Skip to main content
Top
Published in: Critical Care 4/2011

01-08-2011 | Review

Clinical review: Update on hemodynamic monitoring - a consensus of 16

Authors: Jean-Louis Vincent, Andrew Rhodes, Azriel Perel, Greg S Martin, Giorgio Della Rocca, Benoit Vallet, Michael R Pinsky, Christoph K Hofer, Jean-Louis Teboul, Willem-Pieter de Boode, Sabino Scolletta, Antoine Vieillard-Baron, Daniel De Backer, Keith R Walley, Marco Maggiorini, Mervyn Singer

Published in: Critical Care | Issue 4/2011

Login to get access

Abstract

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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Shah MR, Hasselblad V, Stevenson LW, Binanay C, O'Connor CM, Sopko G, Califf RM: Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. JAMA. 2005, 294: 1664-1670. 10.1001/jama.294.13.1664.PubMedCrossRef Shah MR, Hasselblad V, Stevenson LW, Binanay C, O'Connor CM, Sopko G, Califf RM: Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. JAMA. 2005, 294: 1664-1670. 10.1001/jama.294.13.1664.PubMedCrossRef
2.
go back to reference Squara P, Cecconi M, Rhodes A, Singer M, Chiche JD: Tracking changes in cardiac output: methodological considerations for the validation of monitoring devices. Intensive Care Med. 2009, 35: 1801-1808. 10.1007/s00134-009-1570-9.PubMedCrossRef Squara P, Cecconi M, Rhodes A, Singer M, Chiche JD: Tracking changes in cardiac output: methodological considerations for the validation of monitoring devices. Intensive Care Med. 2009, 35: 1801-1808. 10.1007/s00134-009-1570-9.PubMedCrossRef
3.
go back to reference Goedje O, Hoeke K, Lichtwarck-Aschoff M, Faltchauser A, Lamm P, Reichart B: Continuous cardiac output by femoral arterial thermodilution calibrated pulse contour analysis: comparison with pulmonary arterial thermodilution. Crit Care Med. 1999, 27: 2407-2412. 10.1097/00003246-199911000-00014.PubMedCrossRef Goedje O, Hoeke K, Lichtwarck-Aschoff M, Faltchauser A, Lamm P, Reichart B: Continuous cardiac output by femoral arterial thermodilution calibrated pulse contour analysis: comparison with pulmonary arterial thermodilution. Crit Care Med. 1999, 27: 2407-2412. 10.1097/00003246-199911000-00014.PubMedCrossRef
4.
go back to reference Sakka SG, Reinhart K, Meier-Hellmann A: Comparison of pulmonary artery and arterial thermodilution cardiac output in critically ill patients. Intensive Care Med. 1999, 25: 843-846. 10.1007/s001340050962.PubMedCrossRef Sakka SG, Reinhart K, Meier-Hellmann A: Comparison of pulmonary artery and arterial thermodilution cardiac output in critically ill patients. Intensive Care Med. 1999, 25: 843-846. 10.1007/s001340050962.PubMedCrossRef
5.
go back to reference 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 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
6.
go back to reference Tsutsui M, Matsuoka N, Ikeda T, Sanjo Y, Kazama T: Comparison of a new cardiac output ultrasound dilution method with thermodilution technique in adult patients under general anesthesia. J Cardiothorac Vasc Anesth. 2009, 23: 835-840. 10.1053/j.jvca.2009.03.007.PubMedCrossRef Tsutsui M, Matsuoka N, Ikeda T, Sanjo Y, Kazama T: Comparison of a new cardiac output ultrasound dilution method with thermodilution technique in adult patients under general anesthesia. J Cardiothorac Vasc Anesth. 2009, 23: 835-840. 10.1053/j.jvca.2009.03.007.PubMedCrossRef
7.
go back to reference Wakeling HG, McFall MR, Jenkins CS, Woods WG, Miles WF, Barclay GR, Fleming SC: Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth. 2005, 95: 634-642. 10.1093/bja/aei223.PubMedCrossRef Wakeling HG, McFall MR, Jenkins CS, Woods WG, Miles WF, Barclay GR, Fleming SC: Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth. 2005, 95: 634-642. 10.1093/bja/aei223.PubMedCrossRef
8.
go back to reference Abbas SM, Hill AG: Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery. Anaesthesia. 2008, 63: 44-51.PubMedCrossRef Abbas SM, Hill AG: Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery. Anaesthesia. 2008, 63: 44-51.PubMedCrossRef
9.
