluid responsiveness in patients receiving norepinephrine. Br J Anaesth. 2012; 110(2):207-13. DOI: 10.1093/bja/aes373. View

16.

Fagnoul D, Vincent J, Backer D . Cardiac output measurements using the bioreactance technique in critically ill patients. Crit Care. 2012; 16(6):460. PMC: 3672548. DOI: 10.1186/cc11481. View

17.

Teboul J, Monnet X, Perel A . Results of questionable management protocols are inherently questionable. Crit Care Med. 2012; 40(8):2536. DOI: 10.1097/CCM.0b013e3182545759. View

18.

Benes J, Giglio M, Brienza N, Michard F . The effects of goal-directed fluid therapy based on dynamic parameters on post-surgical outcome: a meta-analysis of randomized controlled trials. Crit Care. 2014; 18(5):584. PMC: 4234857. DOI: 10.1186/s13054-014-0584-z. View

19.

Biais M, Carrie C, Delaunay F, Morel N, Revel P, Janvier G . Evaluation of a new pocket echoscopic device for focused cardiac ultrasonography in an emergency setting. Crit Care. 2012; 16(3):R82. PMC: 3580625. DOI: 10.1186/cc11340. View

20.

Cecconi M, De Backer D, Antonelli M, Beale R, Bakker J, Hofer C . Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med. 2014; 40(12):1795-815. PMC: 4239778. DOI: 10.1007/s00134-014-3525-z. View