The evolution and current use of invasive hemodynamic monitoring for predicting volume responsiveness during resuscitation, perioperative, and critical care

Seth Manoach, Scott D. Weingart, Jean Charchaflieh

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Traditional hemodynamic monitors such as pulmonary artery and central venous catheters provide continuous data and secure intravenous access, but their diagnostic efficacy has been criticized. Dynamic arterial waveform monitoring is promising, but studies suggest it is reliable only within narrow ventilation and rhythm parameters. Newer algorithm-based hemodynamic monitors have emerged; they, too, are limited in their accuracy and applicability. Intravascular monitors are used to predict fluid responsiveness and need for alternative therapies, such as vasomotor or inotropic support. Recent efficacy data, along with other important clinical findings, are reviewed with regard to invasive monitors. We caution against over-generalizing from existing studies, and provide guidance for clinicians wishing to target monitoring techniques for appropriate patients.

Original languageEnglish
Pages (from-to)242-250
Number of pages9
JournalJournal of Clinical Anesthesia
Volume24
Issue number3
DOIs
StatePublished - May 2012

Keywords

  • Fluid therapy
  • Hemodynamics
  • Hypotension
  • Hypovolemia
  • Intensive care
  • Monitoring
  • Pulmonary artery catheter
  • Resuscitation
  • Shock

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