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Atlas of critical care echocardiography / / edited by Alexis Salerno, Daniel J. Haase, and Sarah B. Murthi
| Atlas of critical care echocardiography / / edited by Alexis Salerno, Daniel J. Haase, and Sarah B. Murthi |
| Pubbl/distr/stampa | Cham, Switzerland : , : Springer, , [2022] |
| Descrizione fisica | 1 online resource (189 pages) |
| Disciplina | 616.1207543 |
| Soggetto topico |
Critical care medicine
Ecocardiografia Medicina intensiva en cardiologia |
| Soggetto genere / forma | Llibres electrònics |
| ISBN | 3-030-74687-9 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Preface -- Acknowledgments -- Contents -- Contributors -- Part I: Imaging -- Obtaining, Interpreting, and Using Echo -- 1 Introduction -- 2 Ultrasound Knobology -- 2.1 Echogenicity (Fig. 1) -- 2.2 Knobs and Terms (Table 1) -- 3 Ultrasound Scanning Modes -- 3.1 B Mode or Two-Dimensional (2D) (Fig. 2 Upper Panel, Video 1) -- 3.2 M Mode (Fig. 2 Lower Panel) -- 3.3 Doppler Modes (Fig. 3) -- 3.3.1 Types of Doppler -- 4 Ultrasound Transducers (Fig. 4) -- 4.1 Curvilinear -- 4.2 Linear -- 4.3 Phased Array -- 5 Transducer Movements (Fig. 5) -- 6 Exam Types and Presets (Fig. 6) -- 7 Measurements in Point-of-Care Ultrasound -- Suggested Reading -- Parasternal Long Axis -- 1 Introduction -- 2 Obtaining the PLA -- 2.1 Image Orientation (Fig. 2) -- 3 Assessments and Measurements -- 4 Ideal Image (Fig. 3) -- 5 Tips and Pointers -- 6 Special Considerations -- Suggested Reading -- Parasternal Short Axis -- 1 Introduction -- 2 Obtaining the Parasternal Short Axis -- 2.1 Image Orientation (Fig. 2) -- 2.2 Ideal Images -- 3 Assessment and Measurements -- 4 Tips and Pointers -- Suggested Reading -- Apical 4 Chamber and Apical 5 Chamber -- 1 Introduction -- 1.1 Obtaining the AP 4 -- 1.2 Obtaining the AP 5 -- 1.3 Image Orientation -- 1.4 Ideal Image (Fig. 2) -- 1.5 Assessments and Measurements -- 1.6 Troubleshooting/Pointers -- Suggested Reading -- Subxiphoid Cardiac and Inferior Vena Cava Views -- 1 Introduction -- 2 Obtaining the Subxiphoid View -- 3 Obtaining the IVC Window -- 4 Image Orientation Cardiac Presets -- 5 Image Orientation Abdominal Presets for the FAST and RUSH -- 6 Ideal Image -- 7 Assessments and Measurements -- 8 Tips and Pointers -- Suggested Reading -- Liver Doppler -- 1 Introduction -- 2 Obtaining the Hepatic PWD -- 3 Obtaining the Portal Pulsed Wave Doppler -- 4 Tips and Pointers.
