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Volume 23
Issue 4
10.3390/s23042226
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Review

New Hemodynamic Parameters in Peri-Operative and Critical Care—Challenges in Translation

by
Laura Bogatu
1,2,*,
Simona Turco
1,
Massimo Mischi
1,
Lars Schmitt
2,
Pierre Woerlee
1,
Rick Bezemer
2,
Arthur R. Bouwman
3,
Erik H. H. M. Korsten
3 and
Jens Muehlsteff
2
1
Biomedical Diagnostics Lab (BM/d), Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands
2
Patient Care and Measurements, Philips Research, 5656 AE Eindhoven, The Netherlands
3
Department of Anesthesiology, Intensive Care and Pain Medicine, Catharina Ziekenhuis, 5623 EJ Eindhoven, The Netherlands
*
Author to whom correspondence should be addressed.
Sensors 2023, 23(4), 2226; https://doi.org/10.3390/s23042226
Submission received: 4 January 2023 / Revised: 3 February 2023 / Accepted: 6 February 2023 / Published: 16 February 2023
(This article belongs to the Special Issue Embedded Sensor Systems for Health)
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Abstract

Hemodynamic monitoring technologies are evolving continuously—a large number of bedside monitoring options are becoming available in the clinic. Methods such as echocardiography, electrical bioimpedance, and calibrated/uncalibrated analysis of pulse contours are becoming increasingly common. This is leading to a decline in the use of highly invasive monitoring and allowing for safer, more accurate, and continuous measurements. The new devices mainly aim to monitor the well-known hemodynamic variables (e.g., novel pulse contour, bioreactance methods are aimed at measuring widely-used variables such as blood pressure, cardiac output). Even though hemodynamic monitoring is now safer and more accurate, a number of issues remain due to the limited amount of information available for diagnosis and treatment. Extensive work is being carried out in order to allow for more hemodynamic parameters to be measured in the clinic. In this review, we identify and discuss the main sensing strategies aimed at obtaining a more complete picture of the hemodynamic status of a patient, namely: (i) measurement of the circulatory system response to a defined stimulus; (ii) measurement of the microcirculation; (iii) technologies for assessing dynamic vascular mechanisms; and (iv) machine learning methods. By analyzing these four main research strategies, we aim to convey the key aspects, challenges, and clinical value of measuring novel hemodynamic parameters in critical care.
Keywords: hemodynamic monitoring; hemodynamic parameter measurements; patient monitoring; minimally invasive monitoring hemodynamic monitoring; hemodynamic parameter measurements; patient monitoring; minimally invasive monitoring

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MDPI and ACS Style

Bogatu, L.; Turco, S.; Mischi, M.; Schmitt, L.; Woerlee, P.; Bezemer, R.; Bouwman, A.R.; Korsten, E.H.H.M.; Muehlsteff, J. New Hemodynamic Parameters in Peri-Operative and Critical Care—Challenges in Translation. Sensors 2023, 23, 2226. https://doi.org/10.3390/s23042226

AMA Style

Bogatu L, Turco S, Mischi M, Schmitt L, Woerlee P, Bezemer R, Bouwman AR, Korsten EHHM, Muehlsteff J. New Hemodynamic Parameters in Peri-Operative and Critical Care—Challenges in Translation. Sensors. 2023; 23(4):2226. https://doi.org/10.3390/s23042226

Chicago/Turabian Style

Bogatu, Laura, Simona Turco, Massimo Mischi, Lars Schmitt, Pierre Woerlee, Rick Bezemer, Arthur R. Bouwman, Erik H. H. M. Korsten, and Jens Muehlsteff. 2023. "New Hemodynamic Parameters in Peri-Operative and Critical Care—Challenges in Translation" Sensors 23, no. 4: 2226. https://doi.org/10.3390/s23042226

APA Style

Bogatu, L., Turco, S., Mischi, M., Schmitt, L., Woerlee, P., Bezemer, R., Bouwman, A. R., Korsten, E. H. H. M., & Muehlsteff, J. (2023). New Hemodynamic Parameters in Peri-Operative and Critical Care—Challenges in Translation. Sensors, 23(4), 2226. https://doi.org/10.3390/s23042226

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