Intensive Care Medicine

, Volume 42, Issue 9, pp 1350–1359 | Cite as

Less invasive hemodynamic monitoring in critically ill patients

  • Jean-Louis Teboul
  • Bernd Saugel
  • Maurizio Cecconi
  • Daniel De Backer
  • Christoph K. Hofer
  • Xavier Monnet
  • Azriel Perel
  • Michael R. Pinsky
  • Daniel A. Reuter
  • Andrew Rhodes
  • Pierre Squara
  • Jean-Louis Vincent
  • Thomas W. Scheeren
Conference Reports and Expert Panel

Abstract

Over the last decade, the way to monitor hemodynamics at the bedside has evolved considerably in the intensive care unit as well as in the operating room. The most important evolution has been the declining use of the pulmonary artery catheter along with the growing use of echocardiography and of continuous, real-time, minimally or totally non-invasive hemodynamic monitoring techniques. This article, which is the result of an agreement between authors belonging to the Cardiovascular Dynamics Section of the European Society of Intensive Care Medicine, discusses the advantages and limits of using such techniques with an emphasis on their respective place in the hemodynamic management of critically ill patients with hemodynamic instability.

Keywords

Hemodynamic monitoring Pulse contour analysis Transpulmonary thermodilution Pulse pressure variation Esophageal Doppler Bioreactance 

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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2016

Authors and Affiliations

  • Jean-Louis Teboul
    • 1
  • Bernd Saugel
    • 2
  • Maurizio Cecconi
    • 3
  • Daniel De Backer
    • 4
  • Christoph K. Hofer
    • 5
  • Xavier Monnet
    • 1
  • Azriel Perel
    • 6
  • Michael R. Pinsky
    • 7
  • Daniel A. Reuter
    • 2
  • Andrew Rhodes
    • 3
  • Pierre Squara
    • 8
  • Jean-Louis Vincent
    • 9
  • Thomas W. Scheeren
    • 10
  1. 1.Service de réanimation médicaleHôpital de Bicêtre, Hôpitaux universitaires Paris-Sud, AP-HPLe Kremlin-BicêtreFrance
  2. 2.Department of Anesthesiology, Center of Anesthesiology and Intensive Care MedicineUniversity Medical Center Hamburg-EppendorfHamburgGermany
  3. 3.Anaesthesia and Intensive CareSt George’s Hospital and Medical SchoolLondonUK
  4. 4.Department of Intensive CareCHIREC Hospitals (Université Libre de Bruxelles)BrusselsBelgium
  5. 5.Department of Transversal MedicineInstitute of Anesthesiology and Intensive Care Medicine, Triemli City HospitalZurichSwitzerland
  6. 6.Department of Anesthesiology and Intensive Care, Sheba Medical CenterTel Aviv UniversityTel AvivIsrael
  7. 7.Department of Critical Care MedicineUniversity of PittsburghPittsburghUSA
  8. 8.Clinique Ambroise ParéNeuilly-Sur-SeineFrance
  9. 9.Department of Intensive CareErasme University Hospital, Université Libre de BruxellesBrusselsBelgium
  10. 10.Department of AnesthesiologyUniversity of Groningen, University Medical Center GroningenGroningenThe Netherlands

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