Hemodynamic monitoring : invasive and noninvasive clinical application /
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Author / Creator: | Darovic, Gloria Oblouk. |
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Edition: | 3rd ed. |
Imprint: | Philadelphia : W.B. Saunders Co., c2002. |
Description: | xxii, 676 p. : ill. ; 26 cm. |
Language: | English |
Subject: | Hemodynamic monitoring. Cardiovascular system -- Diseases -- Diagnosis. Hemodynamic Processes. Cardiovascular Diseases -- physiopathology. Monitoring, Physiologic -- methods. Cardiovascular system -- Diseases -- Diagnosis. Hemodynamic monitoring. |
Format: | Print Book |
URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/4663566 |
Table of Contents:
- Unit 1. Anatomy, Physiology, and Assessment Techniques
- 1. Introduction to the Care of Critically III and Injured Patients
- Clinical Limitations of Hemodynamic Measurements
- Other Important Considerations
- 2. Pulmonary Anatomy and Physiology
- Pulmonary Anatomy and Physiology
- Ventilation
- Distribution
- Diffusion
- Perfusion/Transport
- Physical Factors that Affect Distribution of Lung Blood Volume
- Transport
- 3. Physical Assessment of the Pulmonary System
- Overview of Physical Assessment
- Symptoms and Signs of Pulmonary Disease
- Specific Techniques of Physical Assessment
- 4. Cardiovascular Anatomy and Physiology
- Overview of the Cardiovascular System
- Heart
- Factors Affecting Cardiac Output
- Coronary Circulation
- Factors That Determine Coronary Blood Flow
- Circuit (Vascular System)
- 5. Physical Assessment of the Cardiovascular System
- Symptoms and Signs of Cardiovascular Disease
- Specific Techniques of Physical Assessment
- Unit 2. Monitoring Techniques
- 6. Fluid-Filled Monitoring Systems
- Fluid-Filled Monitoring Systems
- Types of Monitoring Systems
- Components of the Fluid-Filled Electronic Monitoring System
- Physical Principles Involved in Pressure Monitoring Systems
- Dynamic Response Testing
- Orientation of the Intravascular Catheter Relative to the Flow of Blood and Catheter Whip Artifact
- Assembly of the Monitoring System
- Patient Position for Zero Referencing and Pressure Monitoring
- Zero Referencing
- Leveling
- Monitor and Transducer Calibration
- Conclusion
- Glossary
- 7. Arterial Pressure Monitoring
- Definition of Arterial Pressure
- Clinical Caveats for All Types of Arterial Pressure Measurements
- Indirect Methods of Measuring Blood Pressure
- Direct Arterial Pressure Measurement
- Comparison of Direct and Indirect Blood Pressure Measurements
- 8. Establishment of Central Venous Access
- Insertion Sites
- Equipment for Cannulation of the Central Veins
- Preinsertion Protocol and Considerations
- Techniques for Gaining Venous Access
- Percutaneous Access Systems and Techniques
- Sites of Central Venous Catheter Insertion
- Immediate Life-Threatening Complications
- Postinsertion Protocol and Site Maintenance
- Central Venous Catheter Removal
- 9. Monitoring Central Venous Pressure
- Clinical Application of Central Venous Pressure Measurements
- Limitations of Central Venous Pressure Monitoring
- Central Venous Pressure Measurements Obtained by a Pressure Transducer Versus a Calibrated Water Manometer
- Central Venous Insertion Sites and Protocol for Catheter Insertion
- Types of Catheters Used for Central Venous Pressure Measurement
- Protocols for Obtaining Central Venous Pressure Measurements Using a Pressure Tranducer/Electronic Monitor
- Complications of Central Venous Pressure Monitoring
- Catheter Removal
- 10. Pulmonary Artery Pressure Monitoring
- Indications for Pulmonary Artery Catheterization
- Contraindications and Special Considerations of Pulmonary Artery Catheterization
- Effects of Pulmonary Artery Catheterization on Patient Outcome
- Catheter Design and Types
- Methods and Sites of Pulmonary Artery Catheter Insertion
- Preparation and Equipment Setup
- Removal of the Pulmonary Artery Catheter
- Clinical Application of the Pulmonary Artery Catheter
- Potential Problems and Pitfalls in Obtaining Accurate Hemodynamic Measurements
- Identification and Solution of Monitoring Problems
- Complications of Pulmonary Artery Catheterization
- 11. Monitoring Cardiac Output
- Factors Affecting Cardiac Output
- Effect of Anatomic Shunting and Regurgitant Flow on Cardiac Output Measurements
