Effective hemodynamic monitoring

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dc.article.number294
dc.contributor.authorPinsky, Michael R.
dc.contributor.authorCecconi, Maurizio
dc.contributor.authorChew, Michelle S.
dc.contributor.authorDe Backer, Daniel
dc.contributor.authorDouglas, Ivor
dc.contributor.authorEdwards, Mark
dc.contributor.authorHamzaoui, Olfa
dc.contributor.authorHernández P., Glenn
dc.contributor.authorMartin, Greg
dc.contributor.authorMonnet, Xavier
dc.contributor.authorSaugel, Bernd
dc.contributor.authorScheeren, Thomas W. L.
dc.contributor.authorTeboul, Jean-Louis
dc.contributor.authorVincent, Jean-Louis
dc.date.accessioned2022-11-04T14:53:10Z
dc.date.available2022-11-04T14:53:10Z
dc.date.issued2022
dc.date.updated2022-10-02T00:07:16Z
dc.description.abstractHemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its effectiveness in terms of improved patient outcomes is difficult to quantify. This review focused on effectiveness of monitoring-linked resuscitation strategies from: (1) process-specific monitoring that allows for non-specific prevention of new onset cardiovascular insufficiency (CVI) in perioperative care. Such goal-directed therapy is associated with decreased perioperative complications and length of stay in high-risk surgery patients. (2) Patient-specific personalized resuscitation approaches for CVI. These approaches including dynamic measures to define volume responsiveness and vasomotor tone, limiting less fluid administration and vasopressor duration, reduced length of care. (3) Hemodynamic monitoring to predict future CVI using machine learning approaches. These approaches presently focus on predicting hypotension. Future clinical trials assessing hemodynamic monitoring need to focus on process-specific monitoring based on modifying therapeutic interventions known to improve patient-centered outcomes.
dc.format.extent10 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationCritical Care. 2022 Sep 28;26(1):294
dc.identifier.doi10.1186/s13054-022-04173-z
dc.identifier.urihttps://doi.org/10.1186/s13054-022-04173-z
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/65352
dc.identifier.wosidWOS:000861458300002
dc.information.autorucEscuela de medicina ; Hernández P., Glenn ; 0000-0002-3032-4087 ; 98874
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final10
dc.pagina.inicio1
dc.revistaCritical Care
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEffective hemodynamic monitoringes_ES
dc.typeartículo
dc.volumen26
sipa.codpersvinculados98874
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