Clinical Applications

NICOM: Clinical compass to navigate the stormy seas of hemodynamics  

Advanced hemodynamic monitoring is an important part of treatment in clinical situations where aggressive, yet guided hemodynamic interventions are required in order to stabilize the patient and optimize outcome.

Cardiac Output (CO) and other hemodynamic parameters play an important role in fluid optimization, drug titration, and differential diagnosis, establishing the right treatment plan and monitoring and refining it in real-time.

To illustrate visit our Case Studies for practical examples from clinical practice. 

• Hemodynamic compromise: Shock due to hypovolemia, sepsis, trauma, heart failure, neurogenic shock, acute MI with cardiogenic shock
• Increased metabolic demands, requiring increased blood-flow and perfusion: Sepsis, burns, major surgery (pre, intra, and post-operative) These situations call for efficient clinical decision making in the face of rapid hemodynamic fluctuations. In dealing with these emergent scenarios the clinician needs to make, revisit and modify decisions on fluids resuscitation, dosages of cardiac agonists, peripheral vascular acting agents (such as pressors) and diuretics. These decisions have a major impact on the incidence of complications, duration of ventilation, requirement for interventions such as hemodialysis and CRRT, length of hospital stay and ultimate survival.