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Cardiovascular Monitoring in Postoperative Care of Adult Cardiac Surgical Patients

  • Ali Dabbagh
Chapter

Abstract

One of the fundamental functions in each intensive care unit is monitoring, while we can consider respiratory monitoring, cardiovascular monitoring, and cerebral monitoring as the main three monitoring functions of ICU. Though, in the current world of increasing health technology, the sophisticated bedside examinations of the clinicians could not be replaced by any of these technologic improvements. On the other hand, continuous hemodynamic assessments after cardiac operations are the cornerstone of postoperative cardiac surgeries. The main cardiovascular monitoring methods involve—but are not confined to—the following pages, though more detailed explanations could be found in details in related texts. Noninvasive and invasive blood pressure, central venous and pulmonary artery pressure, cardiac output monitoring modalities, and the normal range for measured hemodynamic variables are among the main topics that the reader could be familiar with after reading this chapter.

Keywords

Noninvasive Blood pressure Monitoring Automated blood pressure measurement Riva-Rocci Korotkoff Mean arterial pressure Compartment syndrome Invasive blood pressure monitoring Radial artery Complications Femoral artery Axillary artery Brachial artery Dorsalis pedis artery Posterior tibialis Superficial temporal artery Zeroing Calibration Central venous pressure Central venous pressure curves Sedillot’s triangle Ultrasound-guided CVC insertion Complications of central venous catheter Pulmonary artery pressure monitoring Pulmonary artery catheter Swan-Ganz Complications of pulmonary artery catheter Cardiac output monitoring Fick principle Transpulmonary lithium indicator dilution Partial carbon dioxide (CO2) rebreathing Esophageal Doppler Pulse contour analysis Bioimpedance and bioreactance Ultrasonic cardiac output monitor Other noninvasive systems Transpulmonary lithium indicator dilution Partial carbon dioxide (CO2) rebreathing FloTrac/Vigileo LiDCO® system PiCCO® system PRAM Bioimpedance and Bioreactance® USCOM ClearSight system Normal values for hemodynamic parameters 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Faculty of Medicine, Cardiac Anesthesiology Department, Anesthesiology Research CenterShahid Beheshti University of Medical SciencesTehranIran
  2. 2.Cardiac Anesthesiology Fellowship ProgramShahid Beheshti University of Medical SciencesTehranIran

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