Physician factors in utilizing haemodynamic data in patient care

Current Opinion in Critical Care
Evert Christiaan Boerma, Inge Tjitske Bootsma

Abstract

To focus on the missing link between accuracy and precision of monitoring devices and effective implementation of therapeutic strategies. Haemodynamic monitoring is generally considered to be an essential part of intensive care medicine. However, randomized controlled trials fail to demonstrate improved outcome unequivocally as a result of hemodynamic monitoring. This absence of solid proof renders doctors to hesitance to apply haemodynamic monitoring in clinical practise. Profound understanding of the underlying mechanisms, adequate patient selection and timing, meaningful representation and software-supported interpretation of data all play an important role. Furthermore, protocol adherence and human behaviour seem to form the often missing link between a solid physiologic principle and clinically relevant outcome. Introduction of haemodynamic monitoring should therefore not be limited to theoretical and practical issues, but also involve integration strategies. By learning from others, we might be able to implement haemodynamic monitoring in such a way that it has potential to modify the course of a disease. The clinical success of haemodynamic monitoring goes far beyond accuracy and precision of monitoring devices. Understa...Continue Reading

References

Jul 1, 1983·Proceedings of the National Academy of Sciences of the United States of America·H A Simon
May 17, 2003·BMJ : British Medical Journal·Veronica Morton, David J Torgerson
Dec 25, 2012·Intensive Care Medicine·Andrius PranskunasE Christiaan Boerma
Sep 4, 2013·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Rebecca T HahnMichael H Picard
May 15, 2015·Intensive Care Medicine·Maria CronhjortChrister Svensen
Jul 15, 2015·Intensive Care Medicine·Maurizio CecconiUNKNOWN ESICM Trial Group
Oct 18, 2015·Annals of Emergency Medicine·Win Sen KuanMalcolm Mahadevan
Oct 23, 2015·PloS One·Henry T StelfoxUNKNOWN Critical Care Strategic Clinical Network, Alberta Health Services
Dec 15, 2015·Journal of Clinical Monitoring and Computing·Azriel PerelMarco Maggiorini
Feb 18, 2016·Annals of Intensive Care·Frederic Michard
Sep 14, 2016·Intensive Care Medicine·Miet Schetz, Eric Hoste
Mar 16, 2017·Intensive Care Medicine·Frédérique Schortgen, Miet Schetz
Jan 1, 2016·European Heart Journal Cardiovascular Imaging·Anne BernardPatrizio Lancellotti
Mar 24, 2017·Journal of the American College of Cardiology·Akshay S DesaiJ Thomas Heywood
Jun 1, 2017·Current Opinion in Critical Care·Bernd SaugelJulia Y Wagner
Jul 19, 2017·Journal of Evaluation in Clinical Practice·Marion van der KolkPeter Pickkers
Oct 7, 2017·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Charles J Bitcon, Claude Tousignant
Oct 20, 2017·Korean journal of anesthesiology·Frederic Michard
Mar 17, 2018·Scandinavian Cardiovascular Journal : SCJ·Henrik Staer-JensenGeir Øystein Andersen
Apr 27, 2018·Intensive Care Medicine·Anders PernerIwan C C van der Horst
May 5, 2018·Intensive Care Medicine·Daniel De BackerJean-Louis Vincent
Jun 12, 2018·Current Opinion in Critical Care·Mathieu JozwiakJean-Louis Teboul
Nov 30, 2018·Journal of Critical Care·Bernd Saugel, Ashish K Khanna
Dec 1, 2018·Journal of Hypertension·Myles N MooreAnthony Rodgers

❮ Previous
Next ❯

Citations

Mar 11, 2020·Journal of Managed Care & Specialty Pharmacy·Julia J SmithPatrick P Gleason

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
L M Aitken
Current Opinion in Allergy and Clinical Immunology
Peter G Gibson
Nursing
Barbara L Lawrence, Debra Taylor
© 2022 Meta ULC. All rights reserved