Emodinamica

Questo testo, che fa parte della collana di volumi realizzata dalla European Society of Intensive Care Medicine, insegna ai lettori come utilizzare il monitoraggio emodinamico, attività che richiede oggi un approfondito bagaglio di conoscenze, irrinunciabile per chi si occupa di Terapia Intensiva. L’opera offre una guida affidabile a vantaggio, sia dei neofiti che degli intensivisti ormai esperti, che vogliano approfondire le loro competenze; rappresenta un aiuto per entrambe queste categorie di colleghi perché consente loro di individuare le situazioni di inadeguata perfusione e li orienta verso le scelte più opportune per ottenere il massimo risultato dal monitoraggio dei pazienti, in condizioni criticamente gravi.Inoltre, insegna loro a valutare, in maniera corretta, il sistema cardiovascolare e la sua risposta alle variazioni del fabbisogno di ossigeno, secondo le richieste dei tessuti.Il testo è suddiviso in diversi capitoli: fisiologia e fisiopatologia; valutazioni e misurazioni di carattere clinico; aspetti di pratica clinica, comprese le varie metodiche attualmente in uso; obiettivifondamentali della gestione clinica e misure terapeutiche di natura emodinamica, da attuare nelle diverse situazioni.Ciascun capitolo utilizza un approccio di carattere didattico, è corredato da esempi pratici, sottolinea chiaramente i punti di maggiore interesse e richiama l’attenzione sui concetti che è opportuno ricordare; in tal modo i lettori vengono agevolati nel memorizzare, rapidamente, i messaggi e al tempo stesso sono in grado di trasferire quanto stanno apprendendo direttamente nella pratica clinica.

Tutti i segreti dell’emodinamica per infermieri – con illustrazioni chiare e termini semplici:• Nuovi contenuti aggiornati su abilità e responsabilità del monitoraggio emodinamico• Centinaia di immagini colorate e dettagliate – foto, diagrammi, tabelle e tanti altri supporti visivi sulle tecniche di monitoraggio, incluse misurazioni e valutazioni• Testi chiari e concisi che spiegano con termini semplici i concetti chiave dell’emodinamica e le più recenti best practice infermieristiche  Un testo pieno di perspicacia, saggezza e ironiaInformazioni esperte e realistiche, utili a studenti, giovani infermieri e infermieri esperti che ritornano a lavorare in area critica:• Un supporto didattico ideale che offre passo dopo passo una guida esperta – mostra le modalità di monitoraggio dei parametri vitali, spiegando le attività e le responsabilità infermieristiche con uno stile semplice da memorizzare• Perfetto per l’apprendimento visuale – decine di immagini che illustrano l’anatomia e le funzioni fisiologiche dell’apparato cardiorespiratorio, le valutazioni della funzionalità e della gittata cardiaca, la gestione dei cateteri e molto altro• Riferimenti rapidi da consultare – sui sistemi di monitoraggio della pressione, l’ossigenazione dei tessuti, i metodi di termodiluizione e altro  Una guida ottimale per l’assistenza diretta, con metodi di monitoraggio efficaci ed efficientiLe sezioni dei capitoli rendono il processo di apprendimento piacevole e di alto livello allo stesso tempo:• Al giusto livello – definisce i valori pressori normali e patologici in base alle diverse condizioni cliniche dei pazienti• Q&A – indovinelli illustrati, schemi, domande e risposte al termine di ogni capitolo che aiuteranno a integrare appieno le tue nuove conoscenze• Ricorda! – una lavagna con utili supporti didattici e trucchetti mnemonici che ti aiuteranno a memorizzare le definizioni e i processi più importanti• Cavalca l’onda – spiegazioni sul significato delle forme d’onda, incluso come riconoscere forme d’onda anormali• Gli infermieri Joy e Jake – approfondimenti esperti e consigli incoraggianti

This book describes how to monitor and optimize cardiovascular dynamics using advanced hemodynamic monitoring in perioperative and intensive care medicine. The book outlines basic skills of hemodynamic monitoring, different techniques including invasive, minimally invasive, and non-invasive methods, and algorithms and treatment strategies for perioperative goal-directed hemodynamic therapy in different groups of surgical patients. Thus, the book reflects current diagnostic and therapeutic approaches in perioperative and intensive care medicine. All sections of this book have a learning-oriented style and are illustrated with tables and figures summarizing the main content. The volume is addressed both to specialists and residents using advanced hemodynamic monitoring; it reflects indications and limitations of current monitoring tools and discuss therapeutic strategies. It also helps readers to integrate new knowledge on monitoring of cardiovascular dynamics into clinical practice.

