Hemodynamic Evaluation and Monitoring in the ICU

摘要: Hemodynamic monitoring, a cornerstone in the management of critically ill patient, is used to identify cardiovascular insufficiency, its probable cause, and response therapy. Still it difficult document efficacy monitoring because no device improves outcome unless coupled treatment that outcome. Several clinical trials have consistently documented preoptimization for high-risk surgery patients treated operating room early ( 65 mm Hg then increase Do2 600 mL/min/m2 within first few minutes hours presentation. To accomplish these goals, hemodynamic focuses more on measures cardiac output mixed venous oxygen saturation access adequacy resuscitation efforts than filling pressures. Although protocols reduce mortality morbidity selected patient groups, widespread use monitoring-driven has not yet happened, presumably all studies been single-center using single, proprietary blood flow-monitoring device. Multicenter are needed goal-directed therapies presenting shock various etiologies when protocol primary variable.