重症血流动力学监测技术应用规范OA

With the rapid advancement of hemodynamic indices and monitoring technologies,their classi-fication methods and application processes have become increasingly complex.Currently,no unified standard has been established,making it difficult to fully meet the clinical requirements for hemodynamic management.To as-sist in hemodynamic monitoring assessment and therapeutic decision-making in critically ill patients,the Critical Hemodynamic Therapy Collaborative Group,in conjunction with the Critical Ultrasound Study Group,has jointly developed the Standard for the Application of Hemodynamic Monitoring Techniques in Critical Care.The first part of this standard systematically categorizes hemodynamic indicators into flow indicators,pressure and its derivative indicators,and tissue perfusion indicators,while elaborating on the clinical application of each.The second part establishes a standardized clinical implementation pathway for hemodynamic monitoring.It proposes a tiered moni-toring strategy-comprising basic,advanced,indication-specific,and special scenario monitoring-tailored to differ-ent clinical settings.It emphasizes the central role of critical care ultrasound across all levels of monitoring and es-tablishes hemodynamic assessment standards for organs such as the brain,kidneys,and gastrointestinal tract.This standard aims to provide a unified framework for clinical practice,teaching,training,and research in critical care medicine,thereby promoting standardized development within the discipline.