Suggested Reading -- Renal Doppler -- 1 Introduction -- 2 Obtaining the Renal Doppler Image -- 3 Renal Venous Assessments -- 4 Renal Arterial Assessments -- 5 Troubleshooting and Pointers -- Suggested Reading -- Thoracic Ultrasound -- 1 Introduction -- 2 Uses for Thoracic Ultrasound in Shock -- 3 Obtaining the Thoracic Views -- 4 Normal Anatomical Structures (Fig. 4) -- 5 Artifacts (Fig. 5) -- 6 Tips and Pointers -- 7 Special Considerations -- Suggested Reading -- Part II: Measurements and Interpretation -- Left Ventricular Ejection Fraction and E-point Septal Separation -- 1 Introduction -- 2 LVEF and EPSS -- 2.1 Uses for LVEF and EPSS -- 2.2 Obtaining the Views LVEF and EPSS -- 3 Visual Estimation of the LVEF -- 4 Measurement of EPSS -- 5 Special Considerations -- References -- Stroke Volume, Cardiac Output, and Systemic Vascular Resistance -- 1 Introduction -- 2 SV and SV Index (SVI) -- 2.1 Uses for SV -- 2.2 Measurement of SV -- 2.3 Tips and Pointers -- 2.4 Equation for SV -- 2.5 Special Considerations -- 3 Cardiac Output and Cardiac Index (CO and CI) -- 3.1 Uses for CO -- 3.2 Measurement of CO -- 3.3 Equations for CO and CI -- 4 Systemic Vascular Resistance (SVR) and SVR Index (SVRI) -- 4.1 Uses for SVR -- 4.2 Measurement of SVR -- 4.3 Equation for SVR -- 4.4 Measurement of SVRI -- 4.5 Special Considerations -- Suggested Reading -- Diastolic Function -- 1 Introduction -- 2 Diastolic Function -- 3 Obtaining the Measurements LV Diastolic Function -- 3.1 Pulsed Wave Doppler Through the Mitral Valve: E and A (Fig. 1) -- 3.2 Tissue Doppler at the Lateral Mitral Valve Annulus: e′ and a′ (Fig. 2) -- 4 Interpreting Measurements: Grading LV Diastolic Function (Figs. 3 and 4) -- 5 Obtaining Measurements of RV Diastolic Function -- 5.1 Pulsed Wave Doppler Through the Tricuspid Valve: ETRV and A TRV. 5.2 Tissue Doppler Imaging at the Lateral Mitral Annuls: e′TRV and a′TRV -- 5.3 Interpreting RV Diastolic Dysfunction Measurements -- 6 Tips and Pitfalls -- Suggested Reading -- Right Ventricular Systolic Function -- 1 Introduction -- 2 RV Dysfunction -- 3 Uses for RV Assessment -- 4 Obtaining Views -- 4.1 Visual Estimation of the RV -- 4.2 Tips and Pointers -- 4.3 Measurement of Transannular Plane Systolic Excursion (TAPSE) (Figs. 2 and 3) -- 4.4 Measurement of Peak Systolic Velocity at the Tricuspid Valve (S′TRV) -- 5 Tips and Pointers for TAPSE and S′ -- 6 Special Considerations -- 7 Normal and Reference Values -- Suggested Reading -- Pulmonary Hypertension -- 1 Introduction -- 2 Pulmonary Artery Pressures -- 3 Visual Inspection the RV and LV in All Windows (Fig. 1) -- 4 Assessment with the Tricuspid Regurgitant Jet (Fig. 2) -- 5 Assessment of Flow Through the Right Ventricular Outflow Tract -- Suggested Reading -- Inferior Vena Cava Respiratory Variation -- 1 Introduction -- 2 Obtaining the Views and Calculating Measurements -- 3 Interpreting Measurements -- 4 Tips and Pitfalls -- Suggested Reading -- Stroke Volume Variation -- 1 Introduction -- 2 SVV with Respiratory Peak Velocity Variation -- 3 Uses VTI RV -- 4 Window and Mode -- 5 How to Measure SVV with VTI Vpk Variation -- 6 Special Considerations When Using APV and VTI Variation for SVV Assessment -- 7 SVV with Passive Leg Raise -- Suggested Reading -- Pulmonary Findings -- 1 Introduction -- 2 Uses for Lung Assessment -- 3 B-Lines as Evidence of Pulmonary Edema -- 4 Tips and Pointers -- 5 Special Considerations -- 6 Pleural Effusion, Consolidation, and Collapse -- 7 Pneumothorax -- 8 Evaluation of Pneumothorax by M-Mode -- 9 Tips and Pointers -- Suggested Reading -- Right Atrial Pressure Assessment -- 1 Introduction. 