Key result
A multimodal approach to hemodynamic monitoring, assessing variables together with the balance between oxygen delivery and consumption, may help individualize treatment for critically ill patients.
A multimodal approach to hemodynamic monitoring, incorporating variables like ScvO2, dCO2, and stroke volume, may provide a more comprehensive picture for individualized resuscitation in critically ill patients.
May aid individualized resuscitation in critical illness; leaves open the need for prospective randomized validation.
Hemodynamic instability often leads to hypoperfusion, which has a significant impact on outcome in both medical and surgical patients. Measures to detect and treat tissue hypoperfusion early by correcting the imbalance between oxygen delivery and consumption is of particular importance. There are several studies targeting different hemodynamic endpoints in order to investigate the effects of goal-directed therapy on outcome. A so-called multimodal concept putting several variables in context follows simple logic and may provide a broader picture. Furthermore, rather than treating population based "normal" values of certain indices, this concept can be translated into the individualized patient care to reach adequate oxygen supply and tissue oxygenation in order to avoid under, or over resuscitation, which are equally harmful. The purpose of this review is to give an overview of current data providing the basis of this a multimodal, individualized approach of hemodynamic monitoring and treatment.
No takes yet. Share an insight, caveat, or question.
Tánczos et al. (2014) conducted a review in Hemodynamic instability in critically ill patients. Multimodal hemodynamic monitoring was evaluated. A multimodal approach to hemodynamic monitoring, assessing variables together with the balance between oxygen delivery and consumption, may help individualize treatment for critically ill patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: