Hemodynamic monitoring : invasive and noninvasive clinical application /

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Bibliographic Details
Author / Creator:Darovic, Gloria Oblouk.
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
Hidden Bibliographic Details
ISBN:0721692931 (softcover)
Notes:Includes bibliographical references and index.
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