Hemodynamic monitoring in the intensive care unit.
Hemodynamic monitoring is a diagnostic tool. Because hemodynamic monitoring often requires invasive procedures, it can be associated with an increased incidence of untoward events. Like any diagnostic tool, its ability to improve outcome will be primarily related to the survival benefit enjoyed by specific therapies that can only be given without complications based on their use. Presently, few specific treatment plans fit into this category. The diagnostic accuracy of preload responsiveness is markedly improved by the use of arterial pulse pressure or stroke volume variation, neither of which require pulmonary arterial catheterization. The field of hemodynamic monitoring is rapidly evolving and will probably continue to evolve at this rapid pace over the next 5 to 10 years as new technologies, information management systems, and our understanding of the pathophysiology of critical illness progresses.
Pinsky
Michael R
MR
Department of Critical Care Medicine, Bioengineering and Anesthesiology, University of Pittsburgh School of Medicine, 606 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15261, USA. pinskymr@ccm.upmc.edu
D002302:Cardiac Output; D002496:Central Venous Pressure; D003422:Critical Care; D016638:Critical Illness; D006439:Hemodynamics; D006801:Humans; D007362:Intensive Care Units; D008991:Monitoring, Physiologic; D010100:Oxygen / Q000097:blood; D011651:Pulmonary Artery / Q000502:physiology; D012372:ROC Curve; D012121:Respiration, Artificial; D012680:Sensitivity and Specificity; D016277:Ventricular Function, Left
D010100:Oxygen