Journal article

Publication year: 2018

Pages: 797-808

Journal: Der Anaesthesist

Volume number: 67

Issue number: 10

ISSN: 0003-2417

eISSN: 1432-055X

DOI Link: https://doi.org/10.1007/s00101-018-0489-3

Publisher: Springer

Abstract: 
Despite broad availability, extended hemodynamic monitoring is used in practice only in the minority of critical care patients. Pathophysiological reasoning suggests that systemic perfusion pressure (and thereby arterial as well as central venous pressure), cardiac stroke volume, and the systemic oxygen balance are key variables in maintaining adequate organ perfusion. In line with these assumptions, several studies support that agoal-directed optimization of these hemodynamic variables leads to areduction in morbidity and mortality. The appropriate monitoring modality should be selected following echocardiographic evaluation of biventricular function. Ideally, high-risk patients with limited right ventricular function should be monitored with apulmonary artery catheter. In patients with preserved right ventricular function, transpulmonary thermodilution with special consideration of extravascular lung water seems to be sufficient to guide hemodynamic therapy.

Harvard Citation style: Heringlake, M., Sander, M., Treskatsch, S., Brandt, S. and Schmidt, C. (2018) Hemodynamic target variables in the intensive care unit, Der Anaesthesist, 67(10), pp. 797-808. https://doi.org/10.1007/s00101-018-0489-3

APA Citation style: Heringlake, M., Sander, M., Treskatsch, S., Brandt, S., & Schmidt, C. (2018). Hemodynamic target variables in the intensive care unit. Der Anaesthesist. 67(10), 797-808. https://doi.org/10.1007/s00101-018-0489-3