Dalia Bieliauskaitė



Hemodynamic monitoring is a central component of intensive care. The purpose of hemodynamic monitoring is to identify cardiovascular insufficiency and to ensure optimal treatment of the unstable critically ill patients. It serves a diagnostic, therapeutic and resuscitation target role. Hemodynamic monitoring for individual patient should be physiologically based and goal oriented. Now there are increasing evidences showing that outcome from critical illness can be improved by focused resuscitation based on existing hemodynamic monitoring, whereas aggressive non-specific treatment impairs survival. This article observes the main principles of Functional Hemodinamical Monitoring, first published on 2005, the main advantages and disadvantages of noninvasional and invasional  methods of diagnostics of hemodynamics, the importance of static and dynamic indicators of hemodynamics  for diagnosis and evaluation of healing effectiveness. The regional bloodstream and microcirculation is also observed, for threatment of patients  in shock, the latest FHM methods for evaluation of microcirculation are presented. There is an recomended algorithm provided for healing of hemodynamically unstable patients.

Keyword(s): Functional hemodynamic monitoring, noninvasive hemodynamic monitoring, microcirculation.
DOI: 10.5200/28
Full TextPDF