TITLE:
Emerging technology in acute resuscitation monitoring
AUTHORS:
Matthew Tichauer, Jonathan McCoy
KEYWORDS:
Critical Care; Monitoring; Minimally-Invasive, Resuscitation
JOURNAL NAME:
Open Journal of Nursing,
Vol.2 No.3A,
November
28,
2012
ABSTRACT: Fluid optimization in the resuscitation of shock became the mainstay of treatment following the advent of Early Goal-Directed Therapy (EGDT) by Rivers et al. in 2001 [1]. Patients presenting in shock require prompt optimization of volume status and cardiac out- put to ensure adequate perfusion. Poor optimization may be associated with prolonged hospital and intensive care unit stays. The prior gold standard, pulmonary artery catheterization, is rarely available in the emergency department setting and its invasive nature has led to recent re-evaluation of its clinical utility. However, there are new monitoring technologies that are being studied in the intensive care unit setting that may soon be available in emergency departments to aid in nursing and physician decision making to improve acute resuscitation.