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Effective hemodynamic monitoring
Open accessAbstract
Hemodynamic monitoring is the centerpiece of patient monitoring in acute care settings. Its effectiveness in terms of improved patient outcomes is difficult to quantify. This review focused on effectiveness of monitoring-linked resuscitation strategies from: (1) process-specific monitoring that allows for non-specific prevention of new onset cardiovascular insufficiency (CVI) in perioperative care. Such goal-directed therapy is associated with decreased perioperative complications and length of stay in high-risk surgery patients. (2) Patient-specific personalized resuscitation approaches for CVI. These approaches including dynamic measures to define volume responsiveness and vasomotor tone, limiting less fluid administration and vasopressor duration, reduced length of care. (3) Hemodynamic monitoring to predict future CVI using machine learning approaches. These approaches presently focus on predicting hypotension. Future clinical trials assessing hemodynamic monitoring need to focus on process-specific monitoring based on modifying therapeutic interventions known to improve patient-centered outcomes.
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CRT is frequently used at the bedside due to its simplicity, noninvasiveness, rapidness, low cost, and good interobserver reliability.
“Even though it does not provide direct information about cardiac output, CRT is frequently used at the bedside due to its simplicity, noninvasiveness, rapidness, low cost, and good interobserver reliability [23].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [23]
In “Defining circulatory sufficiency” (page unavailable), the paper calls CRT costless and universally available, says it is easily taught, and reports good consistency across observers when measurement is standardized. It does not establish that CRT is frequently used at the bedside for all the stated reasons; its reference to fast recovery concerns the measured response after resuscitation, not how quickly the test can be performed. (LLM, conf=0.83)
Experimental — accuracy not yet measuredCRT has been validated as a rapid response marker during septic shock resuscitation and is considered useful for evaluating the effectiveness of fluid therapy or vasoactive medication.
“CRT has been validated as a rapid response marker during septic shock resuscitation and is considered useful for evaluating the effectiveness of fluid therapy or vasoactive medication [23].”
From Trends and Challenges in Noninvasive Hemodynamic Monitoring of Neonates Following Cardiac Surgery: A Narrative Review (2025) · cites this paper as [23]
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Defining the boundaries of bedside pulse contour analysis: dynamic arterial elastance
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Self-citationSvO2 to monitor resuscitation of septic patients: let's just understand the basic physiology
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Self-citation
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Nedelcu, C., Ionescu, N. S., Bizubac, A. M., Filip, C., & Cirstoveanu, C. (2025) · Life · doi:10.3390/life15101621 · Cited by 2
“CRT has been validated as a rapid response marker during septic shock resuscitation and is considered useful for evaluating the effectiveness of fluid therapy or vasoactive medication [23].”
Metadata
- Authors
- Pinsky, M. R., Cecconi, M., Chew, M. S., De Backer, D., Douglas, I., Edwards, M., Hamzaoui, O., Hernandez, G., Martin, G., Monnet, X., Saugel, B., Scheeren, T. W. L., Teboul, J.-L., & Vincent, J.-L.
- Affiliations
- University of Pittsburgh (US)
- Humanitas University (IT)
- Linköping University (SE)
- Denver Health Medical Center (US)
- University Hospital Southampton NHS Foundation Trust (GB)
- Université Paris-Saclay (FR)
- Grady Memorial Hospital (US)
- Inserm (FR)
- University Medical Center Hamburg-Eppendorf (DE)
- University Medical Center Groningen (NL)
- Université Libre de Bruxelles (BE)
- Corresponding author
- Pinsky, Michael R.
- ORCID
- Venue
- Critical Care
- Published
- 2022-09-28
- Volume
- 26
- Issue
- 1
- Pages
- 294-294
- ISSN
- 1364-8535 (ISSN-L)
- PMC
- PMC9520790
- OpenAlex
- W4297495158
- Cited by
- 167
- References
- 111
- Citations by year
- 2026: 49 · 2025: 46 · 2024: 51 · 2023: 20 · 2022: 1
- FWCI
- 7.01
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Critical Care (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
- HAL (submittedVersion, other-oa)
- DiVA (Linkoping University) (submittedVersion, other-oa)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Funders
- NHLBI (HL141916)
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Keywords
- hemodynamic monitoring, goal-directed therapy, cardiovascular insufficiency, perioperative care, fluid resuscitation, fluid responsiveness, vascular tone, vasopressors, hypotension prediction, machine learning, patient outcomes
- MeSH terms
- Hemodynamic Monitoring, Critical Care, Humans, Resuscitation, Treatment Outcome, Perioperative Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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