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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
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Hemodynamic Monitoring in the Cardiovascular Intensive Care Unit

Megan H Hicks1, Suneeta K Acharya2, Karuna Puttur Rajkumar1

  • 1Department of Anesthesiology, Divisions of Cardiac Anesthesiology and Critical Care Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Cardiology Clinics
|July 3, 2026
PubMed

Insights

Hemodynamic monitoring in the cardiovascular intensive care unit (CVICU) is crucial for patient care but optimal methods are debated. This review covers established and new technologies to improve outcomes for critically ill patients.

Area of Science:

  • Cardiology
  • Critical Care Medicine
  • Physiology

Background:

  • Hemodynamic monitoring is essential in the cardiovascular intensive care unit (CVICU) for assessing tissue perfusion, guiding fluid resuscitation, and managing vasoactive medications.
  • Despite its importance, the optimal strategy for hemodynamic monitoring in critically ill patients remains a topic of active discussion and research.

Purpose of the Study:

  • To review the established and emerging technologies for hemodynamic monitoring in the CVICU.
  • To discuss how these technologies can be integrated with clinical judgment to optimize patient outcomes.

Main Methods:

  • Literature review of current and novel hemodynamic monitoring techniques.
  • Discussion of the application of these technologies in the CVICU setting.

Main Results:

  • Hemodynamic monitoring encompasses a range of invasive and non-invasive methods.
  • Established technologies include arterial lines and central venous catheters, while emerging technologies offer advanced insights into fluid responsiveness and cardiac output.
  • The integration of diverse monitoring data with clinical expertise is key.

Conclusions:

  • Optimizing hemodynamic monitoring in the CVICU requires a comprehensive understanding of available technologies.
  • Combining established and emerging monitoring tools with clinical judgment is vital for improving outcomes in critically ill cardiovascular patients.

Keywords:
Cardiovascular intensive care unitHemodynamic monitoringMonitoring devices

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