Key result
Hemodynamic monitoring in 20 critically ill patients identified hypovolemia in 8 patients and cardiac problems in 5 patients, providing essential information beyond CVP measurements.
Why the study?
Does hemodynamic monitoring improve the evaluation and titration of therapy in critically ill patients in a community hospital ICU?
Observational (n=20)
No
Does hemodynamic monitoring improve the evaluation and titration of therapy in critically ill patients in a community hospital ICU?
Hemodynamic monitoring provides essential information beyond central venous pressure for evaluating and titrating therapy in critically ill patients in a community hospital setting.
Answers are grounded in this paper and cite their sources.
May aid therapy titration in community ICUs; leaves open need for prospective validation.
Cardiac output and intravascular pressures were monitored in a series of 20 critically ill patients in a community hospital during a 1-year period. Hemodynamic monitoring was very useful in the evaluation of clinical problems; data indicating hypovolemia and cardiac problems were found in 8 and 5 patients, respectively. More importantly, the frequently repeated measurements before and during therapy were extremely helpful in titrating therapy. Reliance of CVP measurements would not have provided the essential information.
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Robert S. Brown (1977) conducted an observational in Critically ill (n=20). Hemodynamic monitoring (cardiac output and intravascular pressures) was evaluated on Identification of clinical problems (hypovolemia and cardiac problems). Hemodynamic monitoring in 20 critically ill patients identified hypovolemia in 8 patients and cardiac problems in 5 patients, providing essential information beyond CVP measurements.
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