How to optimize hemodynamic monitoring
10.3760/cma.j.issn.1673-4912.2025.05.002
- VernacularTitle:如何优化脓毒性休克的血流动力学监测
- Author:
Panpan FAN
1
;
Zhengzheng ZHANG
1
;
Weiming CHEN
1
Author Information
1. 国家儿童医学中心 复旦大学附属儿科医院重症医学科，上海 201102
- Publication Type:Journal Article
- Keywords:
Septic shock;
Hemodynamics;
Pediatrics
- From:
Chinese Pediatric Emergency Medicine
2025;32(5):326-331
- CountryChina
- Language:Chinese
-
Abstract:
Hemodynamic monitoring in shock is one of the core challenges in sepsis management.This article systematically explores how to optimize hemodynamic management in septic shock from three perspectives:assessment of fluid responsiveness and tolerance,monitoring of arterial and venous blood pressure,and macro- and microcirculatory monitoring.Firstly,fluid responsiveness assessment is the foundation of fluid therapy,but it must be combined with fluid tolerance to avoid fluid overload.Secondly,the refined evaluation of arterial and venous pressure changes,from macrocirculation to microcirculation,provides a more comprehensive perspective for hemodynamic management.Thirdly,the transition from cardiac output to microcirculatory flow is critical for optimizing oxygen delivery,requiring dynamic adjustment of treatment through both invasive and non-invasive techniques,while also considering the relationship between cardiac output and oxygen delivery and their impact on tissue oxygenation.By integrating these monitoring approaches,individualized and precise treatment for septic shock patients can be achieved,thereby improving outcomes.
