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Should we use early less invasive hemodynamic monitoring in unstable ICU patients?
Maurizio Cecconi1, David Bennett
1General Intensive Care, Guy's and St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK.
Abstract:
In the previous issue of Critical Care, Takala and colleagues presented the results of a multicenter study to investigate whether the early presence of less invasive hemodynamic monitoring improves outcome in patients admitted with hemodynamic instability to the intensive care unit. The authors' results suggest that it makes no difference. We discuss these findings and compare them to the literature on early goal-directed therapy in which monitors are used early but with a protocol.
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