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Hemodynamic Monitoring in the ICU

  • Raphael Giraud
  • Karim Bendjelid

Table of contents

  1. Front Matter
    Pages i-xviii
  2. Raphael Giraud, Karim Bendjelid
    Pages 1-13
  3. Raphael Giraud, Karim Bendjelid
    Pages 15-41
  4. Raphael Giraud, Karim Bendjelid
    Pages 43-56
  5. Raphael Giraud, Karim Bendjelid
    Pages 57-62
  6. Raphael Giraud, Karim Bendjelid
    Pages 63-74
  7. Raphael Giraud, Karim Bendjelid
    Pages 75-89
  8. Raphael Giraud, Karim Bendjelid
    Pages 91-95

About this book

Introduction

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.

Keywords

Cardiovascular instability Hypotension Shocks Pressures measurements Monitoring of cardiac output Goal-directed therapy Transpulmonary thermodilution Pulmonary artery catheter Echocardiography Doppler techniques Pulse contour analysis Fluid responsiveness

Authors and affiliations

  • Raphael Giraud
    • 1
  • Karim Bendjelid
    • 2
  1. 1.Intensive Care ServiceGeneva University HospitalGenevaSwitzerland
  2. 2.Intensive Care ServiceGeneva University HospitalGenevaSwitzerland

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-319-29430-8
  • Copyright Information Springer International Publishing Switzerland 2016
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-29429-2
  • Online ISBN 978-3-319-29430-8
  • Buy this book on publisher's site