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Hemodynamic Monitoring

  • Nicole A. Stassen
Chapter

Abstract

Webster defines monitoring as “to watch, keep track of, or check usually for a special purpose.” For the surgical intensivist, the special purpose is to provide data for intervention to improve the outcome of the critically ill patient. The primary hemodynamic goal in the management of critically ill patients includes the assessment and manipulation of the circulatory system to ensure adequate tissue delivery of oxygen and essential metabolic substrates. As understanding of hemodynamics and critical illness has evolved, more sophisticated circulatory monitoring technologies have been developed. No monitoring device can be expected to improve patient outcome if it is not coupled to a treatment that itself improves outcome. Current monitoring devices should continue to be selected on a patient-specific basis, either alone or in combination with other hemodynamic monitors, until a true gold standard hemodynamic monitoring tool is developed.

Keywords

Hemodynamic monitoring Swan-Ganz catheter Point-of-care cardiac ultrasound Arterial line Pulse contour wave analysis Central venous pressure Critically Ill Intensive care unit 

Notes

Disclosure

I have no commercial or financial conflicts of interest related to this manuscript.

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery, Acute Care Surgery DivisionUniversity of Rochester Medical CenterRochesterUSA

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