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This book, part of the European Society of Intensive Care Medicine textbook series, teaches readers how to use hemodynamic monitoring, an essential skill for today’s intensivists. It offers a valuable guide for beginners, as well as for experienced intensivists who want to hone their skills, helping both groups detect an inadequacy of perfusion and make the right choices to achieve the main goal of hemodynamic monitoring in the critically ill, i.e., to correctly assess the cardiovascular system and its response to tissue oxygen demands. The book is divided into distinguished sections: from physiology to pathophysiology; clinical assessment and measurements; and clinical practice achievements including techniques, the basic goals in clinical practice as well as the more appropriate hemodynamic therapy to be applied in different conditions. All chapters use a learning-oriented style, with practical examples, key points and take home messages, helping readers quickly absorb the content and, at the same time, apply what they have learned in the clinical setting. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care.
Critical care medicine. --- Anesthesiology. --- Emergency medicine. --- Intensive / Critical Care Medicine. --- Emergency Medicine. --- Medicine, Emergency --- Medicine --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Anaesthesiology --- Surgery --- Intensive care --- Intensive medicine --- Emergency medicine --- Intensive care units --- Hemodynamic monitoring. --- Monitoring, Hemodynamic --- Patient monitoring
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Hemodynamic monitoring. --- Monitoring, Hemodynamic --- Patient monitoring --- Hemodinàmica --- Monitoratge de pacients --- Monitoratge fisiològic --- Supervisió electrònica dels malalts --- Supervisió electrònica dels pacients --- Diagnòstic --- Medicina intensiva --- Monitoratge fetal --- Circulació sanguínia --- Volèmia --- Batecs cardíacs
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Monitoring of Cerebral and Spinal Haemodynamics During Neurosurgery is a comprehensive description of subdural monitoring of intracranial pressure (ICP) during neurosurgery. It offers thorough analysis of a comprehensive database consisting of measurements of ICP, cerebral perfusion pressure and other relevant physiological data from more than 1,800 patients subjected to intracranial surgery at Aarhus University Hospital. Features of anaesthesia, both inhalation and total intravenous, are discussed, and measures to reduce ICP are described. A majority of the patients had supratentorial tumours, but the database also includes patients with infratentorial tumours and patients with no intracranial space-occupying lesions. A chapter is reserved for discussion of the special features of children with cerebral tumours.
Cerebrospinal fluid pressure. --- Hemodynamic monitoring. --- Nervous system --- Surgery. --- Nerves --- Neurosurgery --- Monitoring, Hemodynamic --- Patient monitoring --- Cerebrospinal fluid --- Body fluids --- Surgery --- Pressure --- Neurosurgery. --- Anesthesiology. --- Critical care medicine. --- Neurology. --- Intensive / Critical Care Medicine. --- Medicine --- Neuropsychiatry --- Intensive care --- Intensive medicine --- Emergency medicine --- Intensive care units --- Anaesthesiology --- Diseases --- Neurology .
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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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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.
Hemodynamic monitoring. --- Hemodynamic monitoring --- Cardiovascular system --- Diagnostic Techniques and Procedures --- Cardiovascular Physiological Processes --- Cardiovascular Physiological Phenomena --- Diagnosis --- Circulatory and Respiratory Physiological Phenomena --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Phenomena and Processes --- Hemodynamics --- Monitoring, Physiologic --- Medicine --- Health & Biological Sciences --- Emergency Medicine --- Cardiovascular Diseases --- Diseases --- Diagnosis. --- Monitoring, Hemodynamic --- Medicine. --- Critical care medicine. --- Cardiology. --- Medicine & Public Health. --- Intensive / Critical Care Medicine. --- Patient monitoring --- Intensive care --- Intensive medicine --- Emergency medicine --- Intensive care units --- Heart --- Internal medicine
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In this newly updated second edition of Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics, William B. White, MD, and a panel of highly distinguished clinicians give a critical review of every aspect of the evaluation of high blood pressure. This includes home and ambulatory blood pressure monitoring, the relationship between whole-day blood pressure and the cardiovascular disease process, and the effects of antihypertensive therapies on these blood pressure parameters. World-class contributors describe the significant advances in our understanding of the circadian pathophysiology of cardiovascular disorders and demonstrate that ambulatory blood pressure values are independent predictors of cardiovascular morbidity and mortality. This book provides a comprehensive up-to-date resource of this dynamic field in hypertension and vascular disease.
