Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Choosing patient-tailored hemodynamic monitoring. | Slagt et al. Critical Care 2010 14 208 http content 14 2 208 CRITICAL CARE REVIEW L_ Choosing patient-tailored hemodynamic monitoring Cornells Slagt Rose-Marieke BGE Breukers and AB Johan Groeneveld This article is one of ten reviews selected from the Yearbook of Intensive Care and Emergency Medicine 2010 Springer Verlag and co-published as a series in Critical Care. Other articles in the series can be found online at http ccforum series yearbook. Further information about the Yearbook of Intensive Care and Emergency Medicine is available from http series 2855. Introduction Currently the number and worldwide availability of techniques for hemodynamic monitoring in the critically ill patient is overwhelming as nicely summarized elsewhere 1-11 . Techniques vary from completely invasive to non-invasive from intermittent to continuous and differ in basic principles methods parameters and costs among others. The older a device the more literature is available but the latter may not always help in choosing hemodynamic monitoring tools for departments or for individual patients . patient-tailored monitoring. This chapter is not intended to compare one technique to another which has been done abundantly in the literature but to provide a conceptual framework to guide therapy of individual patients in various hospital settings by defining the elements that may help to choose among the available techniques in the absence of a clear evidence-based survival benefit of any hemodynamic monitoring tool 12-16 . First a brief discussion of what is available and of underlying basic principles seems warranted since knowledge of possibilities limitations and pitfalls is required before responsible choices can be made. We will not address tools to monitor the microcirculation. What do we have and what can they do A physical examination remains the cornerstone of assessing patients with hemodynamic compromise even though signs and symptoms often .
