Monitoring Macro- and Microcirculation in the Critically Ill: A Narrative Review

Circulatory shock is a common and important diagnosis in the critical care environment. Hemodynamic monitoring is quintessential in the management of shock. The currently used hemodynamic monitoring devices not only measure cardiac output but also provide data related to the prediction of fluid resp...

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Published in:Avicenna journal of medicine 2023-07, Vol.13 (3), p.138-150
Main Authors: Muzaffar, Syed Nabeel, Pradhan, Akshyaya, Siddiqui, Suhail Sarwar, Roy, Shubhajeet, Suresh, Timil
Format: Article
Language:English
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circulatory shock
fluid responsiveness
hemodynamic monitoring
personalized hemodynamic monitoring
Review
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creator Muzaffar, Syed Nabeel
Pradhan, Akshyaya
Siddiqui, Suhail Sarwar
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Suresh, Timil
description Circulatory shock is a common and important diagnosis in the critical care environment. Hemodynamic monitoring is quintessential in the management of shock. The currently used hemodynamic monitoring devices not only measure cardiac output but also provide data related to the prediction of fluid responsiveness, extravascular lung water, and also pulmonary vascular permeability. Additionally, these devices are minimally invasive and associated with fewer complications. The area of hemodynamic monitoring is progressively evolving with a trend toward the use of minimally invasive devices in this area. The critical care physician should be well-versed with current hemodynamic monitoring limitations and stay updated with the upcoming advances in this field so that optimal therapy can be delivered to patients in circulatory shock.
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subjects circulatory shock
fluid responsiveness
hemodynamic monitoring
personalized hemodynamic monitoring
Review
title Monitoring Macro- and Microcirculation in the Critically Ill: A Narrative Review
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