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Highly Accessed Review

Clinical review: Update on hemodynamic monitoring - a consensus of 16

Jean-Louis Vincent1*, Andrew Rhodes2, Azriel Perel3, Greg S Martin4, Giorgio Della Rocca5, Benoit Vallet6, Michael R Pinsky7, Christoph K Hofer8, Jean-Louis Teboul9, Willem-Pieter de Boode10, Sabino Scolletta11, Antoine Vieillard-Baron12, Daniel De Backer1, Keith R Walley13, Marco Maggiorini14 and Mervyn Singer15

Author Affiliations

1 Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, 808 route de Lennik, 1070-Brussels, Belgium

2 Department of Intensive Care Medicine, St George's Healthcare NHS Trust, Blackshaw Road, London, SW17 0QT, UK

3 Department of Anesthesiology and Intensive Care, Sheba Medical Center, Tel Aviv University, Tel Aviv, 52621 Israel

4 Division of Pulmonary, Allergy and Critical Care, Emory University School of Medicine, Grady Memorial Hospital, 615 Michael Street, Suite 205, Atlanta, GA 30322, USA

5 Department of Anesthesia and Intensive Care Medicine, University Hospital, Medical School, University of Udine, P.le S. Maria della Misericordia, 1533100 Udine, Italy

6 Department of Anesthesiology and Critical Care Medicine, Pôle d'Anesthesie Reanimation, Hôpital Claude Huriez, rue Michel Polonoski, CHU Univ Nord de France, 59000 Lille, France

7 Department of Critical Care Medicine, 606 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15261, USA

8 Institute of Anaesthesiology and Intensive Care Medicine, Triemli City Hospital Zurich, Birmensdorferstr. 497, 8063 Zurich, Switzerland

9 Service de réanimation médicale, Centre Hospitalo-Universitaire de Bicêtre, Assistance Publique-Hôpitaux de Paris, EA 4046, Université Paris Sud, 78 rue du Général Leclerc, 94 270 Le Kremlin-Bicêtre, France

10 Department of Neonatology, Radboud University Nijmegen Medical center, PO Box 9101, 6500 Nijmegen, The Netherlands

11 Department of Anaesthesia and Intensive Care, University of Siena, Viale Bracci, 1, 53100 Siena, Italy

12 Réanimation médicale, CHU Ambroise Paré, 9 avenue Charles-de-Gaulle, 92104 Boulogne, France

13 Critical Care Research Laboratories, Heart and Lung Institute, University of British Columbia, 166-1081 Burrard Street, Vancouver, British Columbia, V6Z 1Y6, Canada

14 Intensive Care Unit, Department of Internal Medicine, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland

15 Department of Intensive Care, University College London, Cruciform Building, Gower Street, London, WC1E 6BT, UK

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Critical Care 2011, 15:229  doi:10.1186/cc10291

Published: 18 August 2011

Abstract

Hemodynamic monitoring plays a fundamental role in the management of acutely ill patients. With increased concerns about the use of invasive techniques, notably the pulmonary artery catheter, to measure cardiac output, recent years have seen an influx of new, less-invasive means of measuring hemodynamic variables, leaving the clinician somewhat bewildered as to which technique, if any, is best and which he/she should use. In this consensus paper, we try to provide some clarification, offering an objective review of the available monitoring systems, including their specific advantages and limitations, and highlighting some key principles underlying hemodynamic monitoring in critically ill patients.