1.

Record Nr.

UNINA9910254266803321

Autore

Giraud Raphael

Titolo

Hemodynamic Monitoring in the ICU / / by Raphael Giraud, Karim Bendjelid

Pubbl/distr/stampa

Cham : , : Springer International Publishing : , : Imprint : Springer, , 2016

ISBN

3-319-29430-X

Edizione

[1st ed. 2016.]

Descrizione fisica

1 online resource (XVIII, 95 p. 55 illus., 54 illus. in color.)

Disciplina

616.028

Soggetti

Critical care medicine

Anesthesiology

Human physiology

Emergency medicine

Intensive / Critical Care Medicine

Human Physiology

Emergency Medicine

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references at the end of each chapters.

Nota di contenuto

Blood pressure -- Monitoring of cardiac output and its derivatives -- Hemodynamic monitoring techniques -- Monitoring the adequacy of oxygen supply and demand -- Echocardiography -- Preload dependency dynamic indices -- Perspectives. .

Sommario/riassunto

This book describes the pathophysiological significance of the hemodynamic monitoring parameters available to the clinician and their role in providing reliable and reproducible information on the cardiocirculatory status of a patient in shock. It is explained how measurements of these parameters enable the intensivist to understand the patient’s condition and to make more informed treatment decisions in order to optimize the hemodynamic status and improve the prognosis. Full guidance is provided on measurement of intravascular blood pressures, cardiac output, and derived variables. Methods of cardiac output determination based on the classical pulmonary thermodilution, transpulmonary thermodilution, echocardiography, and Doppler techniques are reviewed. Techniques based on calibrated and



non-calibrated pulse contour analysis are discussed, with attention to their limitations. Furthermore, the dynamic indices of fluid responsiveness, their clinical applications, and issues related to their use are addressed. Care is also taken to explain the physiological concepts underlying various devices used by anesthesiologists and intensivists.