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Personalized hemodynamic management

Bernd Saugel1, Jean-Louis Vincent, Julia Y Wagner

  • 1aDepartment of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany bDepartment of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium.

Current Opinion in Critical Care
|June 1, 2017
PubMed

Insights

Personalized hemodynamic management optimizes patient care by tailoring blood pressure targets to individual needs, moving beyond fixed values. This approach enhances cardiovascular dynamics for critically ill patients in the operating room and ICU.

Area of Science:

  • Critical Care Medicine
  • Cardiovascular Physiology
  • Anesthesiology

Background:

  • Traditional hemodynamic management often relies on population-based normal values.
  • Individual variability in hemodynamic parameters necessitates a personalized approach.
  • Critically ill patients require tailored strategies for optimal cardiovascular support.

Purpose of the Study:

  • To outline personalized hemodynamic management strategies for critically ill patients.
  • To highlight the shift from fixed to individualized hemodynamic targets.
  • To discuss the application in perioperative and intensive care unit settings.

Main Methods:

  • Utilizing patient-specific biometric data and clinical context for target setting.
  • Employing functional assessment of fluid responsiveness to optimize cardiac output.
  • Leveraging noninvasive technologies for preoperative hemodynamic profiling.
  • Implementing adaptive multiparametric monitoring in the ICU.

Main Results:

  • Personalized blood pressure management considers individual autoregulation and hypertension history.
  • Individualized strategies optimize cardiac output and oxygen delivery.
  • Noninvasive techniques allow for targeting preoperatively determined personal hemodynamic values.
  • Adaptive monitoring facilitates personalized hemodynamic management in the ICU.

Conclusions:

  • Personalized hemodynamic management sets targets based on individual normal values, adjusted for biometrics and clinical status.
  • This tailored approach optimizes cardiovascular dynamics according to each patient's unique profile.
  • Personalized strategies improve hemodynamic management in critical care settings.
Abstract

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