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Functional hemodynamic monitoring

Hadian, Mehrnaz; Pinsky, Michael R

Current Opinion in Critical Care: June 2007 - Volume 13 - Issue 3 - p 318–323
doi: 10.1097/MCC.0b013e32811e14dd
Cardiopulmonary monitoring

Purpose of review: To assess the recent literature on effective use of information received from hemodynamic monitoring.

Recent findings: Dynamic hemodynamic measures are more effective in assessing cardiovascular status than static measures. In this review, we will focus on the application of hemodynamic monitoring to evaluate the effect of therapy.

Summary: A systematic approach to an effective resuscitation effort can be incorporated into a protocolized cardiovascular management algorithm, which, in turn, can improve patient-centered outcomes and the cost of healthcare systems, by faster and more effective response in order to diagnose and treat hemodynamically unstable patients both inside and outside of intensive care units.

Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

Correspondence to Michael R. Pinsky, MD, 606 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15213, USA Tel: +412 647 5387; fax: +412 647 8060; e-mail: pinskymr@upmc.edu

© 2007 Lippincott Williams & Wilkins, Inc.