2 Estimation of RAP for Calculations of SVR and PA Systolic Pressure -- 3 Detection of Venous Congestion from Elevated RAP -- 4 Other Assessments -- 4.1 Right Ventricular Diastolic Function -- 4.2 Inferior Vena Cava -- 4.3 Special Considerations -- Suggested Reading -- Potpourri of Pathology -- 1 Introduction -- 2 Case 1: Cardiac Tamponade -- 3 Case 2: Pulmonary Embolism -- 4 Case 3: COVID-19 Pneumonia -- 5 Case 4 Severe Aortic Stenosis -- 6 Case 5 Endocarditis -- Suggested Reading -- Part III: Shock Protocols -- The Focused Sonogram for Trauma (FAST) -- 1 Introduction -- 2 Uses -- 3 The FAST Protocol -- 4 Tips and Pointers -- 5 Special Considerations -- Suggested Reading -- The Rapid UltraSound in Shock (RUSH) -- 1 Introduction -- 2 Uses -- 3 FAST and RUSH Protocols -- 4 Tips and Pointers -- 5 Special Considerations -- Suggested Reading -- Cardiac Arrest Sonographic Assessment (CASA) -- 1 Introduction -- 2 Uses for CASA -- 3 CASA Protocol -- 4 Tips and Pointers -- References -- Part IV: The Focused Rapid Echocardiographic Evaluation (FREE) -- There Is No @#% Tank! It is a Pump!! -- 1 Introduction -- 2 There Is No @#% Tank! It Is a Pump!!! -- 3 The Capillary Bed -- Suggested Reading -- Echo-Based Shock Physiology -- 1 Introduction -- 2 Presentation of Shock -- 3 Optimizing Perfusion vs. Resuscitation -- 4 Phases of Shock (Fig. 1) -- 5 Medical vs. Surgical Shock -- 6 Therapies to Optimize Perfusion in Shock -- 7 Hypotension vs. Shock -- Suggested Reading -- The Focused Rapid Echocardiographic Evaluation (FREE) -- 1 Introduction -- 2 Uses -- 3 FREE Protocol -- 4 Pre-imaging Assessment -- 5 Ultrasound Imaging in the FREE (Fig. 1) -- 6 Measurements and Analysis -- 7 Hemodynamic Profiles and Treatment Recommendations -- 8 Operationalizing the FREE -- 9 Tips and Pointers -- 10 Special Considerations. Suggested Reading -- Fluid Strategies in the FREE -- 1 Introduction -- 2 Effects of a Fluid Bolus -- 3 Fluid Liberal vs Fluid Conservative (Figs. 1 and 2) -- 4 Surgical Patients -- Suggested Reading -- Hemodynamic Profiles in the FREE -- 1 Introduction -- 2 Hemodynamic Profiles -- 3 Assessing the Profiles -- 4 Normal × 3 (Happy Heart) -- 5 Underfilled (Hummingbird) -- 6 Vasodilated -- 7 Dysfunctional (Sad Heart) -- 8 Mixed Profiles -- Suggested Readings -- The Focused Rapid Echocardiographic Evaluation (FREE): Clinical Examples -- 1 Introduction -- 2 Quantitative Measurements in the FREE -- 3 Case 1: Trauma Patient with Decreased Urine Output -- 4 Case 2: Overdose with Respiratory Failure and Hypotension -- 5 Case 3: Postoperative from a Major Ventral Hernia Repair with Hypotension -- 6 Case 4: Hospital-Acquired Pneumonia and Hypotension -- 7 Case 5: COVID-19 Requiring ECMO with Hypotension and Worsening Hypoxia -- Suggested Reading -- Index. |
| Record Nr. | UNINA-9910523008403321 |
| Cham, Switzerland : , : Springer, , [2022] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Palliative care in cardiac intensive care units / / edited by Massimo Romanò
| Palliative care in cardiac intensive care units / / edited by Massimo Romanò |
| Pubbl/distr/stampa | Cham, Switzerland : , : Springer, , [2021] |
| Descrizione fisica | 1 online resource (202 pages) |
| Disciplina | 616.106 |
| Soggetto topico |
Cardiac intensive care
Medicina intensiva en cardiologia Tractament pal·liatiu |
| Soggetto genere / forma | Llibres electrònics |
