Editorial for the series on hemodynamic monitoring in critically ill patients
Editorial on Hemodynamic Monitoring in Critically Ill Patients

Editorial for the series on hemodynamic monitoring in critically ill patients

This series of Annals of Translational Medicine presents a collection of review articles on hemodynamic monitoring in the critically ill patient. The limits and scopes of hemodynamic monitoring has broadened over the last decades with the incorporation of new less invasive techniques such as bedside point-of-care echocardiography. On the other hand, resuscitation concepts have changed and moved from a cardiac output centered approach to perfusion-driven strategies.

The relation between macrocirculation and end-organ or microcirculatory perfusion has been deeply explored and lead to define hemodynamic coherence as a state where an improvement of cardiac output or perfusion pressure is associated with improvement in regional and microcirculatory flow. This status is lost in advanced septic shock or other conditions where further efforts to maximize systemic hemodynamics will increase the risk of over-resuscitation without improving perfusion at the tissue level. This further reinforces the fact that hemodynamic monitoring cannot be addressed as an isolated topic without including the window of perfusion.

Therefore, this series includes in-depth reviews of key physiological topics such as fluid responsiveness, ventricular-arterial coupling, perfusion monitoring, and microcirculatory flow. In addition, advanced techniques such as echocardiography in different settings, monitoring of complex procedures such as VA-ECMO, and the impact of fluids and vasoactive drugs on hemodynamics and perfusion.

We are extremely thankful for the great contributions of all authors in the series. We hope you enjoy these interesting reviews as well as the editorials and related-originals included in the series. We believe the series will provide new insights and inspirations for readers in the future research.


Acknowledgments

Funding: None.


Footnote

Provenance and peer review: This article was commissioned by the editorial office, Annals of Translational Medicine for the series “Hemodynamic Monitoring in Critically Ill Patients”. The article did not undergo external peer review.

Conflicts of interest: Both authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm.2020.04.36). The authors have no conflicts of interest to declare. The series “Hemodynamic Monitoring in Critically Ill Patients” was commissioned by the editorial office without any funding or sponsorship. GH served as the unpaid Guest Editor of the series. GWT served as the unpaid Guest Editor of the series and serves as an unpaid Section Editor of Annals of Translational Medicine from Oct 2019 to Sep 2020.

Ethical statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

Glenn Hernández
Guo-Wei Tu

Glenn Hernández, MD, PhD

Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
(Email: glennguru@gmail.com)

Guo-Wei Tu, MD, PhD

Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
(Email: tu.guowei@zs-hospital.sh.cn)

Submitted Mar 06, 2020. Accepted for publication Apr 07, 2020.

doi: 10.21037/atm.2020.04.36

Cite this article as: Hernández G, Tu GW. Editorial for the series on hemodynamic monitoring in critically ill patients. Ann Transl Med 2020;8(12):783. doi: 10.21037/atm.2020.04.36