The online version of this article (doi:10.1186/cc10291) contains supplementary material, which is available to authorized users.
J-LV has received grants from Edwards Lifesciences and Pulsion Medical Systems. AR has received lecture fees from LiDCO and advisory board fees from Cheetah and Edwards. AP is a member of the medical advisory board of Pulsion Medical Systems and consultant to BMEYE. GSM is a member of the medical advisory board of Pulsion Medical Systems. GDR has no conflicts related to this manuscript. BV is an advisor to, and has received lecture fees from, Edwards. MRP is a paid advisor to LiDCO Ltd, Edwards LifeSciences Inc., and Applied Physiology; he has stock options with LiDCO and Cheetah Medical and has received honoraria from Cheetah Medical. CKH has received lecture fees and research grants from Pulsion Medical Systems and Edwards Lifesciences. J-LT is a member of the medical advisory board of Pulsion Medical Systems. W-PdeB has received research grants from Transonic Systems Inc. and Pulsion Medical Systems. SS has received research grants from Vygon and Vythec. AV-B has received research grants from General Electric and Maquet. DDeB has received grants and material for studies from Edwards Lifesciences, Pulsion Medical Systems, LiDCO and Vytech and honoraria for lectures from Edwards Lifesciences and Pulsion Medical Systems. KRW has no conflicts related to this manuscript. MM is a member of the medical advisory board of Pulsion Medical Systems. MS is on the Advisory Board for Deltex Medical and Covidien; Deltex Medical provide unrestricted research grants.
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.
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Costa MG, Della Rocca G, Chiarandini P, Mattelig S, Pompei L, Barriga MS, Reynolds T, Cecconi M, Pietropaoli P: Continuous and intermittent cardiac output measurement in hyperdynamic conditions: pulmonary artery catheter vs. lithium dilution technique. Intensive Care Med. 2008, 34: 257-263. 10.1007/s00134-007-0878-6. PubMedCrossRef
Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, Reinhart K, Angus DC, Brun-Buisson C, Beale R, Calandra T, Dhainaut JF, Gerlach H, Harvey M, Marini JJ, Marshall J, Ranieri M, Ramsay G, Sevransky J, Thompson BT, Townsend S, Vender JS, Zimmerman JL, Vincent JL: Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med. 2008, 36: 296-327. 10.1097/01.CCM.0000298158.12101.41. PubMedCrossRef
- Clinical review: Update on hemodynamic monitoring - a consensus of 16
Greg S Martin
Giorgio Della Rocca
Michael R Pinsky
Christoph K Hofer
Willem-Pieter de Boode
Daniel De Backer
Keith R Walley
- BioMed Central
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