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Semin Respir Crit Care Med 2004; 25(6): 629-644
DOI: 10.1055/s-2004-860986
DOI: 10.1055/s-2004-860986
Methods of Monitoring Shock
Further Information
Publication History
Publication Date:
22 December 2004 (online)
ABSTRACT
Intensive monitoring is a crucial component of the management of shock. However, there is little consensus about optimal strategies for monitoring. Although the pulmonary artery catheter has been widely used, conflicting data exist about the utility of this device. A variety of other techniques have been developed in hopes of providing clinically useful information about myocardial function, intravascular volume, and indices of organ function. In addition, there is evolving evidence that targeting and monitoring certain physiological goals may be most important early in the course of shock. In this chapter, we examine many of the available monitoring techniques and the evidence supporting their use.
KEYWORDS
Shock - monitoring - critical illness - intensive care unit - pulmonary artery catheter
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B. Taylor ThompsonM.D.
Massachusetts General Hospital, Pulmonary and Critical Care Unit
BUL-148, 55 Fruit St.
Boston, MA 02114
Email: tthompson1@partners.org