Document Detail


Right ventricular volumetric monitoring.
MedLine Citation:
PMID:  8452735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The goal of invasive hemodynamic monitoring is to evaluate the components of oxygen delivery and consumption. Parameters obtained from the physiologic profile are used to assess and optimize oxygen delivery to meet the tissue needs of the critically ill patient. Oxygen delivery is defined as cardiac output multiplied by the arterial oxygen content. Research has demonstrated that adequate increases in oxygen delivery improve survival. The primary intervention for optimizing oxygen delivery is appropriate fluid resuscitation. Classic endpoints of adequate fluid resuscitation have been pressure-based parameters, which possess many inherent assumptions. Current clinical issues are directed toward assessment of the patient's status in relation to the oxygen supply-and-demand balance. Identification of therapeutic interventions to achieve the goal of increasing oxygen delivery are paramount. Evaluation of the role of the right ventricle (RV) in biventricular performance and incorporation of volumetric measurements to assess the critically ill patient are presented.
Authors:
J M Headley; M L Diethorn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AACN clinical issues in critical care nursing     Volume:  4     ISSN:  1046-7467     ISO Abbreviation:  AACN Clin Issues Crit Care Nurs     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-04-21     Completed Date:  1993-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9009969     Medline TA:  AACN Clin Issues Crit Care Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  120-33     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Critical Care
Humans
Male
Monitoring, Physiologic / instrumentation,  methods*,  nursing
Nursing Process
Stroke Volume*
Thermodilution
Ventricular Function, Right*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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