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Erschienen in: Critical Care 1/2006

01.02.2006 | Commentary

Hemodynamic monitoring over the past 10 years

verfasst von: Michael R Pinsky

Erschienen in: Critical Care | Ausgabe 1/2006

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Abstract

Changes in hemodynamic monitoring over the past 10 years have followed two paths. First, there has been a progressive decrease in invasive monitoring, most notably a reduction in the use of the pulmonary artery catheter because of a presumed lack of efficacy in its use in the management of critically ill patients, with an increased use of less invasive monitoring requiring only central venous and arterial catheterization to derive the same data. Second, numerous clinical trials have documented improved outcome and decreased costs when early goal-directed protocolized therapies are used in appropriate patient populations, such as patients with septic shock presenting to Emergency Departments and high-risk surgical patients before surgery (pre-optimization) and immediately after surgery (post-optimization). Novel monitoring will be driven more by its role in improving outcomes than in the technical abilities of the manufacturers.
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Metadaten
Titel
Hemodynamic monitoring over the past 10 years
verfasst von
Michael R Pinsky
Publikationsdatum
01.02.2006
Verlag
BioMed Central
Erschienen in
Critical Care / Ausgabe 1/2006
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc3997

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