Changes in hemodynamic monitoring over the past 10 years have followed two paths. First, there has been a progressive decrease in invasive monitoring, most notably a reduction in the use of the pulmonary artery catheter because of a presumed lack of efficacy in its use in the management of critically ill patients, with an increased use of less invasive monitoring requiring only central venous a...

THE physiologic changes of pregnancy, including an initial gradual increase in cardiac output, followed by the development of increasing aortocaval compression in the third trimester, as well as comorbidities such as preeclampsia, have generated considerable research into maternal hemodynamics. The use of the pulmonary artery catheter allowed a better understanding of the physiology of the heal...

Desai/Fig.2: Growing Burden of HF It is now well established that heart failure (HF) is a growing problem for the American healthcare system and even worldwide. The American Heart Association projects that the total number of prevalent cases of patients with HF will increase from roughly 5 million in the current era to nearly 8 million by 2030 – an increase of about 46%.[1] That means that in 2...

Advanced hemodynamic monitoring is a critical component of treatment in clinical situations where aggressive yet guided hemodynamic interventions are required in order to stabilize the patient and optimize outcomes. While there are many tools at a physician's disposal to monitor patients in a hospital setting, the reality is that none of these tools allow hi-fidelity assessment or continuous mo...

Elevated pulmonary artery pressure, typically called “pulmonary hypertension (PH)”, may occur owing to several pathophysiological conditions. The World Health Organization (WHO) proposed 5 classifications of PH, primarily based on causality, in order to guide research and provide a framework for therapeutic intervention. The WHO group II PH is most common and characterized by a mean pulmonary a...

Technology is now available to allow a complete haemodynamic analysis; however this is only used in a small proportion of patients and seems to occur when the medical staff have the time and inclination. As a result of this, significant delays occur between an event, its diagnosis and therefore, any treatment required. We can speculate that we should be able to collect enough real time informat...

It can be difficult to find textbooks of anatomy and physiology that are pertinent to clinical practice. Books are too often weighed down with turgid facts that are often deemed irrelevant to the clinician practicing at the bedside. This book is different. This is the third edition of Hemodynamic Monitoring: Invasive and Non-Invasive Clinical Application that has been published. That fact alone...

BACKGROUND Hemodynamic optimization improves postoperative outcomes in high-risk surgery patients. The monitoring of cardiac output (CO) and dynamic parameters of fluid responsiveness can guide hemodynamic optimization. We conducted a survey to assess the current hemodynamic monitoring and management practices of Korean anesthesiologists during high-risk surgery. METHODS E-mails containing a ...

Hemodynamic monitoring, a cornerstone in the management of the critically ill patient, is used to identify cardiovascular insufficiency, its probable cause, and response to therapy. Still it is difficult to document the efficacy of monitoring because no device improves outcome unless coupled to a treatment that improves outcome. Several clinical trials have consistently documented that preoptim...