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Hemodynamic monitoring over the past 10 years

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Hemodynamic monitoring over the past 10 years
Id. 7960653
Idioma inglés
Titulo Hemodynamic monitoring over the past 10 years
Autor(es) Pinsky, Michael R
Localización http://www.pubmedcentral.gov/articlerender.fcgi?artid=1550811
Versión 1.0
Estado Final
Descripción Changes in hemodynamic monitoring over the past 10 years have followed two paths. First, there has been a progressive decrease in invasive monitoring, most notably a reduction in the use of the pulmonary artery catheter because of a presumed lack of efficacy in its use in the management of critically ill patients, with an increased use of less invasive monitoring requiring only central venous and arterial catheterization to derive the same data. Second, numerous clinical trials have documented improved outcome and decreased costs when early goal-directed protocolized therapies are used in appropriate patient populations, such as patients with septic shock presenting to Emergency Departments and high-risk surgical patients before surgery (pre-optimization) and immediately after surgery (post-optimization). Novel monitoring will be driven more by its role in improving outcomes than in the technical abilities of the manufacturers.
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Audiencia Estudiante
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Fecha de contribución 03-dic-2006
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