Impact of hemodynamic monitoring in a medical intensive care unit

Crit Care Med. 1987 Sep;15(9):840-3. doi: 10.1097/00003246-198709000-00008.

Abstract

Previous reports have shown hemodynamic data inaccurately predicted by physical examination and x-ray findings. Although invasive hemodynamic monitoring has been shown to significantly alter the management of critically ill patients, the impact on mortality has been difficult to assess. In a prospective study of 35 patients, we found inaccurate predictions of left and right heart filling pressures by clinical assessment. However, cardiac output was accurately estimated. Management was altered 34% of the time because of invasive hemodynamic assessment; however, mortality was not affected by a change in therapy.

MeSH terms

  • Adult
  • Cardiac Catheterization*
  • Hemodynamics*
  • Humans
  • Intensive Care Units*
  • Monitoring, Physiologic*
  • Mortality
  • Prospective Studies
  • Pulmonary Artery