Advanced Variables to Optimize Hemodynamic Monitoring

Author:

Craig Angela D.1,Piras Susan E.2

Affiliation:

1. Angela D. Craig is Clinical Nurse Specialist, Intensive Care Unit, Cookeville Regional Medical Center, Cookeville, Tennessee.

2. Susan E. Piras is Associate Professor, Whitson-Hester School of Nursing, Tennessee Tech University, PO Box 5001, Cookeville, TN 38505-0001 (spiras@tntech.edu).

Abstract

Measuring hemodynamic parameters has become safer and more precise than in the past. Accurately monitoring and evaluating the effectiveness of fluid, inotrope, and vasoactive medication administration can improve patient outcomes. Arbitrary fluid administration without stroke volume measurement can be detrimental to patient outcomes. Early detection and prompt treatment of shock states is essential to combat deleterious effects on critically ill patients. In addition to measuring traditional hemodynamic variables, the use of advanced variables such as hypotension prediction index, dynamic arterial elastance, and systolic slope can improve the precision of treat ment for critically ill patients. Using predictive analytics can help the bedside critical care nurse provide patient care that is proactive rather than reactive.

Publisher

AACN Publishing

Subject

Critical Care Nursing,Emergency Medicine,General Medicine

Reference24 articles.

1. Utilization of intensive care services, 2011;Barrett,2014

2. Circulatory shock;Vincent;N Engl J Med,2013

3. Liang L, Moore B, Soni A. National inpatient hospital costs: the most expensive conditions by payer, 2017. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Agency for Healthcare Research and Quality; 2020. Statistical brief 261. Accessed May 3, 2023. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb261-Most-Expensive-Hospital-Conditions-2017.jsp

4. Comparison of dopamine and norepinephrine in the treatment of shock;De Backer;N Engl J Med,2010

5. A plea for personalization of the hemodynamic management of septic shock;De Backer;Crit Care,2022

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