Practical issues of hemodynamic monitoring at the bedside.
The hemodynamic monitoring of a surgical patient acquires a major relevance in high-risk patients and those suffering from surgical diseases associated with hemodynamic instability, such as hemorrhagic or septic shock. This article reviews the fundamental physiologic principles needed to understand hemodynamic monitoring at the bedside. Monitoring defines stability, instability, and response to therapy. The major hemodynamic parameters measured and derived from invasive hemodynamic monitoring, such as arterial, central venous, and pulmonary catheterization, are discussed, as are its clinical indications, benefits, and complications. The current clinical data relevant to hemodynamic monitoring are reviewed and discussed.
Polanco
Patricio M
PM
Division of Trauma, Department of Surgery, University of Pittsburgh School of Medicine, F1275 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15261, USA.
Pinsky
Michael R
MR
D001794:Blood Pressure; D001795:Blood Pressure Determination; D002302:Cardiac Output; D002407:Catheterization, Swan-Ganz; D002496:Central Venous Pressure; D003422:Critical Care; D016638:Critical Illness / Q000628:therapy; D006801:Humans; D008991:Monitoring, Physiologic; D010100:Oxygen / Q000097:blood; D011651:Pulmonary Artery / Q000502:physiology; D011654:Pulmonary Edema; D012121:Respiration, Artificial; D014655:Vascular Resistance; D016277:Ventricular Function, Left / Q000502:physiology
D010100:Oxygen