New ESICM Guideline on Circulatory Shock and Haemodynamic Monitoring
Updated guideline on circulatory shock and haemodynamic monitoring in adult ICU patients in the intensive care medicine journal.
This guideline provides updated, evidence-based recommendations on how to diagnose, monitor, and manage circulatory shock. Using PICO-framed clinical questions and graded evidence, the expert panel defined what to assess, when to intervene, and how to monitor patients in shock.
The panel issued 50 statements to help standardise assessment and support clinical decision-making.
Importance of serial tissue perfusion assessment
Use of dynamic predictors of fluid responsiveness
Targeted fluid administration rather than liberal approaches
Arterial line and cardiac output/stroke volume monitoring in non-responders
Echocardiography is the first-line tool to determine the type of shock
