Functional Hemodynamic Monitoring: Applied Physiology at the Bedside

  • M. R. Pinsky


The goal of cardiovascular therapy is to create a physiological condition wherein blood flow and oxygen delivery to the tissues is adequate to meet the metabolic demands of the tissues without inducing untoward cardiorespiratory complications. Cardiovascular insufficiency is often referred to as circulatory shock and is often the primary manifestation of critical illness. In most clinical conditions associated with circulatory shock, the primary concerns and therapeutic options relate to three functional performance-based questions:
  • Will blood flow to the body increase (or decrease) if the patient’s intravascular volume is increased (or decreased), and if so, by how much?

  • Is any decreased in arterial pressure due to loss of vascular tone or merely due to inadequate blood flow?

  • Is the heart capable of maintaining an effective blood flow with an acceptable perfusion pressure without going into failure?


Stroke Volume Mean Arterial Pressure Right Ventricle Pulse Pressure Variation Stroke Work 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media New York 2002

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  • M. R. Pinsky

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