Download Les techniques de monitorage hémodynamique en réanimation by J-L Vincent PDF

By J-L Vincent

Cet ouvrage a pour objectif de mieux faire comprendre l’int?r?t et les limites des param?tres h?modynamiques accessibles par les recommendations actuelles de monitorage h?modynamique. Il vise ainsi ? ce que l’utilisation de ces options soit parfaitement ma?tris?e par les r?animateurs et anesth?sistes-r?animateurs afin que l. a. prise en cost des sufferers soit in high quality optimale.

Show description

Read Online or Download Les techniques de monitorage hémodynamique en réanimation PDF

Similar critical care books

High-Dependency Nursing Care: Observation, Intervention and Support

Written by means of a staff of nurses skilled in supplying, assisting and constructing excessive dependency care, this e-book discusses sensible concerns and explores the present proof base for scientific perform. It covers all vital abilities wanted and top perform for taking care of excessive dependency sufferers or venture put up registration classes to arrange them for top dependency nursing.

The Daschner Guide to In-Hospital Antibiotic Therapy

It suits in each jacket pocket and offers a short reference advisor for all clinically energetic physicians in hospitals or doctor’s practices. With the approximately unmanageable variety of antibiotics an updated, simple presentation is vital. In transparent tables – taken care of by means of components, pathogens and symptoms – spectra and proposals for dosages might be simply seemed up.

Critical Care Nephrology

As a result of the raise in severe kidney ailments, together with end-stage renal affliction, your position as a nephrologist, intensivist, health practitioner, or serious care health care provider is readily increasing. good obtained in its 1st version, this second version maintains to supply complete assurance of the newest advances in serious care systems for the grownup or pediatric sufferer with renal ailments or problems.

Principles of Critical Care in Obstetrics

Severe care in obstetrics is an upcoming area of expertise within the constructing nations. This book is first of its style as there are only a few books written in this topic with the South East Asian standpoint. The publication discusses numerous points of serious care in obstetrics ranging from the elemental ideas, body structure, ethics, tracking and association of a serious care unit.

Extra info for Les techniques de monitorage hémodynamique en réanimation

Sample text

Cm-5 Résistances vasculaires pulmonaires, dynes. sec. m2 Indices d’oxygénation tissulaire : DO2, mL/min/m2 VO2, mL/min/m2 EO2, % EO2, % (formule simplifiée) Calcul du shunt intrapulmonaire : Qs/Qt, % PA systolique + 2 PA diastolique 3 PAP systolique + 2 PAP diastolique 3 DC/SC DC x 1000/FC DC x 10000/FC x SC (PAM - POD) x 79,9/DC (PAPM - PAPO) x 79,9/DC 13,6 (PAM - PAPO) x IC/FC 13,6 (PAPM - POD) x IC/FC CaO2 x IC x 10 (CaO2 - CvO2 ) x IC x 10 (CaO2 - CvO2)/ CaO2 (SaO2 - SvO2)/SaO2 CcO2 - CaO2 CcO2- CvO2 Calculs intermédiaires : Contenu artériel en oxygène, mL % (Hb x 1,39 x SaO2) + (0,0031 PaO2) Contenu veineux en oxygène, mL% (Hb x 1,39 x SvO2) + (0,0031 PvO2) Contenu capillaire en oxygène, mL % Pression alvéolaire en oxygène, mmHg (Hb x 1,39) + (0,0031 x PAO2) (Patm – 47) FiO2 – (1,25 PaCO2) PA : pression artérielle, PAP : pression artérielle pulmonaire, DC : débit cardiaque, SC : surface corporelle, FC : fréquence cardiaque, POD : pression de l’oreillette droite, PAPO : pression artérielle pulmonaire occluse, IC : index cardiaque, DO2 : transport en oxygène, VO2 : consommation d’oxygène, DO2 : extraction d’oxygène, Qs/Qt : shunt intrapulmonaire, CaO2 : contenu artériel en oxygène, CvO2 : contenu veineux en oxygène, CcO2 : contenu capillaire en oxygène, PAO2 : pression alvéolaire en oxygène.

Bourgoin A, Leone M, Delmas A et al. (2005) Increasing mean arterial pressure in patients with septic shock: effects on oxygen variables and renal function. Crit Care Med 33: 780-6 31. T, Breslow MJ, Lipsett PA et al. (1998) Radial artery pressure monitoring underestimates central arterial pressure during vasopressor therapy in critically ill surgical patients. Crit Care Med 26: 1646-9 32. Arnal D, Garutti I, Perez-Pena J et al. (2005) Radial to femoral arterial blood pressure difference during liver transplantation.

Identification des patients en œdème pulmonaire Devant un tableau de détresse respiratoire aiguë de diagnostic difficile, la connaissance de l’eau pulmonaire extravasculaire peut être utile pour identifier les patients en œdème pulmonaire (22). Le problème se pose assez peu chez le patient se présentant aux urgences car les données cliniques et biologiques (BNP) aident bien volontiers à établir un diagnostic (23). Bien différente est la survenue d’une détresse respiratoire chez le patient de réanimation, éventuellement déjà intubé et ventilé, car la sémiologie clinique, radiologique et biologique peut être trompeuse.

Download PDF sample

Rated 4.61 of 5 – based on 42 votes
 

Author: admin