Effective Hemodynamic Monitoring

Overview

Journal Crit Care

Specialty Critical Care

Date 2022 Sep 28

PMID 36171594

Authors

Michael R Pinsky

Maurizio Cecconi

Michelle S Chew

Daniel De Backer

Ivor Douglas

Mark Edwards

Olfa Hamzaoui

Glenn Hernandez

Greg Martin

Xavier Monnet

Bernd Saugel

Thomas W L Scheeren

Jean-Louis Teboul

Jean-Louis Vincent

Affiliations

Soon will be listed here.

Abstract

Hemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its effectiveness in terms of improved patient outcomes is difficult to quantify. This review focused on effectiveness of monitoring-linked resuscitation strategies from: (1) process-specific monitoring that allows for non-specific prevention of new onset cardiovascular insufficiency (CVI) in perioperative care. Such goal-directed therapy is associated with decreased perioperative complications and length of stay in high-risk surgery patients. (2) Patient-specific personalized resuscitation approaches for CVI. These approaches including dynamic measures to define volume responsiveness and vasomotor tone, limiting less fluid administration and vasopressor duration, reduced length of care. (3) Hemodynamic monitoring to predict future CVI using machine learning approaches. These approaches presently focus on predicting hypotension. Future clinical trials assessing hemodynamic monitoring need to focus on process-specific monitoring based on modifying therapeutic interventions known to improve patient-centered outcomes.

Citing Articles

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