Functional Hemodynamic Monitoring

  • Michael R. Pinsky
  • Didier Payen
Conference proceedings

DOI: 10.1007/b138257

Part of the Update in Intensive Care and Emergency Medicine book series (volume 42)

Table of contents (29 papers)

  1. Front Matter
    Pages I-XIII
  2. Introduction

  3. Therapeutic goals

    1. Defining Hemodynamic Instability
      M. H. Weil
      Pages 9-17
    2. Determinants of Blood Flow and Organ Perfusion
      E. Calzia, Z. Iványi, P. Radermacher
      Pages 19-32
    3. Microcirculatory and Mitochondrial Distress Syndrome (MMDS): A New Look at Sepsis
      P. E. Spronk, V. S. Kanoore-Edul, C. Ince
      Pages 47-67
    4. ‘Adequate’ Hemodynamics: A Question of Time?
      L. Gattinoni, F. Valenza, E. Carlesso
      Pages 69-86
  4. Limits and Applications of Hemodynamic Monitoring

    1. Arterial Pressure: A Personal View
      D. Bennett
      Pages 89-97
    2. Central Venous Pressure: Uses and Limitations
      T. Smith, R. M. Grounds, A. Rhodes
      Pages 99-110
    3. Cardiac Output by Thermodilution and Arterial Pulse Contour Techniques
      J. R. C. Jansen, P. C. M. van den Berg
      Pages 135-152
    4. Clinical Value of Intrathoracic Volumes from Transpulmonary Indicator Dilution
      A. B. J. Groeneveld, R. M. B. G. E. Breukers, J. Verheij
      Pages 153-163
    5. Methodology and Value of Assessing Extravascular Lung Water
      A. B. J. Groeneveld, J. Verheij
      Pages 165-173
    6. Arterial Pulse Power Analysis: The LiDCOℳ plus System
      A. Rhodes, R. Sunderland
      Pages 183-192
    7. Esophageal Doppler monitoring
      M. Singer
      Pages 193-204
    8. Splanchnic Blood Flow
      J. Creteur
      Pages 205-220
  5. Measurement of Oxygen Derived Variables and Cardiac Performance

    1. Mixed Venous Oxygen Saturation (SvO2)
      J. B. Hall
      Pages 233-240
    2. Central Venous Oxygen Saturation (ScvO2)
      K. Reinhart, F. Bloos
      Pages 241-250

About these proceedings

Introduction

Hemodynamic monitoring is one of the major diagnostic tools available in the acute care setting to diagnose cardiovascular insufficiency and monitor changes over time in response to interventions. However, the rationale and efficacy of hemodynamic monitoring to affect outcome has come into question. We now have increasing evidence that outcome from critical illness can be improved by focused resuscitation based on existing hemodynamic monitoring, whereas non-specific aggressive resuscitation impairs survival. Thus, this book frames hemodynamic monitoring into a functional perspective wherein hemodynamic variables and physiology interact to derive performance and physiological reserve estimates that themselves drive treatment. This philosophy, as well as the limitations and applications of common and evolving hemodynamic measures and their focused use in the care of critically ill patients are discussed, relevant to one underlying truth: No monitoring device, no matter how simple or sophisticated, will improve patient-centered outcomes useless coupled to a treatment which, itself, improves outcome.

Keywords

Sepsis arterial pressure cardiac output cardiovascular circulatory shock hemodynamic monitoring intensive care medicine invasive monitoring resuscitation

Editors and affiliations

  • Michael R. Pinsky
    • 1
  • Didier Payen
    • 2
  1. 1.Department of Critical Care MedicineUniversity of Pittsburgh School of MedicinePittsburghUSA
  2. 2.Department of Anesthesiology and Critical CareLariboisière University Hospital University of Paris VIIParis Cedex 10France

Bibliographic information

  • Copyright Information Springer-Verlag Berlin Heidelberg 2005
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Medicine
  • Print ISBN 978-3-540-22349-8
  • Online ISBN 978-3-540-26900-7
  • Series Print ISSN 0933-6788