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VOLUME 26 , ISSUE S2 ( October, 2022 ) > List of Articles

GUIDELINES

ISCCM Guidelines for Hemodynamic Monitoring in the Critically Ill

Atul Prabhakar Kulkarni, Shrikanth Srinivasan, Sameer Arvind Jog, Sheila Nainan Myatra

Keywords : Arterial lactate, Cardiac output measurement, Central venous oxygen saturation, Critically ill adults, Echocardiography, Hemodynamic monitoring, Static parameters, Thermodilution cardiac output, Transpulmonary thermodilution

Citation Information :

DOI: 10.5005/jp-journals-10071-24301

License: CC BY-NC 4.0

Published Online: 31-10-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Hemodynamic assessment along with continuous monitoring and appropriate therapy forms an integral part of management of critically ill patients with acute circulatory failure. In India, the infrastructure in ICUs varies from very basic facilities in smaller towns and semi-urban areas, to world-class, cutting-edge technology in corporate hospitals, in metropolitan cities. Surveys and studies from India suggest a wide variation in clinical practices due to possible lack of awareness, expertise, high costs, and lack of availability of advanced hemodynamic monitoring devices. We, therefore, on behalf of the Indian Society of Critical Care Medicine (ISCCM), formulated these evidence-based guidelines for optimal use of various hemodynamic monitoring modalities keeping in mind the resource-limited settings and the specific needs of our patients. When enough evidence was not forthcoming, we have made recommendations after achieving consensus amongst members. Careful integration of clinical assessment and critical information obtained from laboratory data and monitoring devices should help in improving outcomes of our patients.

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