Rethinking Resuscitation: Integrating Dynamic Hemodynamic Monitoring at the Bedside.

Authors

Amy Stafford, Emily Bovino, Michael DeFrancisco, Elizabeth Bridges

Published in

Critical care nursing clinics of North America. Volume 38. Issue 4. Pages 477-492. Epub Sep 11, 2026.

Abstract

Hemodynamic monitoring is essential for guiding resuscitation in critically ill patients, yet reliance on static indicators such as central venous pressure persists despite evidence of their poor predictive value. This evidence-based clinical review challenges outdated practices and highlights dynamic parameters to include pulse pressure variation, stroke volume variation, pleth variability index, and passive leg raise, as superior tools for assessing fluid responsiveness. Practical strategies for integrating these measures with bedside perfusion assessments, such as capillary refill time and mottling, are presented to help nurses implement evidence-based, multimodal monitoring and reduce iatrogenic harm.

PMID:
42933949
Bibliographic data and abstract were imported from PubMed on 27 Oct 2026.

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