Hemodynamic monitoring. --- Blood pressure. --- Circadian rhythms. --- Cardiovascular system --- Hypertension. --- Ambulatory blood pressure monitoring. --- Diseases --- Diagnosis. --- Ambulatory blood pressure measurement --- Ambulatory medical care --- Blood pressure --- Hemodynamic monitoring --- Blood pressure, High --- High blood pressure --- Vascular hypertension --- Blood circulation disorders --- Behavior, Circadian --- Biological clocks, Daily --- Circadian behavior --- Circadian clocks --- Circadian cycles --- Clocks, Circadian --- Cycles, Circadian --- Daily activity cycles --- Daily biological clocks --- Diel cycles --- Diurnal rhythms --- Rhythms, Circadian --- Biological rhythms --- Blood --- Body fluids --- Hemodynamics --- Vital signs --- Vascular resistance --- Monitoring, Hemodynamic --- Patient monitoring --- Measurement --- Pressure --- Cardiology. --- Toxicology. --- Internal medicine. --- Nephrology. --- Pharmacology/Toxicology. --- Internal Medicine. --- Internal medicine --- Kidneys --- Medicine, Internal --- Medicine --- Chemicals --- Pharmacology --- Poisoning --- Poisons --- Heart --- Toxicology --- Pharmacology. --- Drug effects --- Medical pharmacology --- Medical sciences --- Chemotherapy --- Drugs --- Pharmacy --- Physiological effect
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The hemodynamic evaluation of patients with acute circulatory failure and respiratory failure has in the past usually been performed using invasive procedures but in recent years less invasive monitoring devices have been introduced. Hemodynamic evaluation by echocardiography is based on the integration of simple indices that can be easily acquired within a few minutes at the bedside. Echocardiography can be used for both the diagnosis and the management of circulatory and respiratory failure. This book provides all the essential information required by readers in order to perform optimal hemodynamic management of the critically ill based on echocardiographic guidance. After an introductory section on basic principles, hemodynamic assessment using echocardiography is discussed in detail. The diagnosis and management of all types of circulatory and acute respiratory failure by means of echocardiography are then rigorously considered, and specific situations such as thoracic trauma and acute aortic syndrome are examined. The final section is devoted to future issues and applications.
Anesthesiology. --- Critical care medicine. --- Medicine. --- Disease Attributes --- Pathologic Processes --- Cardiovascular Physiological Processes --- Cardiac Imaging Techniques --- Ultrasonography --- Cardiovascular Physiological Phenomena --- Heart Function Tests --- Respiration Disorders --- Respiratory Tract Diseases --- Diagnostic Imaging --- Circulatory and Respiratory Physiological Phenomena --- Diagnostic Techniques, Cardiovascular --- Pathological Conditions, Signs and Symptoms --- Diagnostic Techniques and Procedures --- Diseases --- Phenomena and Processes --- Diagnosis --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Shock --- Hemodynamics --- Echocardiography --- Critical Illness --- Respiratory Insufficiency --- Medicine --- Health & Biological Sciences --- Emergency Medicine --- Cardiovascular Diseases --- Hemodynamic monitoring. --- Echocardiography. --- Echo cardiography --- Heart --- Ultrasonic cardiography --- Ultrasound cardiography --- Monitoring, Hemodynamic --- Ultrasonic imaging --- Medicine & Public Health. --- Intensive / Critical Care Medicine. --- Cardiography --- Diagnostic ultrasonic imaging --- Patient monitoring --- Imaging --- Anaesthesiology --- Surgery --- Intensive care --- Intensive medicine --- Emergency medicine --- Intensive care units
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