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Hemodynamic monitoring in the era of evidence-based medicine

Hemodynamic instability frequently occurs in critically ill patients. Pathophysiological rationale suggests that hemodynamic monitoring (HM) may identify the presence and causes of hemodynamic instability and therefore may allow targeting therapeutic approaches. However, there is a discrepancy between this pathophysiological rationale to use HM and a paucity of formal evidence (as ...

Non-invasive monitoring of oxygen delivery in acutely ill patients: new frontiers

Hypovolemia, anemia and hypoxemia may cause critical deterioration in the oxygen delivery (DO2). Their early detection followed by a prompt and appropriate intervention is a cornerstone in the care of critically ill patients. And yet, the remedies for these life-threatening conditions, namely fluids, blood and oxygen, have to be carefully titrated as they are all associated with ...

Extravascular lung water and the pulmonary vascular permeability index may improve the definition of ARDS

The recent Berlin definition has made some improvements in the older definition of acute respiratory distress syndrome (ARDS), although the concepts and components of the definition remained largely unchanged. In an effort to improve both predictive and face validity, the Berlin panel has examined a number of additional measures that may reflect increased pulmonary vascular ...

Bench-to-bedside review: Functional hemodynamics during surgery - should it be used for all high-risk cases?

The administration of a fluid bolus is done frequently in the perioperative period to increase the cardiac output. Yet fluid loading fails to increase the cardiac output in more than 50% of critically ill and surgical patients. The assessment of fluid responsiveness (the slope of the left ventricular function curve) prior to fluid administration may thus not only help in detecting ...

Bench-to-bedside review: The initial hemodynamic resuscitation of the septic patient according to Surviving Sepsis Campaign guidelines – does one size fit all?

Corresponding author: Azriel Perel 0 0 0 Department of Anesthesiology and Intensive Care, Sheba Medical Center, Tel Aviv University , Tel Hashomer, 52621 Israel The Surviving Sepsis Campaign

Perioperative cardiovascular monitoring of high-risk patients: a consensus of 12

Perel 6 11 Andreas Hoeft 5 11 Stefano Romagnoli 4 11 V Marco Ranieri 9 11 Carole Ichai 8 11 Patrice Forget 10 11 Giorgio Della Rocca 11 12 Andrew Rhodes 11 13 0 Department of Intensive Care, Erasme

Perioperative fluid therapy: a statement from the international Fluid Optimization Group

Auler Jr 1 Maxime Cannesson 7 Giorgio Della Rocca 6 Tong J Gan 5 Michael Kinsky 4 Sheldon Magder 9 Timothy E Miller 5 Monty Mythen 8 Azriel Perel 3 Daniel A Reuter 10 Michael R Pinsky 11 George C Kramer 4 ... funded by Edwards Lifesciences. Consultant for Edwards Lifesciences, Cheetah Medical, and Hospira. Azriel Perel is a member of the Medical Advisory Board of Pulsion Medical Systems, Munich, Germany. Daniel

Hemodynamic monitoring and management in patients undergoing high risk surgery: a survey among North American and European anesthesiologists

consultant for Edwards Lifesciences (USA). Azriel Perel is a consultant for BMeye (Netherlands), Pulsion (Germany), and FlowSense (Israel). 1. Takala J : Surgery: risky business? Anesth Analg 2011 , 112 : 745

Clinical review: Complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine

In order to evaluate the complications and risk factors associated with peripheral arterial catheters used for haemodynamic monitoring, we reviewed the literature published from 1978 to 2001. We closely examined the three most commonly used arterial cannulation sites. The reviewed papers included a total of 19,617 radial, 3899 femoral and 1989 axillary artery catheterizations. ...

Clinical review: Update on hemodynamic monitoring - a consensus of 16

Hemodynamic monitoring plays a fundamental role in the management of acutely ill patients. With increased concerns about the use of invasive techniques, notably the pulmonary artery catheter, to measure cardiac output, recent years have seen an influx of new, less-invasive means of measuring hemodynamic variables, leaving the clinician somewhat bewildered as to which technique, if ...