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Physiologic Monitoring
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Author(s): James Osorio (New York Presbyterian Hospital, USA & Weill Cornell Medical College, USA)and Christopher Tam (New York Presbyterian Hospital, USA & Weill Cornell Medical College, USA)
Copyright: 2015
Pages: 29
Source title:
Modern Concepts and Practices in Cardiothoracic Critical Care
Source Author(s)/Editor(s): Adam S. Evans (Icahn School of Medicine at Mount Sinai, USA), Gregory E. Kerr (Weill Cornell Medical College, USA), Insung Chung (Icahn School of Medicine at Mount Sinai, USA)and Robin Varghese (Icahn School of Medicine at Mount Sinai, USA)
DOI: 10.4018/978-1-4666-8603-8.ch030
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Abstract
This chapter will provide a review of modern concepts of cardiovascular monitoring with emphasis on essential hemodynamic variables in the early post cardiac surgery patient. When defining circulatory function, importance of the entire circulatory system is underscored. This includes the function and interaction of the heart, blood vessels and circulatory blood volume to deliver sufficient amount of oxygenated blood to tissue beds. In post cardiac surgery patients, the pulmonary artery catheter remains the most widely used technology to assess cardiac function. This chapter highlights the importance of validation of less invasive and noninvasive hemodynamic monitors for the management of critically ill patients and early post cardiac surgery patients. In addition, this chapter describes the evolution of monitoring of post cardiac surgery and critically ill patients, examines different monitoring technologies and address controversial questions in modern practice as well as future directions.
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