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Advanced Hemodynamic Monitoring

The importance of advanced hemodynamic monitoring

– because inner values count

Get detailed information on key cardiovascular parameters to adequately monitor your patients.  

Topics

In patients experiencing hemodynamic instability due to organ failure or during and after major surgery, changes can happen quickly. Continuous minimally invasive monitoring of cardiovascular parameters can support clinical decision-making and improve patient outcomes in the Intensive Care Unit and Operating Room. 

What is advanced hemodynamic monitoring?

Advanced hemodynamic monitoring provides information on the performance of the cardiovascular system: blood pressure, blood flow, volume status, vascular tone, and cardiac function, as well as lung status, e.g., pulmonary edema. By continuously monitoring and analyzing the pulsatile pressure waves generated by the heart, the structural and mechanical properties of the vascular system, and the physical properties of the blood, physicians gain important information that supports decision-making during hemodynamic instability. 

Get the complete picture

Do you want to discover details on parameters like blood flow, blood pressure, preload, afterload, contractility, and pulmonary edema? This animated model will guide you through the cardiovascular system, explaining the main questions you might have to keep a patient's hemodynamic situation stable. 

 

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Basic vs. advanced patient monitoring

Basic monitoring

Basic monitoring focuses on a general physical examination and noninvasive hemodynamic vital signs like[1]:

Advanced hemodynamic monitoring

Advanced hemodynamic monitoring allows for minimally-invasive monitoring of the following parameters:

When to opt-in for advanced technologies

All patients should receive personalized monitoring based on their individual needs. Because of the possibility of rapid changes in status, hemodynamically unstable patients may benefit from a more advanced monitoring technology.[2]

[3] Blood pressure monitoring in the ICU and OR according to patient or procedure risk and the severity of chronic or acute disease.

Advanced hemodynamic monitoring enables physicians to specify the disease or condition, explain the symptoms and assess the underlying cause.[1] Therefore, patients suffering from organ failure or at risk of such and patients after or during major surgery may benefit from advanced monitoring technologies. These situations are often present in patients with:

  • Septic shock
  • Acute respiratory distress syndrome (ARDS)
  • Cardiogenic shock
  • Severe burn injuries
  • Multiple Traumatic shock
  • Pancreatitis
  • High-risk surgical procedures
  • Goal-directed fluid therapy 

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All references

  1. Kaufmann T, van der Horst ICC, Scheeren TWL. This is your toolkit in hemodynamic monitoring. Curr Opin Crit Care. 2020 Jun;26(3):303-312.
    doi: 10.1097/MCC.0000000000000727. PMID: 32332285.

  2. Huygh J, Peeters Y, Bernards J and Malbrain MLNG. Hemodynamic monitoring in the critically ill: an overview of current cardiac output monitoring methods. F1000Research 2016;5:2855 https://doi.org/10.12688/f1000research.8991.1

  3. Meidert AS, Saugel B. Techniques for Non-Invasive Monitoring of Arterial Blood Pressure. Front. Med. 2018;4:231.
    doi: 10.3389/fmed.2017.00231

  4. Michard F, Futier E, Saugel B. Shedding light on perioperative hemodynamic monitoring.
    J Clin Monit Comput 34, 2020;621–624
    https://doi.org/10.1007/s10877-019-00386-w

  5. Dave C, Shen J, Chaudhuri D, et al. Dynamic Assessment of Fluid Responsiveness in Surgical ICU Patients Through Stroke Volume Variation is Associated With Decreased Length of Stay and Costs: A Systematic Review and Meta-Analysis. Journal of Intensive Care Medicine. 2020;35(1):14-23. doi:10.1177/0885066618805410