A concise yet complete overview of the treatment of cardiovascular instability in the critically ill patient. The authors consider all aspects, ranging from basic physiology and pathophysiology to diagnostic tools and established and novel forms of therapy. The whole is rounded off with an integration of these principles into a series of clinically relevant scenarios.

Inhalt

Basic Cardiovascular Physiology.- Left Ventricular Pump Function.- Left Ventricular Afterload and Ventriculo-Arterial Coupling.- The Cardiovascular Management of the Critically ill Patient.- Right Ventricular Function.- Pharmacologic Support of Critically ill Patients.- Heart-Lung Interactions.- Physiology of Tissue Oxygen Delivery.- Splanchnic Blood Flow.- Tissue Oxygenation.- Clinical Applications.- Rationale for Hemodynamic Monitoring.- Invasive Hemodynamic Monitoring.- Analog Values From Invasive Hemodynamic Monitoring.- Non-Invasive Hemodynamic and Metabolic Monitoring.- Non-Invasive Estimation of the Effective Pulmonary Blood Flow and Gas Exchange From Respiratory Analysis.- Hemodynamic Assessment of the Critically ill Patient Using Transesophageal Echocardiography.- Goals of Resuscitation.- Physiology of VO2/DO2.- Pathophysiology of VO2/DO2 in Sepsis.- Metabolic Targets in Acute Resuscitation.- Cardiovascular Support by Hemodynamic Subsets.- Hemorrhagic Shock: From Physiology to Molecular Biology.- Cardiogenic Shock.- Cardiovascular Support by Hemodynamic Subset: Sepsis.- Extracorporeal Support.