go back to reference Lelyveld-Haas LE, van Zanten AR, Borm GF, Tjan DH: Clinical validation of the non-invasive cardiac output monitor USCOM-1A in critically ill patients. Eur J Anaesthesiol. 2008, 25: 917-924. 10.1017/S0265021508004882.PubMedCrossRef Lelyveld-Haas LE, van Zanten AR, Borm GF, Tjan DH: Clinical validation of the non-invasive cardiac output monitor USCOM-1A in critically ill patients. Eur J Anaesthesiol. 2008, 25: 917-924. 10.1017/S0265021508004882.PubMedCrossRef
10.
go back to reference Marque S, Cariou A, Chiche JD, Squara P: Comparison between Flotrac-Vigileo and Bioreactance, a totally noninvasive method for cardiac output monitoring. Crit Care. 2009, 13: R73-10.1186/cc7884.PubMedPubMedCentralCrossRef Marque S, Cariou A, Chiche JD, Squara P: Comparison between Flotrac-Vigileo and Bioreactance, a totally noninvasive method for cardiac output monitoring. Crit Care. 2009, 13: R73-10.1186/cc7884.PubMedPubMedCentralCrossRef
11.
go back to reference Squara P, Denjean D, Estagnasie P, Brusset A, Dib JC, Dubois C: Noninvasive cardiac output monitoring (NICOM): a clinical validation. Intensive Care Med. 2007, 33: 1191-1194. 10.1007/s00134-007-0640-0.PubMedCrossRef Squara P, Denjean D, Estagnasie P, Brusset A, Dib JC, Dubois C: Noninvasive cardiac output monitoring (NICOM): a clinical validation. Intensive Care Med. 2007, 33: 1191-1194. 10.1007/s00134-007-0640-0.PubMedCrossRef
12.
go back to reference Ospina-Tascon GA, Cordioli RL, Vincent JL: What type of monitoring has been shown to improve outcomes in acutely ill patients?. Intensive Care Med. 2008, 34: 800-820. 10.1007/s00134-007-0967-6.PubMedCrossRef Ospina-Tascon GA, Cordioli RL, Vincent JL: What type of monitoring has been shown to improve outcomes in acutely ill patients?. Intensive Care Med. 2008, 34: 800-820. 10.1007/s00134-007-0967-6.PubMedCrossRef
13.
go back to reference Reinhart K, Kuhn HJ, Hartog C, Bredle DL: Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med. 2004, 30: 1572-1578.PubMedCrossRef Reinhart K, Kuhn HJ, Hartog C, Bredle DL: Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med. 2004, 30: 1572-1578.PubMedCrossRef
14.
go back to reference Sakr Y, Vincent JL, Reinhart K, Groeneveld J, Michalopoulos A, Sprung CL, Artigas A, Ranieri VM: High tidal volume and positive fluid balance are associated with worse outcome in acute lung injury. Chest. 2005, 128: 3098-3108. 10.1378/chest.128.5.3098.PubMedCrossRef Sakr Y, Vincent JL, Reinhart K, Groeneveld J, Michalopoulos A, Sprung CL, Artigas A, Ranieri VM: High tidal volume and positive fluid balance are associated with worse outcome in acute lung injury. Chest. 2005, 128: 3098-3108. 10.1378/chest.128.5.3098.PubMedCrossRef
15.
go back to reference 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 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
16.
go back to reference Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M: Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001, 345: 1368-1377. 10.1056/NEJMoa010307.PubMedCrossRef Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M: Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001, 345: 1368-1377. 10.1056/NEJMoa010307.PubMedCrossRef
17.
go back to reference Gattinoni L, Brazzi L, Pelosi P, Latini R, Tognoni G, Pesenti A, Fumagalli R: A trial of goal-oriented hemodynamic therapy in critically ill patients. SvO2 Collaborative Group. N Engl J Med. 1995, 333: 1025-1032. 10.1056/NEJM199510193331601.PubMedCrossRef Gattinoni L, Brazzi L, Pelosi P, Latini R, Tognoni G, Pesenti A, Fumagalli R: A trial of goal-oriented hemodynamic therapy in critically ill patients. SvO2 Collaborative Group. N Engl J Med. 1995, 333: 1025-1032. 10.1056/NEJM199510193331601.PubMedCrossRef
Metadata
Title
Clinical review: Update on hemodynamic monitoring - a consensus of 16
Authors
Jean-Louis Vincent
Andrew Rhodes
Azriel Perel
Greg S Martin
Giorgio Della Rocca
Benoit Vallet
Michael R Pinsky
Christoph K Hofer
Jean-Louis Teboul
Willem-Pieter de Boode
Sabino Scolletta
Antoine Vieillard-Baron
Daniel De Backer
Keith R Walley
Marco Maggiorini
Mervyn Singer
Publication date
01-08-2011
Publisher
BioMed Central
Published in
Critical Care / Issue 4/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc10291

Other articles of this Issue 4/2011

Critical Care 4/2011 Go to the issue