Hemodynamic Monitoring in the ICU
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 expl
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Hemodynamic Monitoring in the ICU
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Hemodynamic Monitoring in the ICU
Raphael Giraud • Karim Bendjelid
Hemodynamic Monitoring in the ICU
Raphael Giraud Intensive Care Service Geneva University Hospital Geneva Switzerland
Karim Bendjelid Intensive Care Service Geneva University Hospital Geneva Switzerland
ISBN 978-3-319-29429-2 ISBN 978-3-319-29430-8 DOI 10.1007/978-3-319-29430-8
(eBook)
Library of Congress Control Number: 2016939126 © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland
Preface
The benefit of any hemodynamic monitoring technique is to provide reliable and reproducible information on the cardiocirculatory status of a patient in shock. The collected values will enable the intensivist to understand the hemodynamic conditions of the patient and to make more informed treatment decisions to optimize the hemodynamic status and improve the prognosis of the patient. Hemodynamic monitoring is required to assess systemic and regional tissue perfusion as the correction of circulatory instability and tissue hypoperfusion is essential to prevent the occurrence of multiple organ failure. Resuscitation is characterized by a very close temporal relationship between monitoring, decision-making, and treatment. Indeed, making prompt, appropriate management and diagnostic and therapeutic decisions in cases of hemodynamic instability reduces mortality of critically ill patients [1]. To make treatment decisions, the intensivist has an arsenal of monitoring devices. However, before using a device, it is imperative that the intensivist has sound knowledge of the pathophysiology of shock states to identify the parameters that he/she wants to monitor. Therefore, knowing the different hemodynamic monitoring parameters is important [2]. For instance, it is now established
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