Intensive Care Medicine

, Volume 43, Issue 3, pp 440–442 | Cite as

Intensive care medicine in 2050: NEWS for hemodynamic monitoring

  • Frederic MichardEmail author
  • Michael R. Pinsky
  • Jean-Louis Vincent
What's New in Intensive Care

For decades, the hemodynamic assessment of critically ill patients relied almost exclusively on invasive dilution techniques and on echocardiography evaluations performed with cumbersome devices. Things changed dramatically over the last decade with the development of multiple less invasive cardiac output monitoring techniques and the metamorphosis of ultrasound devices. The continuous acceleration of hardware and software innovations makes it impossible to accurately predict what hemodynamic monitoring will be like 33 years from now. However, key trends can be envisioned and are summarized below using the acronym “NEWS”.

N for non-invasive techniques

Many recent cardiac output monitoring techniques are non-invasive, from bioimpedance tracheal tubes to bioreactance surface electrodes, aplanation tonometry, and volume clamp methods. We believe this non-invasive trend will increase in the future, reducing thrombotic, hemorrhagic and infectious complications associated with invasive...


Electrical Impedance Tomography Hemodynamic Monitoring Pulse Pressure Variation Multiple Sensor Wearable Sensor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Compliance with ethical standards

Conflicts of interest

FM has been a consultant to Pulsion Medical Systems and UP-MED, and an employee of Edwards Lifesciences (VP Global Medical Strategy). He is co-inventor of nine patents owned by Pulsion, UP-MED, and Edwards, but does not receive any royalties. He is the founder and managing director of MiCo Sarl, a Swiss consulting firm providing services to medtech companies and digital health startups. MRP has been a consultant to Cheetah Medical, Edwards LifeSciences, Exostat, LiDCO, and Masimo, is the co-founder of Critica, and the inventor of US patent “A system and method of determining susceptibility to cardiorespiratory insufficiency” owned by the University of Pittsburgh; and co-inventor of US patent “A method for automated determination of artifact and real alerts in clinical monitoring data,” owned jointly by Carnegie-Melon University and the University of Pittsburgh. JLV has no conflict of interest to declare.


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Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2017

Authors and Affiliations

  • Frederic Michard
    • 1
    Email author
  • Michael R. Pinsky
    • 2
  • Jean-Louis Vincent
    • 3
  1. 1.MiCoDenensSwitzerland
  2. 2.Department of Critical Care MedicineUniversity of PittsburghPittsburghUSA
  3. 3.Department of Intensive CareErasme University HospitalBrusselsBelgium

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