hemodynamic monitoring principles to practice

hemodynamic monitoring : principles to practice M. L. Cheatham, MD, FACS, FCCM. SUMMARY. Fluid- Fluid-filled catheters are commonly utilized in the ICU to measure a variety of physiologic parameters Systemic blood pressures Pulmonary blood pressures Intra Intra--abdominal pressure hemodynamic monitoring : monitoring . Intracranial pressure FROM principles TO practice . To appropriately assess and utilize the data provided by such monitoring devices, certain basic Michael L. Cheatham, MD, FACS, FCCM concepts must be understood Director, Surgical Intensive Care Units Orlando Regional Medical Center Orlando, Florida INTRODUCTION INTRODUCTION. Invasive pressure monitoring in the critically ill To improve patient outcome, accurate measurement provides valuable information of physiologic variables requires: Most accurate method for determining blood Constant vigilance to ensure accuracy pressure Thorough understanding of monitoring Allows continuous p physiologic y g monitoring g principles p p and pitfalls p Identifies physiologic abnormalities Appropriate application of information gained Can be used to guide appropriate resuscitative therapies WARNING: Physics lies up ahead!

Hemodynamic Monitoring: Principles to Pr actice – M. L. Cheatham, MD, FACS, FCCM Revised 01/13/2009 2 MEASURING PRESSURE VARIABLES • The hydraulic system is much more subject to

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