Functional Hemodynamic Monitoring / Edition 1

ISBN-13:	9783540223498
Publisher:	Springer Berlin Heidelberg
Publication date:	11/23/2004
Series:	Update in Intensive Care and Emergency Medicine , #42
Edition description:	2005
Pages:	422
Sales rank:	599,453
Product dimensions:	6.10(w) x 9.25(h) x 0.04(d)

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.