TY - BOOK ID - 14295160 TI - Functional hemodynamic monitoring AU - Pinsky, Michael R. AU - Payen, D. PY - 2005 SN - 3540223495 3540229868 9786610305094 1280305096 3540269002 PB - Berlin ; New York : Springer-Verlag Berlin Heidelberg, DB - UniCat KW - Hemodynamic monitoring. KW - Hemodynamic monitoring KW - Cardiovascular system KW - Diagnostic Techniques and Procedures KW - Cardiovascular Physiological Processes KW - Cardiovascular Physiological Phenomena KW - Diagnosis KW - Circulatory and Respiratory Physiological Phenomena KW - Analytical, Diagnostic and Therapeutic Techniques and Equipment KW - Phenomena and Processes KW - Hemodynamics KW - Monitoring, Physiologic KW - Medicine KW - Health & Biological Sciences KW - Emergency Medicine KW - Cardiovascular Diseases KW - Diseases KW - Diagnosis. KW - Monitoring, Hemodynamic KW - Medicine. KW - Critical care medicine. KW - Cardiology. KW - Medicine & Public Health. KW - Intensive / Critical Care Medicine. KW - Patient monitoring KW - Intensive care KW - Intensive medicine KW - Emergency medicine KW - Intensive care units KW - Heart KW - Internal medicine UR - https://www.unicat.be/uniCat?func=search&query=sysid:14295160 AB - 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. ER -