Effective hemodynamic monitoring
Year: 2022
Type: review
Abstract: Hemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its effectiveness in terms of improved patient outcomes is difficult to quantify. This review focused on effectiveness of monitoring-linked resuscitation strategies from: (1) process-specific monitoring that allows for non-specific prevention of new onset cardiovascular insufficiency (CVI) in perioperative care. Such goal-directed therapy is associated with decreased perioperative complications and length of stay in high-risk surgery patients. (2) Patient-specific personalized resuscitation approaches for CVI. These approaches including dynamic measures to define volume responsiveness and vasomotor tone, limiting less fluid administration and vasopressor duration, reduced length of care. (3) Hemodynamic monitoring to predict future CVI using machine learning approaches. These approaches presently focus on predicting hypotension. Future clinical trials assessing hemodynamic monitoring need to focus on process-specific monitoring based on modifying therapeutic interventions known to improve patient-centered outcomes.
Source: Critical Care
Institutions: University of Pittsburgh, Humanitas University, IRCCS Humanitas Research Hospital, Linköping University, Linköping University Hospital, Université Libre de Bruxelles, Centre Hospitalier Interrégional Edith Cavell, Denver Health Medical Center, University of Colorado Anschutz, University of Colorado Denver, University Hospital Southampton NHS Foundation Trust, University of Southampton, Université Paris-Saclay, Assistance Publique – Hôpitaux de Paris, Centre Hospitalier Universitaire de Reims, Hôpital Antoine-Béclère, Pontificia Universidad Católica de Chile, Grady Memorial Hospital, Emory University, Inserm, Hypertension pulmonaire : physiopathologie et innovation thérapeutique, Hôpital Marie Lannelongue, Hôpital Paris Saint-Joseph, Bicêtre Hospital, University Medical Center Hamburg-Eppendorf, University Medical Center Groningen, Erasmus Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,690
OpenAlex ID: W4297495158