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Monitoring Arterial Blood Pressure and Cardiac Output using Central or Peripheral Arterial Pressure Waveforms

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Book cover Yearbook of Intensive Care and Emergency Medicine

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2009))

Abstract

Arterial blood pressure and cardiac output are the two most important and frequently measured hemodynamic parameters in critically ill patients as they provide indirect information on global tissue perfusion and oxygen delivery, and can guide fluid management and vasoactive drug use [1, 2]. Inaccurate measurement of these parameters, both in the intensive care unit (ICU) and the operating room (OR), can lead to misdiagnosis and inappropriate treatment, potentially impacting on patient morbidity and mortality. In the ICU, arterial blood pressure is commonly measured invasively via a peripheral artery (e.g., radial) or less frequently via a central artery (e.g., femoral). However, because the arterial blood pressure is not constant throughout the arterial tree — as a consequence of changes in hydrostatic pressure, arterial stiffness, and pressure wave reflection that are dependent on individual characteristics (e.g., age, height, gender), disease state (e.g., sepsis), and the administration of vasoactive drugs — the site of arterial blood pressure measurement may not faithfully reflect organ perfusion pressure.

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Authors and Affiliations

  1. Department of Adult Critical Care, Guy’s and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, 1st Floor East Wing Westminster Bridge Road, London, SE1 7EH, UK

    J. Smith, L. Camporota & R. Beale

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  1. J. Smith
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  2. L. Camporota
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  3. R. Beale
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Editors and Affiliations

  1. Department of Intensive Care Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Head) (Head)

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Smith, J., Camporota, L., Beale, R. (2009). Monitoring Arterial Blood Pressure and Cardiac Output using Central or Peripheral Arterial Pressure Waveforms. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2009. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-92276-6_27

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  • DOI: https://doi.org/10.1007/978-3-540-92276-6_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-92275-9

  • Online ISBN: 978-3-540-92276-6

  • eBook Packages: MedicineMedicine (R0)

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