par De Backer, Daniel 
Référence Evidence-Based Practice of Critical Care, Elsevier, page (332-337.e1)
Publication Publié, 2019-01
Référence Evidence-Based Practice of Critical Care, Elsevier, page (332-337.e1)
Publication Publié, 2019-01
Partie d'ouvrage collectif
| Résumé : | Hemodynamic monitoring provides important information for the approach of the patient in acute circulatory failure. The reliability of the various nonhemodynamic techniques in severely ill patients is variable and often inversely proportional to its invasiveness. Accordingly, the choice of the hemodynamic technique should not be guided solely on the basis of its invasiveness, but should also take into account the accuracy of the technique and, mostly, the potential interest of the additionally measured variables. The choice of the hemodynamic monitoring device should thus be individualized, and there is clearly still a place for invasive techniques. The role of invasive techniques for hemodynamic monitoring is discussed in this chapter. The pulmonary artery catheter and transpulmonary thermodilution are the most popular techniques used for invasive hemodynamic monitoring in critically ill patients. Admittedly, no large-scale trial has indicated an improved outcome with these techniques, outside the scope of perioperative hemodynamic optimization. Basic hemodynamic monitoring may be sufficient in simple cases, but invasive hemodynamic monitoring is often needed in complex cases. |
