Advanced monitoring of systemic hemodynamics in critically ill patients with acute brain injury.

摘要: Hemodynamic monitoring is widely used in critical care; however, the impact of such intervention patients with acute brain injury (ABI) remains unclear. Using PubMed, a systematic review was performed (1966–August 2013), and 118 studies were included. Data extracted using PICO approach. The evidence classified, recommendations developed according to GRADE system. Electrocardiography invasive arterial blood pressure should be minimal hemodynamic required unstable or at-risk intensive care unit. Advanced (i.e., assessment preload, afterload, cardiac output, global systemic perfusion) could help establish goals that take into account cerebral flow oxygenation, which vary depending on diagnosis disease stage. Choice techniques for assessing perfusion guided by specific local expertise. important has indications among ABI patients. Further data are necessary understand its potential therapeutic interventions prognostication.