This book, part of the European Society of Intensive Care Medicine textbook series, teaches readers how to use hemodynamic monitoring, an essential skill for today's intensivists. It offers a valuable guide for beginners, as well as for experienced intensivists who want to hone their skills, helping both groups detect an inadequacy of perfusion and make the right choices to achieve the main goal of hemodynamic monitoring in the critically ill, i.e., to correctly assess the cardiovascular system and its response to tissue oxygen demands. The book is divided into three parts: from physiology to pathophysiology; clinical assessment and measurements; and clinical practice achievements. All chapters use a learning-oriented style, with practical examples, key points and take home messages, helping readers quickly absorb the content and, at the same time, apply what they have learned in the clinical setting. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care.

A highly clinical focus and clear, vibrant illustrations make Textbook of Clinical Hemodynamics, 2nd Edition, by Dr. Michael Ragosta, the resource of choice for accurately analyzing hemodynamic waveforms generated in cardiac catheterization labs. This easy-to-use, disease-oriented reference-ideal for physicians, nurses, and technicians-offers the unparalleled detail and visual support you need for interpreting the findings you encounter in practice. New coverage throughout keeps everyone on the cardiac team up to date with the latest concepts and skills, ensuring more effective monitoring and treatment of patients with cardiac disease. Provides a disease-oriented assessment of waveform data that demonstrates how both qualitative and quantitative interpretation can affect clinical decision making. Expert ConsultT eBook version included with purchase, which allows you to search all of the text, figures, and references from the book on a variety of devices. Features extensive updates throughout, with expanded coverage of aortic valve and mitral valve disorders, including new percutaneous valve treatments (TAVR, mitral clip); comparison of hemodynamic support devices; a new chapter on pulmonary hypertension; and expanded coverage of coronary hemodynamics. More than 100 brand-new, full-color images provide clear visuals for a more complete understanding of complex concepts. Includes a new Easy Reference Appendix with clinically useful formulas and data.

Cardiovascular Hemodynamics for the Clinician, 2nd Edition, provides a useful, succinct and understandable guide to the practical application of hemodynamics in clinical medicine for all trainees and clinicians in the field. * Concise handbook to help both practicing and prospective clinicians better understand and interpret the hemodynamic data used to make specific diagnoses and monitor ongoing therapy * Numerous pressure tracings throughout the book reinforce the text by demonstrating what will be seen in daily practice * Topics include coronary artery disease; cardiomyopathies; valvular heart disease; arrhythmias; hemodynamic support devices and pericardial disease * New chapters on TAVR, ventricular assist devices, and pulmonic valve disease, expanded coverage of pulmonary hypertension, fractional flow reserve, heart failure with preserved ejection fraction and valvular heart disease * Provides a basic overview of circulatory physiology and cardiac function followed by detailed discussion of pathophysiological changes in various disease states

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 explained how measurements of these parameters enable the intensivist to understand the patient's condition and to make more informed treatment decisions in order to optimize the hemodynamic status and improve the prognosis. Full guidance is provided on measurement of intravascular blood pressures, cardiac output, and derived variables. Methods of cardiac output determination based on the classical pulmonary thermodilution, transpulmonary thermodilution, echocardiography, and Doppler techniques are reviewed. Techniques based on calibrated and non-calibrated pulse contour analysis are discussed, with attention to their limitations. Furthermore, the dynamic indices of fluid responsiveness, their clinical applications, and issues related to their use are addressed. Care is also taken to explain the physiological concepts underlying various devices used by anesthesiologists and intensivists.

Heart failure incidence increases with age and because the oldest segment of the population in Western countries is the fastest growing, the prevalence of heart failure is expected to increase. Understanding the signs and symptoms of heart failure is therefore of increasing necessity for physicians. Hemodynamic monitoring provides data on blood flow and pressure to assist physicians in determining the status of the patient's heart and in managing heart failure. This issue provides a detailed picture of the various options for assessing hemodynamics, including clinical assessment, echocardiography, transthoracic impedance cardiography, pulmonary artery catheters, B-type natriuretic peptide levels, and implantable devices.

This unique book provides clinicians and administrators with a comprehensive understanding of perioperative hemodynamic monitoring and goal directed therapy, emphasizing practical guidance for implementation at the bedside. Successful hemodynamic monitoring and goal directed therapy require a wide range of skills. This book will enable readers to: * Detail the rationale for using perioperative hemodynamic monitoring systems and for applying goal directed therapy protocols at the bedside * Understand the physiological concepts underlying perioperative goal directed therapy for hemodynamic management * Evaluate hemodynamic monitoring systems in clinical practice * Learn about new techniques for achieving goal directed therapy * Apply goal directed therapy protocols in the perioperative environment (including emergency departments, operating rooms and intensive care units) * Demonstrate clinical utility of GDT and hemodynamic optimization using case presentations. Illustrated with diagrams and case examples, this is an important resource for anesthesiologists, emergency physicians, intensivists and pneumonologists as well as nurses and administrative officers.