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.
Preface; Foreword Emanuel P. Rivers; Part I. Surgery and Critical Care: Epidemiology and Public Health Approach: 1. Patient outcome following major surgery Elisa Kam and Rupert Pearse; 2. Statistical methods in hemodynamic research Yannick Le Manach and Gary Colins; 3. New trends in perioperative medicine Gautam Kumar, David Walker and Michael Mythen; 4. The surgical home: a paradigm shift toward perioperative practice Shermeen B. Vakharia, Zeev N. Kain and Leslie M. Garson; Part II. Cardiovascular Physiology Applied to the Perioperative and Critical Care Settings: 5. Overview of the circulation Michael R. Pinsky; 6. Cardiac function and myocardial perfusion Jason H. Chua, Rudolph Nguyen and Aman Mahajan; 7. Blood pressure regulation Sheldon Magder; 8. Microcirculation and mitochondrial dysfunction Daniel De Backer and Diego Orbegozo Cortes; 9. Hemoglobin function and patient blood management Aryeh Shander, Faraz Syed and Mazyar Javidroozi; 10. A rational approach to fluid and volume management Daniel Chappell and Matthias Jacob; 11. Vasopressors and inotropes Robert H. Thiele and James M. Isbell; 12. Cardiovascular physiology applied to critical care and anesthesia Nils Siegenthaler and Karim Bendjelid; Part III. Hemodynamic Monitoring in the Perioperative Environment: 13. Integrative approach for hemodynamic monitoring Christoph K. Hofer, Steffen Rex and Michael T. Ganter; 14. Evaluation of a cardiac output monitor Lester Augustus Hall Critchley; 15. Invasive hemodynamic monitoring systems Paul E. Marik; 16. Semi-invasive and non-invasive hemodynamic monitoring systems Cédric Carrié, Mathieu Série and Matthieu Biais; 17. Mean systemic pressure monitoring Michael R. Pinsky; 18. Fluid responsiveness assessment Xavier Monnet and Jean-Louis Teboul; 19. Non-invasive and continuous arterial pressure monitoring Berthold Bein and Christoph Ilies; 20. Monitoring the microcirculation Daniel De Backer and Katia Donadello; 21. ScvO2 monitoring Alice Carter and Rupert Pearse; Part IV. Goal Directed Hemodynamic Optimization: 22. Goal directed therapy in the intensive care and emergency settings: what is the evidence? Joseph Meltzer; 23. Goal directed therapy in the perioperative setting: what is the evidence? Eric Edison and Andrew Rhodes; 24. Endpoints of goal directed therapy in the OR and in the ICU Nathan H. Waldron, Timothy E. Miller and Tong J. Gan; 25. What is a fluid challenge and how to perform it? Maurizio Cecconi; 26. The relationship between anesthesia, hemodynamics and outcome Tom Abbott and Gareth L. Ackland; 27. Goal directed fluid and hemodynamic therapy in cardiac surgical patients Byron D. Feregerson and Gerard R. Manecke, Jr; 28. Goal directed therapy and hemodynamic optimization in the critical care setting: practical applications and benefits Trung Vu, Davinder Ramsingh, William Wilson and Maxime Cannesson; 29. Goal directed therapy at the bedside: the nurse perspective Elizabeth J. Bridges and Debra R. Metter; 30. A nurse anesthetist perspective: does perioperative goal directed fluid management yield better patient outcomes compared to the traditional method? Ann B. Singleton; 31. How to implement GDT in an institution and at the national level Timothy E. Miller and Michael Mythen; 32. Decision support and closed-loop systems for hemodynamic optimization and fluid management Joseph Rinehart; Index.