Skip to main content

Perspectives

  • Chapter
  • First Online:
Hemodynamic Monitoring in the ICU
  • 2261 Accesses

Abstract

Hemodynamic monitoring in the ICU has continued to evolve over the years. On the one hand, the industry constantly offers new tools that can be methodologically validated to provide clinicians with the terms of use and limitations of these devices. On the other hand, researchers are attempting to innovate and discover new indices and/or markers that can replace discontinuous and invasive measures of cardiac output and indices that can predict fluid responsiveness in patients who are in a state of shock. In the present book, the authors revealed various hemodynamic monitoring techniques available for the intensivist. As we have shown, each technique has its advantages and limitations. For several years, the subsidized intensive care industry has developed monitoring devices that measure various parameters and are less invasive than the classical pulmonary artery catheter. Nevertheless, the cardiac output remains the most significant and important hemodynamic variable and marker.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Giraud R, Siegenthaler N, Tagan D, Bendjelid K (2009) Evaluation of practical skills in echocardiography for intensivists. Rev Med Suisse 5(229):2518–2521

    PubMed  Google Scholar 

  2. Giraud R, Siegenthaler N, Tagan D, Bendjelid K (2011) Evaluation of skills required to practice advanced echocardiography in intensive care. Rev Med Suisse 7(282):413–416

    CAS  PubMed  Google Scholar 

  3. Tsai YF, Liu FC, Yu HP (2013) FloTrac/Vigileo system monitoring in acute-care surgery: current and future trends. Expert Rev Med Devices 10(6):717–728, Review

    Article  CAS  PubMed  Google Scholar 

  4. Metzelder S, Coburn M, Fries M, Reinges M, Reich S, Rossaint R et al (2011) Performance of cardiac output measurement derived from arterial pressure waveform analysis in patients requiring high-dose vasopressor therapy. Br J Anaesth 106(6):776–784 [Clinical Trial]

    Article  CAS  PubMed  Google Scholar 

  5. Suehiro K, Tanaka K, Funao T, Matsuura T, Mori T, Nishikawa K (2013) Systemic vascular resistance has an impact on the reliability of the Vigileo-FloTrac system in measuring cardiac output and tracking cardiac output changes. Br J Anaesth 111(2):170–177, Research Support, Non-U.S. Gov't

    Article  CAS  PubMed  Google Scholar 

  6. Arulkumaran N, Corredor C, Hamilton MA, Ball J, Grounds RM, Rhodes A et al (2014) Cardiac complications associated with goal-directed therapy in high-risk surgical patients: a meta-analysis. Br J Anaesth 112(4):648–659 [Meta-Analysis]

    Article  CAS  PubMed  Google Scholar 

  7. Thiele RH, Bartels K, Gan TJ (2015) Cardiac output monitoring: a contemporary assessment and review. Crit Care Med 43(1):177–185

    Article  PubMed  Google Scholar 

  8. Bland JM, Altman DG (2012) Agreed statistics: measurement method comparison. Anesthesiology 116(1):182–185

    Article  PubMed  Google Scholar 

  9. Critchley LA, Critchley JA (1999) A meta-analysis of studies using bias and precision statistics to compare cardiac output measurement techniques. J Clin Monit Comput 15(2):85–91, Comparative Study Meta-Analysis

    Article  CAS  PubMed  Google Scholar 

  10. Peyton PJ, Chong SW (2010) Minimally invasive measurement of cardiac output during surgery and critical care: a meta-analysis of accuracy and precision. Anesthesiology 113(5):1220–1235

    Article  PubMed  Google Scholar 

  11. Critchley LA (2011) Bias and precision statistics: should we still adhere to the 30% benchmark for cardiac output monitor validation studies? Anesthesiology 114(5):1245; author reply -6

    Article  PubMed  Google Scholar 

  12. Critchley LA, Lee A, Ho AM (2010) A critical review of the ability of continuous cardiac output monitors to measure trends in cardiac output. Anesth Analg 111(5):1180–1192

    Article  PubMed  Google Scholar 

  13. Vincent JL (2011) So we use less pulmonary artery catheters – but why? Crit Care Med 39(7):1820–1822

    Article  PubMed  Google Scholar 

  14. Vincent JL, Rhodes A, Perel A, Martin GS, Della Rocca G, Vallet B et al (2011) Clinical review: update on hemodynamic monitoring – a consensus of 16. Crit Care 15(4):229

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Giraud, R., Bendjelid, K. (2016). Perspectives. In: Hemodynamic Monitoring in the ICU. Springer, Cham. https://doi.org/10.1007/978-3-319-29430-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29430-8_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29429-2

  • Online ISBN: 978-3-319-29430-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics