Hemodynamic monitoring considerations in the intensive care unit

Sturgess, David, Hamilton, Douglas R., Sargsyan, Ashot E., Lumb, Philip and Karakitsos, Dimitrios (2015). Hemodynamic monitoring considerations in the intensive care unit. In Philip Lumb and Dimitrios Karakitsos (Ed.), Critical care ultrasound (pp. 193-199) Philadelphia, PA, United States: Elsevier.

Author Sturgess, David
Hamilton, Douglas R.
Sargsyan, Ashot E.
Lumb, Philip
Karakitsos, Dimitrios
Title of chapter Hemodynamic monitoring considerations in the intensive care unit
Title of book Critical care ultrasound
Place of Publication Philadelphia, PA, United States
Publisher Elsevier
Publication Year 2015
Sub-type Chapter in textbook
Open Access Status Not Open Access
Year available 2015
ISBN 9781455753574
Editor Philip Lumb
Dimitrios Karakitsos
Chapter number 36
Start page 193
End page 199
Total pages 7
Total chapters 62
Language eng
Abstract/Summary In critical care, the goals of hemodynamic monitoring include mainly detection of cardiovascular insufficiency and diagnosis of the underlying pathophysiology. At the bedside, clinicians are faced with the challenge of translating concepts such as preload, contractility, and afterload into determinants of stroke volume and hence cardiac output. Ultrasound and echocardiography offer unique insight into ventricular filling and systolic function. In recent years there has been a general trend away from invasive hemodynamic monitoring. This was initially motivated by published data suggesting an association between the pulmonary artery catheter (PAC) and excess mortality in critically ill patients. Despite specific risks, subsequent randomized controlled trials have not sustained the concerns about excess mortality. The PAC should not be regarded as obsolete. As already discussed in this text, ultrasound is proving useful in guiding safe and timely placement of many components of hemodynamic monitoring systems, including arterial, peripheral, and central venous access devices. Furthermore, because of its real-time nature, ultrasound, including echocardiography, offers the clinician a range of cardiovascular insights that are difficult or impossible to derive with other technologies. Ultrasound can be applied to a wide range of patients and is a safe, noninvasive, and reliable imaging method.
Q-Index Code BX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Book Chapter
Collection: School of Pharmacy Publications
 
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Created: Sat, 14 May 2016, 14:52:40 EST by Dr David Sturgess on behalf of School of Pharmacy