title: Hemodynamic monitoring in the cardiac intensive care unit.
abstract: Hemodynamic monitoring is central to the management of critically ill patients in the cardiac intensive care unit (CICU). The goals of hemodynamic monitoring are to anticipate threats and complications before they arise, to gauge the effectiveness of interventions, and to avoid progression to a decompensated shock state. Although there are numerous modalities of hemodynamic monitoring in the CICU, discordance exists between assessments based on physical exam and standard hemodynamic parameters and those based on measurements of cardiac output. This article will review both the standard and advanced hemodynamic monitoring strategies employed in the CICU.
authors.affiliation: Pediatrics, Texas Children's Hospital/Baylor College of Medicine, Houston, Tex, USA.
authors.forename: Rocky
authors.initials: R
authors.lastname: Tsang
mesh_terms: D002407:Catheterization, Swan-Ganz; D003325:Coronary Care Units; D003422:Critical Care / Q000379:methods*; D006331:Heart Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D006439:Hemodynamics; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods*; D010092:Oximetry; D011237:Predictive Value of Tests; D011379:Prognosis; D019265:Spectroscopy, Near-Infrared
keywords: Cardiac Intensive Care; Hemodynamic Monitoring; Lactate; Near-infrared Spectroscopy; Pulmonary Artery Catheter; Venous Oximetry