Hemodynamic monitoring of critically ill patients is the cornerstone of patient management for an intensivist.It represents the starting point for detecting any meaningful clinical deterioration and delivering the app...Hemodynamic monitoring of critically ill patients is the cornerstone of patient management for an intensivist.It represents the starting point for detecting any meaningful clinical deterioration and delivering the appropriate therapy without delay.From this perspective,invasive arterial monitoring with an indwelling arterial catheter is established as the historical and undeniable standard method of monitoring.It provides clinicians with the most commonly required values for proper patient management.Indeed,arterial blood pressure and its waveform components(systolic,diastolic,and mean arterial pressure)remain the most accessible and clinically intuitive variables for bedside interpretation,and form the basis for decision-making in daily management.Accordingly,major international guidelines in sepsis and trauma consistently endorse early hemodynamic assessment,with therapeutic strategies guided by thresholds derived from invasive arterial pressure monitoring.[1,2]展开更多
文摘Hemodynamic monitoring of critically ill patients is the cornerstone of patient management for an intensivist.It represents the starting point for detecting any meaningful clinical deterioration and delivering the appropriate therapy without delay.From this perspective,invasive arterial monitoring with an indwelling arterial catheter is established as the historical and undeniable standard method of monitoring.It provides clinicians with the most commonly required values for proper patient management.Indeed,arterial blood pressure and its waveform components(systolic,diastolic,and mean arterial pressure)remain the most accessible and clinically intuitive variables for bedside interpretation,and form the basis for decision-making in daily management.Accordingly,major international guidelines in sepsis and trauma consistently endorse early hemodynamic assessment,with therapeutic strategies guided by thresholds derived from invasive arterial pressure monitoring.[1,2]
