Intensive Care Medicine

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

Less invasive hemodynamic monitoring in critically ill patients

  • Jean-Louis TeboulEmail author
  • 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


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.


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


Compliance with ethical standards

Conflicts of interest

JLT is a member of the medical advisory board of Pulsion Medical Systems and received honoraria from Edwards Lifesciences and Masimo Inc. for consulting. BS is a member of the medical advisory board of Pulsion Medical Systems and a received institutional research grants, unrestricted research grants, and refunds of travel expenses from Tensys Medical Inc. BS received honoraria for giving lectures for CNSystems Medizintechnik AG. MC consulted and lectured for Edwards Lifesciences and LiDCO. He received support from Edwards Lifesciences, LiDCO, Deltex Medical, Applied Physiology, Masimo, Bmeye, Cheetah Medical, Imacor (travel expenses, honoraria, advisory board, unrestricted educational grant, and research material). DDB received honoraria for lectures for Edwards Lifesciences and Nihon Kohden. DDB received grant/material for studies for Edwards Lifesciences, Maquet, Vytech, Cheetah, Imacor, and Nihon Kohden. XM is a member of the medical advisory board of Pulsion Medical systems and received honoraria from Cheetah Medical for consulting. AP is a member of the medical advisory board of Pulsion Medical Systems and is a consultant for Masimo Inc. MRP is a consultant for Edwards Lifesciences, Masimo Inc., and LiDCO and has stock options in LiDCO and Cheetah Medical companies. DAR is a member of the medical advisory board of Pulsion Medical Systems and gave lectures for Edwards Lifesciences. AR has no conflict of interest to declare. PS was a consultant for Cheetah Medical and for Edwards Lifesciences. TS received honoraria from Edwards Lifesciences and Masimo Inc. for consulting. TS received honoraria from Pulsion Medical Systems for lecturing. JLV has no conflict of interest to declare.


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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2016

Authors and Affiliations

  • Jean-Louis Teboul
    • 1
    Email author
  • 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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