Functional Hemodynamic Monitoring

  • Michael R. Pinsky
  • Didier Payen

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

Table of contents

  1. Front Matter
    Pages I-XIII
  2. Introduction

  3. Therapeutic goals

    1. M. H. Weil
      Pages 9-17
    2. E. Calzia, Z. Iványi, P. Radermacher
      Pages 19-32
    3. P. E. Spronk, V. S. Kanoore-Edul, C. Ince
      Pages 47-67
    4. L. Gattinoni, F. Valenza, E. Carlesso
      Pages 69-86
  4. Limits and Applications of Hemodynamic Monitoring

    1. D. Bennett
      Pages 89-97
    2. T. Smith, R. M. Grounds, A. Rhodes
      Pages 99-110
    3. J. R. C. Jansen, P. C. M. van den Berg
      Pages 135-152
    4. A. B. J. Groeneveld, R. M. B. G. E. Breukers, J. Verheij
      Pages 153-163
    5. A. B. J. Groeneveld, J. Verheij
      Pages 165-173
    6. A. Rhodes, R. Sunderland
      Pages 183-192
    7. M. Singer
      Pages 193-204
    8. J. Creteur
      Pages 205-220
  5. Measurement of Oxygen Derived Variables and Cardiac Performance

    1. J. B. Hall
      Pages 233-240
    2. 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

  • DOI https://doi.org/10.1007/b138257
  • 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
  • About this book