HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) All Versions of this Article: CJN.01440307v1 3/2/554    most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Davison, D. Articles by Junker, C. Search for Related Content PubMed PubMed Citation Articles by Davison, D. Articles by Junker, C.

Advances in Critical Care for the Nephrologist: Hemodynamic Monitoring and Volume Management

Department of Anesthesiology and Critical Care Medicine, George Washington University, Washington, DC

Correspondence: Dr. Danielle Davison, Department of Anesthesiology and Critical Care Medicine, George Washington University, 900 23rd Street NW, Washington, DC 20037. Phone: 202-715-4000, ext. 4750; Fax: 202-715-4759; E-mail: ddavison{at}mfa.gwu.edu

The monitoring of physiologic variables is an integral part of the diagnosis and management of the critically ill patient. Restoration of tissue perfusion and oxygen delivery is the ultimate goal for any state of circulatory collapse. Insight into a patient's intravascular volume status and cardiac performance, particularly in the early stages of shock, can help guide management and potentially change outcome. In the past 30 years, various bedside monitoring techniques and indices have been developed in an effort to determine and optimize a patient's cardiac performance. This article reviews the physiologic parameters that best predict intravascular volume status and volume responsiveness. We examine the controversies surrounding the pulmonary arterial catheter and describe the less invasive methods of measuring cardiac performance.