MC has received honoraria, travel expenses, or research support from LiDCO Ltd (Cambridge, UK), Edwards Lifesciences LLC (Irvine, CA, USA), Cheetah Medical, Inc. (Vancouver, WA, USA), Masimo Corporation (Irvine, CA, USA), and Bmeye (Amsterdam, The Netherlands). DB has received honoraria and travel expenses from LiDCO Ltd and Deltex Medical (Chichester, UK).
In the previous issue of Critical Care, Takala and colleagues presented the results of a multicenter study to investigate whether the early presence of less invasive hemodynamic monitoring improves outcome in patients admitted with hemodynamic instability to the intensive care unit. The authors' results suggest that it makes no difference. We discuss these findings and compare them to the literature on early goal-directed therapy in which monitors are used early but with a protocol.
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Sandham JD, Hull RD, Brant RF, Knox L, Pineo GF, Doig CJ, Laporta DP, Viner S, Passerini L, Devitt H, Kirby A, Jacka M, Canadian Critical Care Clinical Trials Group: A randomized, controlled trial of the use of pulmonary artery catheters in high-risk surgical patients. N Engl J Med. 2003, 348: 5-14. 10.1056/NEJMoa021108. PubMedCrossRef
- Should we use early less invasive hemodynamic monitoring in unstable ICU patients?
- BioMed Central
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