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Invasive and Noninvasive Hemodynamic Monitoring

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Operative Techniques and Recent Advances in Acute Care and Emergency Surgery

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Abstract

The focus of this chapter is the added value of an optimized hemodynamic monitoring system.

Hemodynamic indexes can give valuable information about patient tissue perfusion and therefore guide medical therapy, improving outcome.

Over the years many techniques have been developed in order to optimize hemodynamic status, but currently none have proven to be even close to the ideal one.

The perfect hemodynamic index is the one that provides a cheap, continuous, noninvasive, and yet accurate measurement of tissue perfusion.

The optimal monitoring system should be tailored on patient clinical status, balancing efficacy and invasiveness.

Furthermore, many efforts have been made to better understand patient volemic status and fluid responsiveness, which are important determinants of cardiac output and tissue perfusion.

Many studies have proven that in different settings, establishing patient cardiac output still remains a challenge.

The following pages will revise the state of the art.

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Author information

Authors and Affiliations

  1. Department of Anesthesia and Intensive Care, Niguarda Ca’ Granda Hospital, Milan, Italy

    Stefano Orsenigo & Marco Pulici

Authors
  1. Stefano Orsenigo
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  2. Marco Pulici
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Editor information

Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Milano, Italy

    Paolo Aseni

  2. School of Medicine, University of Milano-Bicocca, Niguarda Hospital, Milan, Milano, Italy

    Luciano De Carlis

  3. Department of Cardiac Surgery, IRCCS MultiMedica, Milan, Milano, Italy

    Alessandro Mazzola

  4. Department of Cardiac Surgery, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy

    Antonino M. Grande

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Orsenigo, S., Pulici, M. (2019). Invasive and Noninvasive Hemodynamic Monitoring. In: Aseni, P., De Carlis, L., Mazzola, A., Grande, A.M. (eds) Operative Techniques and Recent Advances in Acute Care and Emergency Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-95114-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-95114-0_5

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-95113-3

  • Online ISBN: 978-3-319-95114-0

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