- Clinical Application of Cardiac Output Measurements
- Invasive Methods of Calculating Cardiac Output
- Noninvasive Means of Calculating Cardiac Output
- 12. Monitoring Oxygenation
- Physiologic Effects of Hypoxia
- Oxygen Supply, Demand, and Consumption Balance
- Conditions That May Compromise Tissue Oxygenation
- Compensatory Mechanisms
- Monitoring Techniques for Continuously Assessing the Effectiveness of the Oxygen Transport and Utilization Systems
- Clinical Applications and Considerations of Combined Arterial and Mixed Venous Oxygen Saturation Monitoring
- Conditions Associated with Increases In Svo[subscript 2]
- Summary
- Unit 3. Care of Critically Ill and Injured Patients
- 13. Infusion-Related Sepsis
- Incidence
- Standardized Microbiologic Definitions of Intravascular Device-Related Infections
- Clinical Syndromes of Infusion-Related Infection
- Pathogenesis of Infusion-Related Sepsis
- Diagnosis of Infusion-Related Sepsis
- Microorganisms Associated with Infusion-Related Sepsis
- Risk Factors for Infusion-Related Sepsis
- Septic Risk Specific to Types of Vascular Catheters
- Treatment
- Prevention and Management
- 14. Pharmacologic Influences on Hemodynamic Parameters
- Role of Hemodynamic Monitoring in Intensive Care Unit Drug Therapy
- Factors That Determine Drug Absorption, Distribution, Metabolism, and Excretion
- Mechanisms of Action of Cardiovascular Medications
- Pharmacologic Modification of Autonomic Nervous System Influences on the Cardiovascular System
- Antiarrhythmic Drug Therapy
- Intravenous Medications Commonly Used for Hemodynamic Support of Critically Ill or Injured Patients
- Discussion
- 15. Intraaortic Balloon Counterpulsation
- Definition
- Principles Underlying Balloon Counterpulsations
- Technique of Catheter Placement
- Effects of the Intraaortic Balloon Pump on the Arterial Waveform
- Triggers for Balloon Inflation and Deflation
- Timing of Inflation/Deflation Cycles
- Physical Assessment Considerations for Patients Being Maintained on the Intraaortic Balloon Pump
- Balloon Pressure Waveform
- Causes of Abnormal Balloon Pressure Waveform Morphology
- Types and Causes of Abnormal Balloon Pressure Waveforms
- Complications and Risk Factors
- Conclusion
- 16. Monitoring the Patient in Shock
- Pathophysiology
- Stages of Shock
- Diagnosis of Shock
- General Principles of Therapy
- Classification of Shock by Cause
- Other Categories of Shock
- 17. Monitoring the Patient with Multiple-System Organ Dysfunction
- Historical Perspective
- Definition
- Epidemiology
- Diagnostic Criteria for Organ System Dysfunction and Failure
- Pathophysiology
- Hemodynamic Profile
- Clinical Presentation and Course
- Laboratory Examination
- Management
- Prognosis
- 18. Monitoring Patients with Acute Pulmonary Disease
- Acute Respiratory Failure
- Causes of Acute Respiratory Failure
- Summary
- 19. Pediatric Evaluation and Monitoring Considerations
- Cardiopulmonary Physiology and Maturation in Cardiovascular Function
- Clinically Relevant Differences Between Children and Adults
- Clinical Assessment of Hemodynamic Competency in Pediatric Patients
- Congenital Heart Disease
- Fluid-Filled Monitoring Systems
- Monitoring System Setup to Ensure Accurate Display of Hemodynamic Measurements
- Application of Hemodynamic Monitoring Systems in Assessment of Pediatric Patients
- Noninvasive and Invasive Techniques of Blood Pressure Measurement
- Conclusions
- 20. Specific Monitoring Considerations for Patients with Cardiac Disease
- Factors Affecting Cardiac Function and Stroke Colume
- Heart Failure
- Conclusion
- 21. Ischemic Heart Disease
- Epidemiology and Causes
- Pathophysiology
- Angina Pectoris
- Acute Myocardial Infarction
- 22. Valvular Heart Disease
- Aortic Stenosis
- Aortic Regurgitation (Insufficiency)
- Mitral Stenosis
- Mitral Regurgitation (Insufficiency)
- Tricuspid Regurgitation (Insufficiency)
- Complex Valvular Heart Disease
- 23. Cardiomyopathies and Pericardial Disease
- Cardiomyopathies
- Constrictive Pericardial Disease (Constrictive Pericarditis)
- Pericardial Tamponade (Cardiac Tamponade)
- 24. Monitoring the Patient Following Open Heart Surgery
- Historical Perspective
- Preoperative Evaluation
- Preoperative Preparation of the Patient and Family
- Postoperative Management
- Index