Hemodynamic monitoring in the critically patient. Recomendations of the Cardiological Intensive Care and CPR Working Group of the Spanish Society of Intensive Care and Coronary Units

被引:25
作者
Ochagavia, A. [1 ]
Baigorri, F. [1 ]
Mesquida, J. [1 ]
Ayuela, J. M. [2 ]
Ferrandiz, A. [3 ]
Garcia, X. [1 ]
Monge, M. I. [4 ]
Mateu, L. [3 ]
Sabatier, C. [1 ]
Clau-Terre, F. [5 ,6 ]
Vicho, R. [7 ]
Zapata, L. [8 ]
Maynar, J. [9 ]
Gil, A. [4 ]
机构
[1] Univ Autonoma Barcelona, Inst Univ Parc Tauli, CIBER Enfermedades Resp, Serv Med Intens,Hosp Sabadell,Corp Sanitaria Parc, E-08193 Barcelona, Spain
[2] Hosp Burgos, Serv Med Intens, Burgos, Spain
[3] Hosp Univ Gen Castellon, Serv Med Intens, Castellon de La Plana, Spain
[4] Hosp SAS Jerez, Serv Cuidados Crit & Urgencias, Cadiz, Spain
[5] Hosp Valle De Hebron, Inst Recerca, Barcelona, Spain
[6] Consorci Sanitari Terrasa, Barcelona, Spain
[7] Clin USP Palmaplanas, Serv Med Intens, Palma De Mallorca, Spain
[8] Hosp Santa Creu & Sant Pau, Serv Med Intens, Barcelona, Spain
[9] Hosp Univ Araba, Serv Med Intens, Vitoria, Alava, Spain
关键词
Hemodynamic monitoring; Critically ill patient; shock; MECHANICALLY VENTILATED PATIENTS; PREDICT FLUID RESPONSIVENESS; STROKE VOLUME VARIATION; RISK SURGICAL-PATIENTS; GOAL-DIRECTED THERAPY; CARDIAC-OUTPUT; RESPIRATORY CHANGES; OXYGEN-SATURATION; CARDIOGENIC-SHOCK; PULSE PRESSURE;
D O I
10.1016/j.medin.2013.10.006
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Hemodynamic monitoring offers valuable information on cardiovascular performance in the critically ill, and has become a fundamental tool in the diagnostic approach and in the therapy guidance of those patients presenting with tissue hypoperfusion. From introduction of the pulmonary artery catheter to the latest less invasive technologies, hemodynamic monitoring has been surrounded by many questions regarding its usefulness and its ultimate impact on patient prognosis. The Cardiological Intensive Care and CPR Working Group (GTCIC-RCP) of the Spanish Society of Intensive Care and Coronary Units (SEMICYUC) has recently impulsed the development of an updating series in hemodynamic monitoring. Now, a final series of recommendations are presented in order to analyze essential issues in hemodynamics, with the purpose of becoming a useful tool for residents and critical care practitioners involved in the daily management of critically ill patients. (C) 2013 Elsevier Espana, S.L. and SEMICYUC. All rights reserved.
引用
收藏
页码:154 / 169
页数:16
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