| ISBN | 3-030-80112-8 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Foreword -- Preface -- Acknowledgements -- Contents -- About the Author -- 1: Epidemiology and Patterns of Care in Modern Cardiac Intensive Care Units -- 1.1 Introduction -- 1.2 Is There a Background for the Evolution of CICU? From the Blitz-3 to Modern International CICU Registries -- 1.3 Aging, Comorbidity, and the Risk of Futility in CICU -- 1.4 The COVID-19 Tsunami and Its Effect on CICU -- 1.5 Conclusions -- References -- 2: The Intensive and Advanced Treatments in the Cardiac Intensive Care Units -- 2.1 Introduction -- 2.2 Cardiac Arrest and Post-cardiac Arrest Syndrome -- 2.3 Advanced Heart Failure and End-Stage Heart Failure -- 2.4 Cardiogenic Shock (CS) and Low-Output Syndrome -- 2.5 Mechanical Circulatory Supports (MCSs) -- 2.6 Heart Replacement Therapies -- 2.7 Cardiac Implanted Electronic Devices (CIEDs) -- 2.8 Palliative Care in CICU -- 2.9 Palliative Inotrope Care -- References -- 3: Symptom Assessment and Management -- 3.1 The Cardiologist's Palliative Competencies -- 3.2 Measuring a Symptom -- 3.2.1 Dyspnea -- 3.2.2 Pain -- 3.2.3 Thirst -- 3.3 Cognitive and Mood Disorders -- 3.3.1 Fatigue -- 3.3.2 Gastrointestinal Symptoms -- References -- 4: The Meanings of Prognosis: When and How to Discuss It? -- 4.1 Introduction -- 4.2 Deciding Between Prognosis and Uncertainty -- 4.3 Criteria for Prognosis Definition -- 4.4 Communicating Prognosis -- 4.5 Barriers to Communication -- 4.5.1 The Disease -- 4.5.2 The Patient -- 4.5.3 Treatment Approach -- 4.5.4 The Doctor -- 4.6 Conclusions -- References -- 5: Informed Consent, Advance Directives, and Shared Care Planning -- 5.1 Introduction -- 5.2 Legal and Ethical Aspects -- 5.3 Shared Care Planning and Advance Directives in Cardiology -- 5.4 Conclusions -- References -- 6: Withholding or Withdrawing Life-Sustaining Treatments -- 6.1 Introduction.
6.2 Forgoing Life-Sustaining Treatments: The Clinical Practice -- 6.3 Physician Preferences -- 6.4 Withdrawing Life-Sustaining Treatment: Arguments in Favor -- 6.5 Withholding Life-Sustaining Treatment: Arguments in Favor -- 6.6 Withdrawing or Withholding Life-Sustaining Treatments: Means or Goals? -- 6.7 Forgoing Life-Sustaining Treatments: How to Do -- 6.7.1 Ethical Principles -- 6.7.2 Decision to Forgo Life-Sustaining Treatments: Theoretical Approach -- 6.7.3 Decision to Forgo Life-Sustaining Treatments: The Goals -- 6.7.4 Withdrawing Life-Sustaining Treatments: Basics in Clinical Practice -- 6.8 Conclusions -- References -- 7: Deactivation of Cardiac Implantable Electronic Devices (CIEDs) at the End of Life -- 7.1 Introduction -- 7.2 Implantable Cardioverter-Defibrillators (ICDs) -- 7.2.1 Ethical Problems -- 7.2.2 Information and Patient Awareness -- 7.2.3 The Opinion of Physicians and Nurses -- 7.3 Cardiac Pacemaker (PM)-Cardiac Resynchronisation Therapy-Pacemaker (CRT-P) -- 7.4 Conclusions -- References -- 8: Withdrawal of Mechanical Circulatory Support in the Cardiac Intensive Care Unit -- 8.1 Introduction -- 8.2 Why Is LST Withdrawal Challenging? -- 8.3 Ethical Consideration in Withdrawal of Cardiopulmonary Devices -- 8.4 Approach to Specific Life-Sustaining Treatments -- 8.5 Mechanical Ventilation -- 8.6 MCSDs (IABP, Impella, ECMO, and LVAD) -- 8.7 The Role of Palliative Care Consultation -- 8.8 Conclusion -- References -- 9: Do-Not-Attempt-Resuscitation Orders in the Cardiac Intensive Care Unit -- 9.1 Cardiopulmonary Resuscitation -- 9.2 Intensive Care Medicine: A Balance of Risks and Benefits -- 9.3 The Utility of DNACPR Orders -- 9.4 The Unintended Consequences of DNACPR Orders -- 9.5 Shared Decision-Making -- 9.6 Moving Beyond DNACPR Towards Resuscitation Plans -- 9.7 Conclusions -- References. 