Hemodynamic Monitoring Made Incredibly Visual Ebook 50
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Reviewer: Patricia Gonce Morton, PhD, RN, ACNP-BC, FAAN (University of Utah College of Nursing) Description: This 173-page, soft cover book provides an excellent and concise discussion of hemodynamic monitoring in patients. Authored by 11 expert contributors, this fourth edition contains 10 chapters and a helpful index. The strength of the book is its superb use of colored photos, diagrams, and charts that enhance the step-by-step explanations of how to use technology for gathering hemodynamic data from patients. In addition, cartoon illustrations help maintain readers' interest and serve to emphasize key facts.Purpose: The objectives of the book are to teach readers the purposes of hemodynamic monitoring, the invasive and minimally invasive techniques used to gather hemodynamic monitoring data, the interpretation of the data, and the nursing care of patients undergoing hemodynamic monitoring. The author and contributors do an excellent job of meeting these important objectives.Audience: The book is ideal for nursing students and nurses who are new to critical care. Although the book is targeted to nursing, the information is also valuable for physician assistants who work in critical care units and for physicians who are starting their critical care training.Features: The book opens with a chapter that reviews key pulmonary and cardiac anatomical and physiological concepts fundamental to understanding hemodynamic monitoring. These concepts include diffusion, ventilation, perfusion, preload, afterload, contractility, and systemic vascular resistance. The book contains chapters addressing invasive monitoring of blood pressure, central venous pressure, pulmonary artery pressure, and cardiac output. The next two chapters cover tissue oxygenation monitoring and minimally invasive hemodynamic monitoring. The final chapter focuses on care of patients with circulatory assist devices. Through the use of excellent color illustrations, readers are taught in each chapter the step-by-step process of setting up monitoring systems, how to interpret the data generated by the systems, techniques for troubleshooting the systems, and the associated patient care. A short list of references appears at the end of each chapter. A major strength of the book is that complex information is presented clearly using a simplistic writing style. Special chapter features are employed throughout the book to focus readers' attention on key issues. These features include "On the level," which helps readers learn normal and abnormal pressure readings for a variety of patient conditions; questions and answers at the end of each chapter to help readers test their understanding of important information; memory boards, which are learning aids and memory cues that assist readers in learning vital definitions and processes in hemodynamic monitoring; "Ride the wave," which explains how to interpret waveforms including the ability to distinguish normal from abnormal waveforms; and "Nurse Joy and Jake," which offers expert insights and encouraging advice for readers.Assessment: No other book offers such an excellent visual approach to understanding hemodynamic monitoring in such a clear and concise way. Critical care nursing textbooks may have a chapter or a section of a chapter addressing hemodynamic monitoring, but none do it is as well as this text. The book will be very useful for the intended audience as they care for patients undergoing hemodynamic monitoring. The fourth edition of the book is needed since the technology used for hemodynamic monitoring is constantly being developed and improved.
Studies with observational findings indicate that capnography or end-tidal carbon dioxide monitoring confirms tracheal intubation in 88.5 to 100% of difficult airway patients (Category B3-B evidence).551,552 Case reports also observed intubation confirmation with capnography Category B4-B evidence).354,553 The literature is insufficient to evaluate whether visualization (any technique), flexible bronchoscopy, ultrasonography, or radiography can be effective in confirming appropriate tracheal intubation. 2b1af7f3a8