Page 309 - Clinical Application of Mechanical Ventilation

Hemodynamic Monitoring 275

Pulse Contour Analysis Thermodilution Method and ICG
Noninvasive Hemodynamic Accuracy of ICG
Monitoring Clinical Application
Transesophageal Echocardiography Summary
#
Carbon Dioxide Elimination (VCO ) Self-Assessment Questions
2
Impedance Cardiography Answers to Self-Assessment Questions
Theory of Operation References

Key Terms

afterload # mean arterial pressure
carbon dioxide elimination (VCO ) preload
2
cardiac index pulmonary vascular resistance (PVR)
cardiac output pulse contour analysis
central venous pressure stroke volume
contractility systemic vascular resistance
hemodynamic monitoring transesophageal echocardiography
impedance cardiography (ICG) venous return

Learning Objectives

After studying this chapter and completing the review questions, the learner
should be able to:

Identify or calculate from an arterial waveform the systolic pressure, dia-
stolic pressure, mean arterial pressure, dicrotic notch, and pulse pressure.
Describe the proper placement, waveform, and normal values obtained
from a central venous catheter.
Outline the clinical application of central venous pressure measurements.
Describe the proper placement, waveform, and normal values obtained
from a pulmonary artery catheter.
Outline the clinical application of pulmonary artery pressure and pulmo-
nary capillary wedge pressure.
Calculate and describe the clinical application of: stroke volume and
index, oxygen consumption and index, pulmonary vascular resistance, and
systemic vascular resistance.
Describe the theory of operation and clinical application of pulse contour
analysis, transesophageal echocardiography, carbon dioxide elimination,
and impedance cardiography.

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