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Critical Care
Published in: Critical Care 1/2019

Open Access 01-12-2019 | Shock | Editorial

Is this patient really “(un)stable”? How to describe cardiovascular dynamics in critically ill patients

Authors: Jean-Louis Vincent, Maurizio Cecconi, Bernd Saugel

Published in: Critical Care | Issue 1/2019

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Excerpt

Earlier this week during rounds in the intensive care unit, a resident reported, “Mr S. became hemodynamically unstable so we had to give norepinephrine.” Later, another resident described a patient with acute respiratory distress syndrome who had been on renal replacement therapy for the last 36 h as being, “hemodynamically stable under 1 μg/kg/min of norepinephrine.” This led us to reflect on the meanings of these two words—“stable” and “unstable”—when describing cardiovascular dynamics in critically ill patients. …
Literature
1.
Frost P, Wise MP. Recognition and early management of the critically ill ward patient. Br J Hosp Med (Lond). 2007;68:M180–3.CrossRef
2.
Vincent JL, Nielsen ND, Shapiro NI, et al. Mean arterial pressure and mortality in patients with distributive shock: a retrospective analysis of the MIMIC-III database. Ann Intensive Care. 2018;8:107.CrossRef
3.
Maheshwari K, Nathanson BH, Munson SH, et al. The relationship between ICU hypotension and in-hospital mortality and morbidity in septic patients. Intensive Care Med. 2018;44:857–67.CrossRef
Metadata
Title
Is this patient really “(un)stable”? How to describe cardiovascular dynamics in critically ill patients
Authors
Jean-Louis Vincent
Maurizio Cecconi
Bernd Saugel
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Shock
Shock
Published in
Critical Care / Issue 1/2019
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-019-2551-1

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