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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.
Medicine. --- Human physiology. --- Anesthesiology. --- Emergency medicine. --- Critical care medicine. --- Medicine & Public Health. --- Intensive / Critical Care Medicine. --- Human Physiology. --- Emergency Medicine. --- Hemodynamic monitoring. --- Intensive care --- Intensive medicine --- Monitoring, Hemodynamic --- Medicine --- Emergency medicine --- Intensive care units --- Patient monitoring --- Medicine, Emergency --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Human biology --- Medical sciences --- Physiology --- Human body --- Anaesthesiology --- Surgery
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This volume showcases recent high-quality work relating to the pathophysiology, biophysics, monitoring, and treatment of traumatic brain injury and hydrocephalus that was presented at the 15th International Symposium on Intracranial Pressure and Brain Monitoring (ICP), held in Singapore in November 2013. The included papers derive from experts in neurointensive care, physiology, physics, engineering, and neurosurgery who have made important contributions in this translational area of research. All were selected from among oral and oral-poster presentations following a rigorous peer-review process involving the ICP Board members, and their focus ranges from the latest research findings and developments to clinical trials and experimental studies. This collection of papers from ICP 2013 continues the proud tradition of publishing key work from the ICP symposia and will be of interest for all who wish to stay abreast of recent advances in the field.
Medicine. --- Anesthesiology. --- Critical care medicine. --- Neurosurgery. --- Medicine & Public Health. --- Intensive / Critical Care Medicine. --- Intracranial pressure. --- Hemodynamic monitoring --- Monitoring, Hemodynamic --- Pressure, Intracranial --- Nerves --- Neurosurgery --- Intensive care --- Intensive medicine --- Medicine --- Emergency medicine --- Intensive care units --- Anaesthesiology --- Surgery --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- Patient monitoring --- Brain --- Cerebrospinal fluid pressure --- Diseases --- Nervous system --- Intensive Care Medicine. --- Surgery.
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This new edition is devoted to a broad array of topics involving the circadian variation in cardiovascular diseases, with focuses on hypertension, stroke, and coronary disease. The volume covers clinical and device research related to home and ambulatory BP monitoring, as there have been significant advances in technology since the publication of the previous edition. In addition, there is an increased focus on the applicability of home and ambulatory BP monitoring in drug development in all therapeutic arenas. The text features contributions from chapter authors from around the world and who have great expertise in cardiovascular medicine, therapeutics, clinical trials, and evidence-based medicine. Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics, Third Edition is essential reading for a large audience, including those practicing cardiology and nephrology with a special focus in hypertension, geriatrics and internal medicine, clinical trialists, regulators in the US, Europe, and Japan, and physicians in training in cardiology, hypertension, pharmacology, nephrology and neurology.
Hypertension --- Vascular diseases --- Cardiovascular medicine --- Cardiovascular Diseases --- Medicine --- Health & Biological Sciences --- Ambulatory blood pressure monitoring. --- Cardiovascular system --- Diseases --- Diagnosis. --- Ambulatory blood pressure measurement --- Ambulatory medical care --- Blood pressure --- Hemodynamic monitoring --- Measurement --- Cardiology. --- Toxicology. --- Nephrology. --- Pharmacology/Toxicology. --- Internal medicine --- Kidneys --- Chemicals --- Pharmacology --- Poisoning --- Poisons --- Heart --- Toxicology --- Pharmacology. --- Drug effects --- Medical pharmacology --- Medical sciences --- Chemotherapy --- Drugs --- Pharmacy --- Physiological effect
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This fascinating volume applies the concept of chronomics to the medical treatment of hypertension. It starts with the recent updates on chronomics, the analytic techniques, and their application to community-based assessments. The authors advocate the use of 7-day/24-h records of blood pressure, which is effective for finding masked hypertension, masked morning surge, and other rhythm abnormalities. Most organisms, from cyanobacteria to mammals, are known to use the circadian mechanism. However, our body systems also demonstrate circaseptan (roughly weekly), circannual (roughly yearly), and even longer rhythms. Chronomics monitors the physiological data and then analyzes the superimposed rhythms, isolating the cycles mathematically to determine how organisms and their environment interact. It is the study of interactions among time structures (chronomes) in and around us.
Medicine. --- Cardiovascular Diseases --- Medicine --- Health & Biological Sciences --- Ambulatory blood pressure monitoring. --- Clinical chronobiology. --- Ambulatory blood pressure measurement --- Chronomedicine --- Medical chronobiology --- Chronobiology --- Periodic diseases --- Ambulatory medical care --- Blood pressure --- Hemodynamic monitoring --- Measurement --- Cardiology. --- Human physiology. --- Human Physiology. --- Medicine/Public Health, general. --- Human biology --- Medical sciences --- Physiology --- Human body --- Heart --- Internal medicine --- Clinical sciences --- Medical profession --- Life sciences --- Pathology --- Physicians --- Diseases --- Health Workforce
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