Hemodynamic assessment in the contemporary intensive care unit: a review of circulatory monitoring devices

Mohamad Kenaan; Mithil Gajera; Sascha N Goonewardena

doi:10.1016/j.ccc.2014.03.007

Hemodynamic assessment in the contemporary intensive care unit: a review of circulatory monitoring devices

Crit Care Clin. 2014 Jul;30(3):413-45. doi: 10.1016/j.ccc.2014.03.007.

Authors

Mohamad Kenaan¹, Mithil Gajera², Sascha N Goonewardena³

Affiliations

¹ Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address: mkenaan@med.umich.edu.
² Department of Internal Medicine, Christiana Care Health System, 4755 Ogletown-Stanton Road, Newark, DE 19718, USA.
³ Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

PMID: 24996604
DOI: 10.1016/j.ccc.2014.03.007

Abstract

The assessment of the circulating volume and efficiency of tissue perfusion is necessary in the management of critically ill patients. The controversy surrounding pulmonary artery catheterization has led to a new wave of minimally invasive hemodynamic monitoring technologies, including echocardiographic and Doppler imaging, pulse wave analysis, and bioimpedance. This article reviews the principles, advantages, and limitations of these technologies and the clinical contexts in which they may be clinically useful.

Keywords: Circulatory; Critically ill; Hemodynamic; Intensive care unit; Monitoring.

Publication types

Review

MeSH terms

Cardiovascular Diseases / diagnosis*
Cardiovascular Diseases / physiopathology
Cardiovascular Diseases / therapy*
Cardiovascular System / physiopathology*
Critical Care / methods*
Critical Illness / therapy*
Hemodynamics / physiology*
Humans
Monitoring, Physiologic / instrumentation*