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The importance of advanced hemodynamic monitoring – because inner values count

Topic
Operating Room
Intensive Care
Advanced Hemodynamic Monitoring
Topic
Operating Room
Intensive Care
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Get detailed information on key cardiovascular parameters to adequately monitor your patients.  

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. 

Circulatory system

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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  1. Get a comprehensive overview of the most important parameters
  2. Gain a better understanding of each parameter with summarized key points
  3. See exactly where the parameters come from and what they represent

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:

Advanced monitoring vs. basic monitoring

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]

How to choose monitoring for ICU and OR patients

[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 

Related Articles

  1. 1. 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
  2. 2. Meidert AS, Saugel B. Techniques for Non-Invasive Monitoring of Arterial Blood Pressure. Front. Med. 2018;4:231.
    doi: 10.3389/fmed.2017.00231

  3. 3. 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