Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting
Hemodynamic assessment remains the most valuable adjunct to physical examination and laboratory assessment in the diagnosis and management of shock. Through the years, multiple modalities to measure and trend hemodynamic indices have evolved with varying degrees of invasiveness. Pulmonary artery cat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2022-04-01
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| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articleindex/usc.2021.34 |
| _version_ | 1797199983198339072 |
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| author | Aniket S Rali Amy Butcher Ryan J Tedford Shashank S Sinha Pakinam Mekki Harriette GC Van Spall Andrew J Sauer |
| author_facet | Aniket S Rali Amy Butcher Ryan J Tedford Shashank S Sinha Pakinam Mekki Harriette GC Van Spall Andrew J Sauer |
| author_sort | Aniket S Rali |
| collection | DOAJ |
| description | Hemodynamic assessment remains the most valuable adjunct to physical examination and laboratory assessment in the diagnosis and management of shock. Through the years, multiple modalities to measure and trend hemodynamic indices have evolved with varying degrees of invasiveness. Pulmonary artery catheter (PAC) has long been considered the gold standard of hemodynamic assessment in critically ill patients and in recent years has been shown to improve clinical outcomes among patients in cardiogenic shock. The invasive nature of PAC is often cited as its major limitation and has encouraged development of less invasive technologies. In this review, the authors summarize the literature on the mechanism and validation of several minimally invasive and noninvasive modalities available in the contemporary intensive care unit. They also provide an update on the use of focused bedside echocardiography. |
| first_indexed | 2024-03-07T17:39:56Z |
| format | Article |
| id | doaj.art-5dfedb96e0f34869a19d3b669aa270c2 |
| institution | Directory Open Access Journal |
| issn | 1758-3896 1758-390X |
| language | English |
| last_indexed | 2024-04-24T07:24:25Z |
| publishDate | 2022-04-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj.art-5dfedb96e0f34869a19d3b669aa270c22024-04-20T16:02:50ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2022-04-011610.15420/usc.2021.34Contemporary Review of Hemodynamic Monitoring in the Critical Care SettingAniket S Rali0Amy Butcher1Ryan J Tedford2Shashank S Sinha3Pakinam Mekki4Harriette GC Van Spall5Andrew J Sauer6Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TNDepartment of Cardiovascular Anesthesia and Critical Care, Baylor College of Medicine, Houston, TXDivision of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SCDivision of Cardiology, Inova Heart and Vascular Institute, Inova Fairfax Medical Campus, Falls Church, VADepartment of Internal Medicine, Vanderbilt University Medical Center, Nashville, TNDepartment of Medicine, Department of Health Research Methods, Evidence, and Impact, Population Health Research Institute, McMaster University, Hamilton, Ontario, CanadaDepartment of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, KSHemodynamic assessment remains the most valuable adjunct to physical examination and laboratory assessment in the diagnosis and management of shock. Through the years, multiple modalities to measure and trend hemodynamic indices have evolved with varying degrees of invasiveness. Pulmonary artery catheter (PAC) has long been considered the gold standard of hemodynamic assessment in critically ill patients and in recent years has been shown to improve clinical outcomes among patients in cardiogenic shock. The invasive nature of PAC is often cited as its major limitation and has encouraged development of less invasive technologies. In this review, the authors summarize the literature on the mechanism and validation of several minimally invasive and noninvasive modalities available in the contemporary intensive care unit. They also provide an update on the use of focused bedside echocardiography.https://www.uscjournal.com/articleindex/usc.2021.34 |
| spellingShingle | Aniket S Rali Amy Butcher Ryan J Tedford Shashank S Sinha Pakinam Mekki Harriette GC Van Spall Andrew J Sauer Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting US Cardiology Review |
| title | Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting |
| title_full | Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting |
| title_fullStr | Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting |
| title_full_unstemmed | Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting |
| title_short | Contemporary Review of Hemodynamic Monitoring in the Critical Care Setting |
| title_sort | contemporary review of hemodynamic monitoring in the critical care setting |
| url | https://www.uscjournal.com/articleindex/usc.2021.34 |
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