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<p>Hemodynamic monitoring in cardiovascular intensive care and emergency medicine is subdivided into components of basic monitoring and extended monitoring. An indispensable basic monitoring is the combination of the “clinical eye” including a thorough clinical examination and medical history, electrocardiography (ECG), body temperature, oxygen saturation, noninvasive blood pressure measurement and urine production. The basic monitoring can be supplemented with a multitude of differentiated extended monitoring procedures, which in individual cases can be extremely useful for personnel trained in their application but when indiscriminately applied can do more harm than help. For critical phases of acute treatment on the intensive care unit differentiated options must be considered, particularly in cases of nonresponse to established forms of treatment. This article provides recommendations on these aspects. The bedside available use of echocardiography or sonography as soon as possible is a key module in the diagnostics, surveillance and treatment control of critically ill intensive care patients and can be used to estimate the volume responsiveness and need for hemodynamic support. The training and expertise in these procedures is therefore indispensable and underlines the key role of intensive care physicians trained in internal medicine and cardiology.</p>

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Hämodynamisches Monitoring in der internistischen Intensivmedizin – DGK-Empfehlung

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月23日

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  • Christian Jung,
  • Uwe Janssens,
  • Sebastian Weyand,
  • Guido Michels,
  • Christian Schulze,
  • Marcus Hennersdorf,
  • Georg Fürnau

摘要

Hemodynamic monitoring in cardiovascular intensive care and emergency medicine is subdivided into components of basic monitoring and extended monitoring. An indispensable basic monitoring is the combination of the “clinical eye” including a thorough clinical examination and medical history, electrocardiography (ECG), body temperature, oxygen saturation, noninvasive blood pressure measurement and urine production. The basic monitoring can be supplemented with a multitude of differentiated extended monitoring procedures, which in individual cases can be extremely useful for personnel trained in their application but when indiscriminately applied can do more harm than help. For critical phases of acute treatment on the intensive care unit differentiated options must be considered, particularly in cases of nonresponse to established forms of treatment. This article provides recommendations on these aspects. The bedside available use of echocardiography or sonography as soon as possible is a key module in the diagnostics, surveillance and treatment control of critically ill intensive care patients and can be used to estimate the volume responsiveness and need for hemodynamic support. The training and expertise in these procedures is therefore indispensable and underlines the key role of intensive care physicians trained in internal medicine and cardiology.