10: Palliative Sedation in Cardiac Intensive Care Units: When, Why, How -- 10.1 Introduction -- 10.2 The Definition of Palliative Sedation -- 10.3 Indications for Palliative Sedation -- 10.4 Types of Palliative Sedation -- 10.5 Pharmacological Aspects -- 10.6 Ethical Aspects in Palliative Sedation -- 10.7 The Ethical Difference Between Palliative Sedation and Euthanasia -- 10.8 The Relationship Between Palliative Sedation and Forgoing Treatment -- 10.9 Correct Decision-Making Management -- References -- 11: Nursing and the End of Life in Cardiac Intensive Care Unit (CICU) -- 11.1 Introduction -- 11.2 Decision-Making and Discussions About Goals of Care -- 11.3 Person- and Family-Centred Care -- 11.4 Care Planning -- 11.5 Palliative Interventions -- 11.6 Preparing for Withdrawal of Life-Sustaining Treatment or Imminent Death -- 11.7 Meeting Psychosocial and Spiritual Needs -- 11.8 Unanticipated Death -- 11.9 Care After Death -- References -- 12: Conflict Management in the Cardiac Intensive Care Unit -- 12.1 Conflicts in the Cardiac Intensive Care Unit: Definitions, Background, and Examples -- 12.2 Conflict Characteristics -- 12.3 Managing Conflicts: Can We Be Better In Conflicts? -- 12.4 Involvement of a Palliative Care Team: Experiences -- 12.5 How to Turn Conflict into an Opportunity for Improvement? -- 12.6 Conclusion -- References -- 13: Ethical Considerations in the Use of Technology in the Cardiac Intensive Care Unit -- 13.1 Introduction -- 13.2 Utility Versus Futility -- 13.3 When to Start and When to Stop: Withholding Versus Withdrawing -- 13.4 Hype, Hope, and Hubris -- 13.5 The External Drivers of Too Much Technology -- 13.6 The Internal Drivers of Too Much Technology -- 13.7 Conclusion -- References -- 14: Physician Education and Training in Palliative Care: A New Challenge in Modern Cardiac Intensive Care. 14.1 Introduction: The Modern Cardiac Intensive Care Unit -- 14.2 Palliative Care in the CICU -- 14.3 Primary and Specialty Palliative Care in the CICU -- 14.4 Physician Education and Training -- 14.5 Primary Palliative Care Learning Objectives -- 14.6 Communication -- 14.7 Decision-Making -- 14.8 Therapies and Interventions Unique to CICU -- 14.9 Shared Decision-Making -- 14.10 Symptom Management -- 14.11 Teaching Modalities -- 14.12 Bedside Teaching -- 14.13 Didactics -- 14.14 Case Based -- 14.15 Conclusion -- References. |
| Record Nr. | UNINA-9910502648903321 |
| Cham, Switzerland : , : Springer, , [2021] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Pulmonary Embolism : From Acute PE to Chronic Complications / / edited by Belinda Rivera-Lebron, Gustavo A. Heresi
| Pulmonary Embolism : From Acute PE to Chronic Complications / / edited by Belinda Rivera-Lebron, Gustavo A. Heresi |
| Edizione | [1st ed. 2020.] |
| Pubbl/distr/stampa | Cham : , : Springer International Publishing : , : Imprint : Humana, , 2020 |
| Descrizione fisica | 1 online resource (220 pages) |
| Disciplina | 616.249 |
| Collana | Respiratory Medicine |
| Soggetto topico |
Respiratory organs—Diseases
Critical care medicine Cardiology Pneumology/Respiratory System Intensive / Critical Care Medicine Embòlia pulmonar Medicina intensiva en cardiologia |
| Soggetto genere / forma | Llibres electrònics |
| ISBN | 3-030-51736-5 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Epidemiology of Pulmonary Embolism -- PE Diagnosis -- Risk Stratification of Acute PE -- Bleeding Risk Considerations Prior to Initiation and Duration of Anticoagulation Therapy for the Treatment of Venous Thromboembolism -- Treatment for Pulmonary Embolism: Anticoagulation Selection and Duration -- Indications for systemic thrombolysis over anticoagulation -- Endovascular techniques in the treatment of acute PE -- Role of surgical embolectomy and ECMO in PE -- Inferior Vena Cava filters in Venous Thromboembolism – Multidisciplinary PE response team (PERT) development and implementation -- Post-PE Management -- Epidemiology and Diagnosis of Chronic Thromboembolic Pulmonary Hypertension -- Medical, Endovascular and Surgical Treatment of CTEPH. |
| Record Nr. | UNINA-9910416130003321 |
| Cham : , : Springer International Publishing : , : Imprint : Humana, , 2020 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
