Literature review on the need for a protocol for hemodynamic monitoring of critical patients in Ecuador

Abstract

The proper management of critically ill patients, especially in terms of cardiovascular system handling and homeostasis, requires efficient hemodynamic monitoring. Although countries such as Spain and Argentina have developed advanced programs for monitoring these alterations, Ecuador lacks a standardized protocol in this area, limiting the ability to provide optimal care. This study aimed to demonstrate the importance of establishing a specific protocol for the hemodynamic monitoring of critically ill patients in Ecuador. Through an extensive bibliographic review using various sources such as Google Scholar, institutional repositories of UNIANDES and the Technical University of Ambato, as well as databases like Scielo, Elsevier, Medline, and Pubmed, relevant information was collected and analyzed. The results highlighted the critical relevance of hemodynamic monitoring to detect early alterations in the cardiovascular function of critically ill patients, significantly improving clinical outcomes through timely and appropriate interventions. Implementing a hemodynamic monitoring protocol would not only improve the safety and prognosis of these patients but also provide a basis for more informed clinical decision-making. In conclusion, the study emphasizes the urgent need to develop and adopt a standardized hemodynamic monitoring protocol in Ecuador, with the aim of optimizing care and improving health outcomes in critically ill patients, especially in the context of challenges such as COVID-19 and future pandemics