Clinical review: Update on hemodynamic monitoring--a consensus of 16.
Jean Louis Vincent,Andrew Rhodes,Azriel Perel,Greg S. Martin,Giorgio Della Rocca,Benoit Vallet,Michael R. Pinsky,Christoph Hofer,Jean-Louis Teboul,Willem-Pieter de Boode,Sabino Scolletta,Antoine Vieillard-Baron,Daniel De Backer,Keith R. Walley,Marco Maggiorini,Mervyn Singer +15 more
TLDR
An objective review of the available monitoring systems, including their specific advantages and limitations, and highlighting some key principles underlying hemodynamic monitoring in critically ill patients are offered.Abstract:
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 any, is best and which he/she should use. In this consensus paper, we try to provide some clarification, offering an objective review of the available monitoring systems, including their specific advantages and limitations, and highlighting some key principles underlying hemodynamic monitoring in critically ill patients.read more
Citations
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A trial of goal- oriented hemodynamic therapy in critically ill patients
Luciano Gattinoni,Luca Brazzi,Paolo Pelosi,Roberto Latini,Gianni Tognoni,Antonio Pesenti,Roberto Fumagalli +6 more
TL;DR: Hemodynamic therapy aimed at achieving supranormal values for the cardiac index or normal values for mixed venous oxygen saturation does not reduce morbidity or mortality among critically ill patients.
Journal ArticleDOI
Respiratory variations of inferior vena cava diameter to predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure: need for a cautious use
Laurent Muller,Xavier Bobbia,Mehdi Toumi,Guillaume Louart,Nicolas Molinari,B Ragonnet,Hervé Quintard,Marc Leone,Lana Zoric,Jean Yves Lefrant +9 more
TL;DR: In spontaneously breathing patients with ACF, high cIVC values (>40%) are usually associated with fluid responsiveness while low values (< 40%) do not exclude fluid responsiveness.
Journal ArticleDOI
Myocardial depression in sepsis: From pathogenesis to clinical manifestations and treatment
Elio Antonucci,Enrico Fiaccadori,Katia Donadello,Fabio Silvio Taccone,Federico Franchi,Sabino Scolletta +5 more
TL;DR: The pathogenesis, diagnosis, and treatment of myocardial depression in sepsis is summarized and the cornerstone of management is control of the underlying infectious process and hemodynamic stabilization (fluids, vasopressor and inotropic agents).
Journal ArticleDOI
Perioperative fluid therapy: a statement from the international Fluid Optimization Group
Lais Helena Camacho Navarro,Joshua A. Bloomstone,José Otávio Costa Auler,Maxime Cannesson,Giorgio Della Rocca,Tong J. Gan,Michael P. Kinsky,Sheldon Magder,Timothy E. Miller,Monty G. Mythen,Azriel Perel,Daniel A. Reuter,Michael R. Pinsky,George C. Kramer +13 more
TL;DR: This review paper provides an overview of the components of an effective perioperative fluid administration plan and address both the physiologic principles and outcomes of fluid administration.
Journal ArticleDOI
Cardiac and Vascular Surgery-Associated Acute Kidney Injury: The 20th International Consensus Conference of the ADQI (Acute Disease Quality Initiative) Group.
Mitra K. Nadim,Lui G. Forni,Lui G. Forni,Azra Bihorac,Charles Hobson,Jay L. Koyner,Andrew D. Shaw,George J. Arnaoutakis,Xiaoqiang Ding,Daniel T. Engelman,Hrvoje Gasparovic,Vladimir Gašparović,Charles A. Herzog,Kianoush Kashani,Nevin M. Katz,Kathleen D. Liu,Ravindra L. Mehta,Marlies Ostermann,Neesh Pannu,Peter Pickkers,Susanna Price,Zaccaria Ricci,Jeffrey B. Rich,Lokeswara R. Sajja,Fred A. Weaver,Alexander Zarbock,Claudio Ronco,John A. Kellum +27 more
TL;DR: Acute kidney injury (AKI) occurs in 7% to 18% of hospitalized patients and complicates the course of 50% to 60% of those admitted to the intensive care unit, carrying both significant mortality and morbidity.
References
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Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock
Emanuel P. Rivers,Bryant Nguyen,Suzanne Havstad,Julie Ressler,Alexandria Muzzin,Bernhard P. Knoblich,Edward L. Peterson,Michael C. Tomlanovich +7 more
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TL;DR: To provide an update to the original Surviving Sepsis Campaign clinical management guidelines, the GRADE system was used to guide assessment of quality of evidence from high (A) to very low (D) and to determine the strength of recommendations.
Journal ArticleDOI
A Trial of Goal-Oriented Hemodynamic Therapy in Critically Ill Patients
Luciano Gattinoni,Luca Brazzi,Paolo Pelosi,Roberto Latini,Gianni Tognoni,Antonio Pesenti,Roberto Fumagalli +6 more
TL;DR: Whether increasing the cardiac index to a supranormal level (cardiac-index group) or increasing mixed venous oxygen saturation to a normal level (oxygen-saturation group) would decrease morbidity and mortality among critically ill patients, as compared with a control group in which the target was a normal cardiac index.
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Impact of the Pulmonary Artery Catheter in Critically Ill Patients: Meta-analysis of Randomized Clinical Trials
Monica R. Shah,Vic Hasselblad,Lynne W. Stevenson,Cynthia Binanay,Christopher M. O'Connor,George Sopko,Robert M. Califf +6 more
TL;DR: In critically ill patients, use of the pulmonary artery catheter neither increased overall mortality or days in hospital nor conferred benefit, and the neutrality of the PAC for clinical outcomes may result from the absence of effective evidence-based treatments to use in combination with PAC information.
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