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By Prof. Ehrenfried SCHINDLER Haemodynamic monitoring is essential in paediatric peri-operative and critical care medicine, guiding adequate tissue perfusion and oxygen delivery in the most vulnerable patients. Although basic parameters in paediatric...
Post-operative hypotension is a common and clinically significant challenge, often linked to poor outcomes such as organ dysfunction, prolonged recovery, and increased mortality. Vasopressors are routinely used to manage this condition. Until recently, their use in...
Haemodynamic monitoring and management are fundamental components of perioperative care. Accurate measurement and interpretation of advanced haemodynamic variables can guide clinical decisions and therapeutic interventions, ultimately enhancing patient...
Early identification of sepsis is critical for patient survival, yet it remains a significant challenge[1]. Nurses play a vital role in this process by routinely monitoring patients for signs of sepsis. This article highlights key aspects of identification and...
Healthcare faces mounting challenges from climate change and rising operational costs. A significant portion of its carbon footprint stems from plastic waste, and the energy demands of departments such as operating theatres and intensive care units. To mitigate this,...
Emergency and critical care teams face a recurring dilemma in early septic shock: How much fluid is enough, and when should we start vasopressors? Prolonged hypotension drives organ injury and mortality, but both fluid overload and delayed vasopressors can harm. The...
Administering the right amount of fluids is crucial in sepsis and septic shock. In critically ill patients, the goal of intravenous fluid therapy is to increase cardiac output to improve both micro- and macro-circulation and tissue oxygen delivery (DO₂). However, in...
In cardiac surgery, it is commonplace for Anaesthetists to place a sheath introducer, or pulmonary artery catheter, when high volume access is required, along with a standard 4-lumen/quad central venous catheter (CVC) for multi-drug delivery and haemodynamic...
The proportion of patients who have a central venous catheter (CVC) inserted has increased over the years, so much so that 78% of patients admitted to intensive care units (ICU) in Europe have a CVC inserted.7 However, central venous catheter (CVC) placement...
Introduction Intra-operative haemodynamic management is a cornerstone of safe and effective surgical care. The 2025 guidance from the European Society of Anaesthesiology and Intensive Care (ESAIC) provides updated, evidence-informed recommendations for clinicians...
Fluid management is a cornerstone of patient care, particularly in critical conditions like septic shock. However, the line between adequate resuscitation and harmful fluid overload is often thin. Recognising the risks and implementing strategies to prevent fluid...
Arterial cannulation for continuous blood pressure monitoring is not a technique free from complications; most of the time, these are minor and do not pose a major problem for the patient, but in some cases, they can have serious consequences. Furthermore, in...
Advanced Haemodynamic monitoring, particularly the ability to track stroke volume (SV) and cardiac output (CO), has significantly contributed to the refinement of anaesthesiologists’ expertise in Haemodynamic management. Beyond serving as cardiac output monitors,...
One in ten children with a central venous catheter (CVC) develops a device-associated bloodstream infection. 2 Want to know how to prevent bacteremia and central venous catheter-related infection? Dr. Paco Escribà, anaesthesiologist FEA Anaesthesiology for children,...
Sepsis remains a critical threat to children, with septic shock frequently requiring admission to Paediatric Intensive Care Units (PICUs).1 Early and appropriate fluid resuscitation is paramount for improving outcomes and reducing mortality in these vulnerable...
Central venous catheters (CVCs) are essential tools in modern medicine, providing reliable vascular access for fluid administration, medication delivery, and haemodynamic monitoring. However, CVC insertion can be a resource intensive procedure with potential for...
Nurses are the first clinical aid at the bedside, monitoring and responding to changes in patient conditions. Providing nurses with tools to make more informed decisions can significantly enhance patient care as early detection of preventable outcomes is crucial for...
Haemodynamic instability frequently manifests during the perioperative course of high-risk surgical patients. This instability arises primarily during surgery due to the influence of anaesthetic agents on vascular tone, compounded by surgical bleeding. Post-surgery,...
Haemodynamic monitoring provides us with information on cardiovascular performance and has therefore become a fundamental tool in the diagnostic approach and therapeutic orientation. More and more devices are becoming available that allow us to carry out advanced...
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