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Bedside Monitoring of Heart-Lung Interactions

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Annual Update in Intensive Care and Emergency Medicine 2013

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

Abstract

Cardiopulmonary interactions are a direct consequence of the anatomy of the heart, lungs, and great vessels. Being intrathoracic structures, the heart, lungs, part of the vena cava, and part of the aorta are affected similarly by changes in pleural pressures. Additionally, the entire cardiac output flows from the right heart through the lungs towards the left heart as in three separate compartments arranged in series. This anatomy leads to: (1) reciprocal effects between the performance of the heart and that of the lung, because right cardiac filling is limited by lung expansion or by increments in pleural pressure; and (2) a delay between acute changes in right ventricular (RV) output and the observed effects in left ventricular (LV) output (Fig. 1).

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Authors and Affiliations

  1. Intensive Care Unit and Research and Education Institute, Hospital Sírio-Libanês, Cel Nicolau dos Santos 69, 01308-60, São Paulo, Brazil

    F. J. da Silva Ramos & E. L. V. Costa

  2. Respiratory Intensive Care Unit, University of Sao Paulo School of Medicine, Av Dr Arnaldo 455, Room 2206 (2nd floor), 01246-903, São Paulo, Brazil

    E. L. V. Costa & M. B. P. Amato

Authors
  1. F. J. da Silva Ramos
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  2. E. L. V. Costa
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  3. M. B. P. Amato
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Corresponding author

Correspondence to M. B. P. Amato .

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Editors and Affiliations

  1. Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent Prof.

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da Silva Ramos, F.J., Costa, E.L.V., Amato, M.B.P. (2013). Bedside Monitoring of Heart-Lung Interactions. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2013. Annual Update in Intensive Care and Emergency Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35109-9_31

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  • DOI: https://doi.org/10.1007/978-3-642-35109-9_31

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35108-2

  • Online ISBN: 978-3-642-35109-9

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