New Hemodynamic Parameters in Peri-Operative and Critical Care-Challenges in Translation

Hemodynamic monitoring technologies are evolving continuously-a large number of bedside monitoring options are becoming available in the clinic. Methods such as echocardiography, electrical bioimpedance, and calibrated/uncalibrated analysis of pulse contours are becoming increasingly common. This is...

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Bibliographic Details
Published in:Sensors (Basel, Switzerland) Switzerland), 2023-02, Vol.23 (4), p.2226
Main Authors: Bogatu, Laura, Turco, Simona, Mischi, Massimo, Schmitt, Lars, Woerlee, Pierre, Bezemer, Rick, Bouwman, Arthur R, Korsten, Erik H H M, Muehlsteff, Jens
Format: Article
Language:English
Subjects:
Blood
Blood Pressure
Cardiac function
Cardiac Output
Circulatory system
Clinical medicine
Critical Care
Echocardiography
Heart
Heart Rate
hemodynamic monitoring
hemodynamic parameter measurements
Hemodynamics
Humans
Machine learning
Medical diagnosis
minimally invasive monitoring
Monitoring
patient monitoring
Patients
Physiology
Pulmonary arteries
Review
Telemedicine
Veins & arteries
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Summary:Hemodynamic monitoring technologies are evolving continuously-a large number of bedside monitoring options are becoming available in the clinic. Methods such as echocardiography, electrical bioimpedance, and calibrated/uncalibrated analysis of pulse contours are becoming increasingly common. This is leading to a decline in the use of highly invasive monitoring and allowing for safer, more accurate, and continuous measurements. The new devices mainly aim to monitor the well-known hemodynamic variables (e.g., novel pulse contour, bioreactance methods are aimed at measuring widely-used variables such as blood pressure, cardiac output). Even though hemodynamic monitoring is now safer and more accurate, a number of issues remain due to the limited amount of information available for diagnosis and treatment. Extensive work is being carried out in order to allow for more hemodynamic parameters to be measured in the clinic. In this review, we identify and discuss the main sensing strategies aimed at obtaining a more complete picture of the hemodynamic status of a patient, namely: (i) measurement of the circulatory system response to a defined stimulus; (ii) measurement of the microcirculation; (iii) technologies for assessing dynamic vascular mechanisms; and (iv) machine learning methods. By analyzing these four main research strategies, we aim to convey the key aspects, challenges, and clinical value of measuring novel hemodynamic parameters in critical care.
ISSN:1424-8220
1424-8220
DOI:10.3390/s23042226