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Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care

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Monitoring Macro- and Microcirculation in the Critically Ill: A Narrative Review.

Syed Nabeel Muzaffar¹, Akshyaya Pradhan², Suhail Sarwar Siddiqui¹

¹Department of Critical Care Medicine, King George's Medical University (KGMU), Lucknow, Uttar Pradesh, India.

Avicenna Journal of Medicine

|October 6, 2023

Summary

Hemodynamic monitoring is crucial for managing circulatory shock. Minimally invasive devices offer vital data for fluid responsiveness and lung water assessment, aiding critical care physicians.

Keywords:

circulatory shock fluid responsiveness hemodynamic monitoring personalized hemodynamic monitoring

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Area of Science:

Critical care medicine
Cardiovascular physiology

Background:

Circulatory shock is a frequent and critical diagnosis in intensive care units.
Effective management relies heavily on accurate hemodynamic monitoring.

Purpose of the Study:

To review the current state and evolving trends in hemodynamic monitoring for circulatory shock.
To highlight the importance of minimally invasive devices in critical care.

Main Methods:

Review of current literature and clinical practices in hemodynamic monitoring.
Discussion of the capabilities of contemporary monitoring devices.

Main Results:

Current hemodynamic monitoring devices measure cardiac output and predict fluid responsiveness.
These devices also assess extravascular lung water and pulmonary vascular permeability.
Minimally invasive devices are associated with fewer complications.

Conclusions:

Hemodynamic monitoring is essential for optimal patient care in circulatory shock.
Continuous learning about evolving monitoring technologies is vital for critical care physicians.