Introduction to “Hemodynamic Monitoring”
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The primary goal of intensive care medicine is the prevention, reduction, and removal of temporary risk of death in acutely ill patients, including patients exposed to risk of death due to surgery and other therapeutic interventions. Cardiovascular organ dysfunction or failure is, after respiratory failure, the most common organ function problem in intensive care unit (ICU) patients . The central role of hemodynamic monitoring in the ICU armamentarium is therefore self-evident. In this context monitoring implies observing continuously or continually changes in physiologic variables over time to reveal changes in organ function, to prompt therapeutic interventions, and to evaluate response to therapeutic interventions. Monitoring per se cannot be expected to improve patient outcomes – only timely applied right interventions can do so .