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Effective hemodynam...
Effective hemodynamic monitoring
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- Pinsky, Michael R. (author)
- Univ Pittsburgh, PA 15260 USA
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- Cecconi, Maurizio (author)
- Humanitas Univ Pieve Emanuele, Italy; IRCCS Humanitas Res Hosp, Italy
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- Chew, Michelle (author)
- Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US
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- De Backer, Daniel (author)
- Univ Libre Bruxelles, Belgium
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- Douglas, Ivor (author)
- Univ Colorado, CO USA
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- Edwards, Mark (author)
- Univ Southampton, England
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- Hamzaoui, Olfa (author)
- Univ Hosp Reims, France
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- Hernandez, Glenn (author)
- Pontificia Univ Catolica Chile, Chile
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- Martin, Greg (author)
- Emory Univ, GA 30322 USA; Grady Mem Hosp, GA USA
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- Monnet, Xavier (author)
- Paris Saclay Univ, France
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- Saugel, Bernd (author)
- Univ Med Ctr Hamburg Eppendorf, Germany
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- Scheeren, Thomas W. L. (author)
- Univ Med Ctr Groningen, Netherlands
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- Teboul, Jean-Louis (author)
- Paris Saclay Univ, France
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- Vincent, Jean-Louis (author)
- Univ Libre Bruxelles, Belgium
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(creator_code:org_t)
- 2022-09-28
- 2022
- English.
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In: Critical Care. - : BMC. - 1364-8535 .- 1466-609X. ; 26:1
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https://urn.kb.se/re...
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Abstract
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- Hemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its effectiveness in terms of improved patient outcomes is difficult to quantify.This review focused on effectiveness of monitoring-linked resuscitation strategies from: (1) process-specific monitoring that allows for non-specific prevention of new onset cardiovascular insufficiency (CVI) in perioperative care. Such goal-directed therapy is associated with decreased perioperative complications and length of stay in high-risk surgery patients. (2) Patient-specific personalized resuscitation approaches for CVI. These approaches including dynamic measures to define volume responsiveness and vasomotor tone, limiting less fluid administration and vasopressor duration, reduced length of care. (3) Hemodynamic monitoring to predict future CVI using machine learning approaches. These approaches presently focus on predicting hypotension. Future clinical trials assessing hemodynamic monitoring need to focus on process-specific monitoring based on modifying therapeutic interventions known to improve patient-centered outcomes.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
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- By the author/editor
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Pinsky, Michael ...
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Cecconi, Maurizi ...
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Chew, Michelle
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De Backer, Danie ...
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Douglas, Ivor
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Edwards, Mark
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show more...
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Hamzaoui, Olfa
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Hernandez, Glenn
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Martin, Greg
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Monnet, Xavier
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Saugel, Bernd
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Scheeren, Thomas ...
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Teboul, Jean-Lou ...
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Vincent, Jean-Lo ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Anesthesiology a ...
- Articles in the publication
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Critical Care
- By the university
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Linköping University