This book offers a comprehensive overview of the basic physiology of the cardiac and pulmonary systems, tools for cardiopulmonary monitoring, and related issues in the management of specific conditions. The volume is divided into three main parts. The first part examines the functional basis of normal and abnormal physiology, organized into cardiac and pulmonary units and followed by a combined interactive component. The next section discusses cardiopulmonary monitoring tools and variables and is also divided into cardiac (e.g, echocardiography, heart rate, cardiac output), pulmonary (e.g, lung volume, pleural pressure, electrical impedance tomography), and combined tools such as radiology/MRI and tissue perfusion tests. The third section concerns the management and application of specific clinical problems such as pulmonary hypertension, cardiac shunts, cardiogenic shock, and ECMO with an emphasis on the physiological basics.
Cardiopulmonary Monitoring: Basic Physiology, Tools, and Bedside Management for the Critically Ill is an essential resource for physicians, residents, fellows, medical students, and researchers in cardiology, critical care, emergency medicine, anesthesiology, and radiology.
Chapter
1. Introduction.- Part 1: Physiological Basics.- Section
1.1: Cardiovascular Basics.
Chapter 2. Volume and the Regulation of Cardiac
Output.
Chapter
3. Function of the Right Heart.
Chapter
4. Function of the
Left Heart.
Chapter 5. Pulmonary Vascular Resistance.
Chapter 6. Fluid
Filtration in the Microcirculation.
Chapter 7. Physiology of Heart Rate.-
Chapter 8. Physiological Aspects of Arterial Blood Pressure.
Chapter
9. Pulsatile Hemodynamics and Arterial Impedance.
Chapter 10. Basics of
Fluid Physiology.
Chapter 11. Cerebral Hemodynamics.- Section 1.2: Pulmonary
Basics.
Chapter 12. Stress, Strain and the Inflation of the Lung.
Chapter
13. Physiology of PEEP and Auto-PEEP.
Chapter 14. Basics of
Ventilation/Perfusion Abnormalities in Critically Ill Ventilated Patients.-
Chapter 15. Control of Breathing.
Chapter 16. Respiratory Muscle Blood Flow
and Heart-Lung Interactions.
Chapter 17. Surfactant Activity and the
Pressure Volume Curve of the Respiratory System.- Section 1.3: Interactions.-
Chapter
18. Heart Lung Interactions.- Part 2: The Tools.- Section 2.1:
Cardiovascular.
Chapter 19. Blood Pressure Measurements.
Chapter
20. Measurement of Cardiac Output.
Chapter
21. Evaluations of Devices
for Measurement of Cardiac Output.
Chapter 22. Basics of Hemodynamic
Measurements.
Chapter 23. Cerebral Hemodynamic Monitoring Techniques.-
Chapter 24. Transthoracic Echocardiography for Monitoring Cardiopulmonary
Interactions.
Chapter 25. Transesophageal Echocardiography for Monitoring
Cardiopulmonary Interactions.
Chapter 26. Extra-Cardiac Doppler Hemodynamic
Assessment Using Point-of-Care Ultrasound.
Chapter 27. Measurements of Fluid
Requirements with Cardiovascular Challenges.
Chapter 28. CO2-Derived Indices
to Guide Resuscitation in Critically Ill Patients.
Chapter
29. Microcirculatory Monitoring to Assess Cardio-Pulmonary Status.
Chapter
30. Clinical Assessment and Monitoring of Peripheral Circulation During Shock
and Resuscitation.
Chapter 31. Optimizing Oxygen Delivery in Clinical
Practice.- Section 2.2: Respiratory.
Chapter 32. Measuring Volume, Flow and
Pressure in the Clinical Setting.
Chapter
33. Management of Pleural
Pressure.
Chapter 34. Ultrasound Assessment of the Lung.
Chapter
35. Diaphragm Ultrasound: Physiology and Applications.
Chapter
36. Monitoring Respiratory Muscle Function.
Chapter 37. Basics of Electrical
Impedance Tomography and its Application.
Chapter 38. Clinical Monitoring by
Volumetric Capnography.
Chapter 39. MRI in the Assessment of Cardiopulmonary
Interaction.- Section 2.3: Interaction.
Chapter 40. Respiratory Function of
Hemoglobin: From Origin to Human Physiology and Pathophysiology.
Chapter
41. Acid Base and Hydrogen Ion.- Part 3: Applications.
Chapter 42. Use of
Maintenance and Resuscitation Fluids.
Chapter 43. Identifying and Applying
Best PEEP in Ventilated Critically Ill Patients.
Chapter 44. Cardiopulmonary
Monitoring in the Prone Patient.
Chapter 45. Cardiopulmonary Interactions in
the Management of Acute Obstructive Disease.
Chapter 46. Evaluation and
Management of Ventilator-Patient Dyssynchrony.
Chapter 47. Cardiopulmonary
Monitoring in the Patient with an Inflamed Lung.
Chapter 48. Ventilation
during Veno-Venous Extracorporeal Membrane Oxygenation.
Chapter
49. Vasopressor Support of Patients with Cardio-Pulmonary Failure.
Chapter
50. Cardiogenic Shock Part 1: Epidemiology, Classification, Clinical
Presentation, Physiological Process and Non-Mechanical Treatments.
Chapter
51. Cardiogenic Shock Part 2: Mechanical Devices for Cardiogenic Shock.-
Chapter 52. Pathophysiology of Sepsis and Heart Lung Interactions: Part 1:
Presentation and Mechanisms.
Chapter 53. Pathophysiology of Sepsis and
Heart-Lung Interactions: Part 2,Treatment.
Chapter 54. Cardiopulmonary
Monitoring of Pulmonary Hypertension and Right Ventricular Failure.
Chapter
55. Monitoring and Management of Acute Pulmonary Embolism.
Chapter
56. Clinical Neurologic Issues in Cerebrovascular Monitoring.
Chapter
57. Delirium in the Critically Ill Patient.
Chapter 58. Obesity in
Critically Ill Patients.- Section 4: Epilogue.
Chapter
59. The Future.
Sheldon Magder, MDProfessor of Medicine and PhysiologyRoyal Victoria Hospital (McGill University Health Centre)Department of Critical CareMontreal, Quebec, Canada Atul Malhotra, MDPeter C Farrell Presidential Chair and Tenured Professor of Respiratory MedicineUniversity of California San DiegoDepartment of MedicineLa Jolla, CA, USA Charles Corey Hardin, MD, PhDAssistant ProfessorMassachusetts General HospitalDivision of Pulmonary and Critical Care MedicineBoston, MA, USA Kathryn A. Hibbert, MDDirector, Medical ICUMassachusetts General HospitalDivision of Pulmonary and Critical CareBoston, MA, USA
