Nursing care of patients under invasive and non-invasive hemodynamic monitoring: A review article

The aim of this study was to review nursing care of invasive and non-invasive hemodynamic monitoring innovations focusing on cardiovascular monitoring.

In the management of critically ill patients, the priority is to optimize and monitor hemodynamics, especially the cardiovascular system. Comprehensive hemodynamic assessment of patients, along with other clinical information, enables physicians and nurses to make informed decisions about treatment and care of patients. Due to the importance of hemodynamic monitoring in intensive care units and the cause of hemodynamic instability and response to treatment, as well as the increasing advances in science and technology in the development of new devices, familiarity with hemodynamic monitoring equipment and knowledge of how new methods work can be helpful in this regard.

This review study was carried out in 2018 by searching the databases and search engines (Google Scholar, OVID, Up-to-date, Springer, Scopus, CINAHL, Cochran, Web of Science, Magiran, SID, PubMed) using the keyword “Pulse counter”, “invasive and non-invasive hemodynamic monitoring”, “cardiac output” and their Persian equivalent. A total of 65 unrestricted articles were found, out of which 15 duplicate and 10 full-text articles were excluded, and eventually 40 articles were included in the study.

In recent years, hemodynamic monitoring has evolved from invasive to less invasive and non-invasive systems and from intermittent to continuous. Nurses' role in hemodynamic monitoring of patients is very important.

Nurse's knowledge of these innovations, nursing care training in hemodynamic monitoring of patients, as well as prevention and management of complications, can have a significant impact on nurses' knowledge as well as enhancing the quality care and patients’ quality of life.