Assessment of Hemodynamics in Critically Ill Patients

Effective hemodynamic management is crucial in critically ill patients, and involves early fluid therapy and administration of vasoactive drugs to maintain vital organ perfusion and oxygen delivery. Proper understanding of the different approaches to hemodynamic management during resuscitation and further management is essential in order to initiate timely interventions. Achieving a balance between organ oxygen delivery and consumption is paramount, with cardiac output being a key determinant of oxygen supply. However, it is equally important to assess indicators of oxygen requirements to ensure adequate supply. Various monitoring systems, both invasive and non-invasive, have been developed for hemodynamic monitoring in critically ill patients, but require validation. Accurate data acquisition and interpretation are essential for making suitable management decisions. This mini-review provides an overview of the available techniques in hemodynamic monitoring for critically ill patients and summarizes their advantages and limitations

[@magedali4081]

If patient is hypotensive systolic Bp 2 mmol/L
Do ScVO2 and CO2 gap
If
ScVO2 less 70%
And
CO2 gap less than 6 mmhg
Check Spo2 and HB
If CO2 6 mmhg or more
Its associated with low cardiac output state I. e sepsis induced cardiomyopathy
If ScVO2 is more than 70%
and CO2 gap less than 6 mmhg
Its high output shock state like Septic shock
If CO2 gap is 6 mmhg or more
Its late sepsis with microcirculatory failure

[@ICUREACH]

Thank you very much, this is really a very good algorithm, appreciate sharing your thoughts here. May I invite you to www.icureach.com where you can share, comment and possibly contribute more! Thanks
MAZEN

[@magedali4081]

​@@ICUREACH
Its My honour that you reply My comment which I was seeking ur guidance and comment
Thx Dear professor Mazen