The Clinical Use of an Esophageal Doppler Monitor for Hemodynamic Monitoring in Sepsis

Esophageal Doppler monitoring has been available for over 25 years for the evaluation of cardiac performance. Nonetheless, its clinical use has been sparse in the management of critically ill and perioperative patients due to a paucity of data documenting its e¤cacy in individual patients.We present here the successful employment of an esophageal Doppler monitor or EDM (Deltex Medical, Inc., Irving, TX) for hemodynamic monitoring in a patient with a contraindication to a pulmonary artery catheter placement. This case also illustrates which cardiac parameters can be clinically followed in the utilization of this device.