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The goal of most functional hemodynamic monitoring parameters is to predict fluid responsiveness in critically ill patients.
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In the first part we will describe the evolution of hemodynamic monitoring in the critical care environment during the past 50 years (from the pulmonary artery catheter (PAC) to the most recent functional hemodynamic monitoring).
Apart from the technological development of CO monitoring systems, most of the recent medical literature focusing on hemodynamic monitoring in the critical care setting has focused on the so-called functional hemodynamic monitoring parameters [ 1].
Individualized goal-directed therapy using functional hemodynamic parameters can optimize resuscitation and 'deresuscitation'deresuscitation
Functional hemodynamic monitoring is the assessment of the dynamic interactions of hemodynamic variables in response to a defined perturbation.
Functional hemodynamic monitoring is the pluripotential approach to interpolation of physiological data in a proactive form.
Recent interest in functional hemodynamic monitoring for the bedside assessment of cardiovascular insufficiency has heightened.
Within this context, we can define functional hemodynamic monitoring as the assessment of the dynamic interactions of hemodynamic variables in response to a defined perturbation [1].
Further peri- and postoperative studies in surgical patients underline the importance of "functional" hemodynamic goals to improve patients' outcome.
This entire field when applied to the assessment of cardiovascular state is referred to as functional hemodynamic monitoring.
Instead of monitoring a given parameter, functional hemodynamic monitoring assesses the effect of a stressor on a hemodynamic parameter.
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CEO of Professional Science Editing for Scientists @ prosciediting.com