Importance of basic hemodynamic monitoring: a narrative review
Victor Galvani Vianna Amarilla, Isabel Mieko Miamoto, Daiane Dyba, João Manoel Silva Junior, Brenno Cardoso Gomes
Abstract
Basic hemodynamic monitoring in patient assessment and treatment is established on fundamental principles of medicine. In practice, basic monitoring consists of relatively simple actions that effectively reflect the patient’s clinical condition. Bedside evaluation includes history, focused physical examination, accurate blood pressure measurement, urine output assessment, vital sign monitoring, and non-invasive evaluation of peripheral perfusion. These fundamental approaches provide crucial information for a personalized patient management strategy. Intermediate and advanced monitoring techniques, involving various technological instruments and devices, play a critical role in identifying the pathophysiological state of critical illness. However, their high cost and the invasive nature of some methods require a balanced approach. Complementary basic monitoring strategies should not be overlooked, as they can enhance or even substitute more advanced and potentially invasive monitoring techniques. Despite the advantages of advanced technology, it is essential to balance its use with fundamental bedside assessment principles. Basic hemodynamic monitoring remains pivotal in-patient care, particularly in resource-limited healthcare systems. This narrative review aims to describe key aspects of basic hemodynamic monitoring in the context of critical illness through a literature review based on electronic searches in PubMed®.
Keywords
References
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Submitted date:
02/04/2025
Accepted date:
04/19/2025
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