[Hemodynamic monitoring in the critically patient. Recomendations of the Cardiological Intensive Care and CPR Working Group of the Spanish Society of Intensive Care and Coronary Units]

Med Intensiva. 2014 Apr;38(3):154-69. doi: 10.1016/j.medin.2013.10.006. Epub 2013 Dec 2.
[Article in Spanish]

Abstract

Hemodynamic monitoring offers valuable information on cardiovascular performance in the critically ill, and has become a fundamental tool in the diagnostic approach and in the therapy guidance of those patients presenting with tissue hypoperfusion. From introduction of the pulmonary artery catheter to the latest less invasive technologies, hemodynamic monitoring has been surrounded by many questions regarding its usefulness and its ultimate impact on patient prognosis. The Cardiological Intensive Care and CPR Working Group (GTCIC-RCP) of the Spanish Society of Intensive Care and Coronary Units (SEMICYUC) has recently impulsed the development of an updating series in hemodynamic monitoring. Now, a final series of recommendations are presented in order to analyze essential issues in hemodynamics, with the purpose of becoming a useful tool for residents and critical care practitioners involved in the daily management of critically ill patients.

Keywords: Critically ill patient; Hemodynamic monitoring; Hipoperfusión tisular; Monitorización hemodinámica; Paciente crítico; shock.

Publication types

  • Practice Guideline

MeSH terms

  • Blood Pressure
  • Brain Injuries / physiopathology
  • Critical Care / methods*
  • Critical Care / standards
  • Critical Illness*
  • Diagnostic Techniques, Cardiovascular
  • Echocardiography
  • Hemodynamics*
  • Hemorrhage / physiopathology
  • Humans
  • Hypoxia / blood
  • Hypoxia / etiology
  • Hypoxia / prevention & control
  • Lactates / blood
  • Monitoring, Physiologic*
  • Oxygen / blood
  • Plasma Substitutes / therapeutic use
  • Resuscitation
  • Shock / physiopathology

Substances

  • Lactates
  • Plasma Substitutes
  • Oxygen