PUESTA AL DÍA EN MEDICINA INTENSIVA. MONITORIZACIÓN HEMODINÁMICA EN EL PACIENTE CRÍTICO Técnicas disponibles de monitorización hemodinámica. Ventajas y limitaciones

Techniques available for hemodynamic monitoring. Advantages and limitations Abstract The pulmonary artery catheter has been a key tool for monitoring hemodynamic status in the intensive care unit for nearly 40 years. During this period of time, it has been the hemodynamic monitoring technique most commonly used for the diagnosis of many clinical situations, allowing clinicians to understand the underlying cardiovascular physiopathology, and helping to guide treatment interventions. However, in recent years, the usefulness of pulmonary artery catheterization has been questioned. Technological advances have introduced new and less invasive hemodynamic monitoring techniques. This review provides a systematic update on the hemodynamic variables offered by cardiac output monitoring devices, taking into consideration their clinical usefulness and their inherent limitations, with a view to using the supplied information in an efficient way.