Hemodynamic Monitoring in the Critically Ill: Spanning the Range of Kidney Function
Critically ill patients often have deranged hemodynamics. Physical examination, central venous pressure, and pulmonary artery occlusion pressure (“wedge”) have been shown to be unreliable at assessing volume status, volume responsiveness, and adequacy of cardiac output in critically ill patients. Th...
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| Veröffentlicht in: | American journal of kidney diseases 2012-05, Vol.59 (5), p.715-723 |
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| container_title | American journal of kidney diseases |
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| creator | Davison, Danielle L., MD Patel, Kanak, MD Chawla, Lakhmir S., MD |
| description | Critically ill patients often have deranged hemodynamics. Physical examination, central venous pressure, and pulmonary artery occlusion pressure (“wedge”) have been shown to be unreliable at assessing volume status, volume responsiveness, and adequacy of cardiac output in critically ill patients. Thus, invasive and noninvasive cardiac output monitoring is a core feature of evaluating and managing a hemodynamically unstable patient. In this review, we discuss the various techniques and options of cardiac output assessment available to clinicians for hemodynamic monitoring in the intensive care unit. Issues related to patients with kidney disease, such as timing and location of arterial and central venous catheters and the approach to hemodynamics in patients treated by long-term dialysis also are discussed. |
| doi_str_mv | 10.1053/j.ajkd.2011.12.016 |
| format | Article |
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Physical examination, central venous pressure, and pulmonary artery occlusion pressure (“wedge”) have been shown to be unreliable at assessing volume status, volume responsiveness, and adequacy of cardiac output in critically ill patients. Thus, invasive and noninvasive cardiac output monitoring is a core feature of evaluating and managing a hemodynamically unstable patient. In this review, we discuss the various techniques and options of cardiac output assessment available to clinicians for hemodynamic monitoring in the intensive care unit. 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Physical examination, central venous pressure, and pulmonary artery occlusion pressure (“wedge”) have been shown to be unreliable at assessing volume status, volume responsiveness, and adequacy of cardiac output in critically ill patients. Thus, invasive and noninvasive cardiac output monitoring is a core feature of evaluating and managing a hemodynamically unstable patient. In this review, we discuss the various techniques and options of cardiac output assessment available to clinicians for hemodynamic monitoring in the intensive care unit. 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| fulltext | fulltext |
| identifier | ISSN: 0272-6386 |
| ispartof | American journal of kidney diseases, 2012-05, Vol.59 (5), p.715-723 |
| issn | 0272-6386 1523-6838 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | acute kidney injury cardiac output Chronic Disease chronic kidney disease Critical Illness fluid management Hemodynamic monitoring Hemodynamics - physiology Humans Intensive Care Units Kidney - physiopathology Kidney Diseases - physiopathology Monitoring, Physiologic - methods Nephrology volume responsiveness |
| title | Hemodynamic Monitoring in the Critically Ill: Spanning the Range of Kidney Function |
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