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Titlebook: Hemodynamic Monitoring; Michael R. Pinsky,Jean-Louis Teboul,Jean-Louis Vin Textbook 2019 European Society of Intensive Care Medicine 2019

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发表于 2025-3-28 14:45:36 | 显示全部楼层
Hemodynamics and Extracorporeal Circulationological blood flow direction, responsible for less increase in cardiac afterload, and better left ventricular unloading. Restoring a normal pulsatility under ECMO remains debated, both for its effects on systemic vascular resistances and on microcirculation.
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Clinical Assessment of Hemodynamic Instabilityugh the window of the brain, the skin, and the kidney, we can rapidly identify patients at a high risk of increased morbidity and mortality and thus can be used as a powerful warning signal. Clinical studies have shown that using these windows of circulatory failure may improve treatment and lead to improved outcome.
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SvO2/ScvO2ient, and a simple blood gas measurement can reveal important physiological processes, which cannot be detected otherwise. In the coming chapter, we are going to discuss the rationale and clinical implication of the venous oxygen saturation.
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xploiting the region-based image model. Analysis of the region hierarchy provides the final caption text objects. The final step of . is performed by a binarization algorithm that robustly estimates the thresholds on the caption text area of support.
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Assessing the Adequacy of Cardiac Output. If cardiac output is determined to be inadequate, treatment should be aimed at correcting one or more of its four determinants–heart rate, contractility, preload and afterload–depending on the specific underlying causes and patient status.
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Autonomic Dysfunction in Shockimental changes in shock. We will also highlight how autonomic regulation of cardiovascular and extra-cardiovascular physiology contributes to circulatory shock and define autonomic dysfunction practically in a clinical context.
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Lactateepatic lactate clearance. A multimodal perfusion assessment might aid in suggesting a hypoperfusion context in patients with persistent hyperlactatemia to focus resuscitation in these cases and avoid the risk of over-resuscitation when other non-perfusion-related causes are likely involved.
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Mitochondrial Functionitive and non-specific, e.g. hypotension, oliguria and hyperlactaemia. Techniques assessing tissue oxygenation and cell happiness (mitochondrial redox state) are evolving into bedside tools that promise to give an earlier, more sensitive assessment of the adequacy of organ perfusion that can be potentially used as treatment endpoints.
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