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Semin Respir Crit Care Med 2004; 25(6): 629-644
DOI: 10.1055/s-2004-860986
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Methods of Monitoring Shock

Ednan K. Bajwa1 , Atul Malhotra2 , B. Taylor Thompson1
  • 1Massachusetts General Hospital, Pulmonary and Critical Care Unit, Boston, Massachusetts
  • 2Brigham & Women's Hospital, Boston, Massachusetts
Further Information

Publication History

Publication Date:
22 December 2004 (online)

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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

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