This chapter reviews available monitoring techniques for shock and the evidence supporting their use, highlighting the importance of early physiological goal targeting.
May inform shock monitoring choices; extends synthesis of techniques while leaving optimal targets open for RCTs.
Intensive monitoring is a crucial component of the management of shock. However, there is little consensus about optimal strategies for monitoring. Although the pulmonary artery catheter has been widely used, conflicting data exist about the utility of this device. A variety of other techniques have been developed in hopes of providing clinically useful information about myocardial function, intravascular volume, and indices of organ function. In addition, there is evolving evidence that targeting and monitoring certain physiological goals may be most important early in the course of shock. In this chapter, we examine many of the available monitoring techniques and the evidence supporting their use.
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Bajwa et al. (2004) studied this question.
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