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01.12.2014 | Review Article

Advanced Monitoring of Systemic Hemodynamics in Critically Ill Patients with Acute Brain Injury

verfasst von: Fabio Silvio Taccone, Giuseppe Citerio, And the Participants in the International Multi-disciplinary Consensus Conference on Multimodality Monitoring

Erschienen in: Neurocritical Care | Sonderheft 2/2014

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Abstract

Hemodynamic monitoring is widely used in critical care; however, the impact of such intervention in patients with acute brain injury (ABI) remains unclear. Using PubMed, a systematic review was performed (1966–August 2013), and 118 studies were included. Data were extracted using the PICO approach. The evidence was classified, and recommendations were developed according to the GRADE system. Electrocardiography and invasive monitoring of arterial blood pressure should be the minimal hemodynamic monitoring required in unstable or at-risk patients in the intensive care unit. Advanced hemodynamic monitoring (i.e., assessment of preload, afterload, cardiac output, and global systemic perfusion) could help establish goals that take into account cerebral blood flow and oxygenation, which vary depending on diagnosis and disease stage. Choice of techniques for assessing preload, afterload, cardiac output, and global systemic perfusion should be guided by specific evidence and local expertise. Hemodynamic monitoring is important and has specific indications among ABI patients. Further data are necessary to understand its potential for therapeutic interventions and prognostication.

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Titel: Advanced Monitoring of Systemic Hemodynamics in Critically Ill Patients with Acute Brain Injury
verfasst von: Fabio Silvio Taccone
Giuseppe Citerio
And the Participants in the International Multi-disciplinary Consensus Conference on Multimodality Monitoring
Publikationsdatum: 01.12.2014
Verlag: Springer US
Erschienen in: Neurocritical Care / Ausgabe Sonderheft 2/2014
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-014-0033-5

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Advanced Monitoring of Systemic Hemodynamics in Critically Ill Patients with Acute Brain Injury

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