Stroke Volume Optimization: The New Hemodynamic Algorithm.

Critical care practices have evolved to rely more on physical assessments for monitoring cardiac output and evaluating fluid volume status because these assessments are less invasive and more convenient to use than is a pulmonary artery catheter. Despite this trend, level of consciousness, central v...

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Publicado en:Critical Care Nurse Vol. 35; no. 1; pp. 11 - 29
Autores principales: Johnson, Alexander, Ahrens, Thomas
Formato: algorithm case study CEU exam questions pictorial review tables/charts tracings Journal Article
Publicado: American Association of Critical-Care Nurses Feb2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        atl: Stroke Volume Optimization: The New Hemodynamic Algorithm.
      aug:
        au:
          Johnson, Alexander
          Ahrens, Thomas
        affil: Clinical Nurse Specialist, Central DuPage Hospital, Cadence Health System-Northwestern Medicine, Winfield, Illinois.
      sug:
        subj:
          Stroke Volume Evaluation
          Monitoring, Direct Pressure
          Afterload Evaluation
          Preload Evaluation
          Vascular Resistance Evaluation
          Hemodynamics
          Education, Continuing (Credit)
          Coronary Artery Bypass
          Central Venous Pressure Evaluation
          Shock Diagnosis
          Shock Physiopathology
          Shock Etiology
          Blood Circulation Evaluation
          Pulmonary Wedge Pressure Evaluation
          Intravenous Therapy
          Tissue Perfusion Evaluation
          Ultrasonography, Doppler
          Electric Impedance
          Waveforms
          Carbon Dioxide Analysis
          Myocardial Contraction Evaluation
          Postoperative Period
          Algorithms
          Shock Prevention and Control
          Tissue Perfusion
          Male
          Middle Age
          Liver Surgery
          Female
          Sepsis Therapy
          Critical Care Nursing
          Pressure Ulcer Prevention and Control
          Skin Care
          Sedation
          Analgesia
          Treatment Outcomes
          Middle Aged: 45-64 years
          Male
          Female
      ab: Critical care practices have evolved to rely more on physical assessments for monitoring cardiac output and evaluating fluid volume status because these assessments are less invasive and more convenient to use than is a pulmonary artery catheter. Despite this trend, level of consciousness, central venous pressure, urine output, heart rate, and blood pressure remain assessments that are slow to be changed, potentially misleading, and often manifested as late indications of decreased cardiac output. The hemodynamic optimization strategy called stroke volume optimization might provide a proactive guide for clinicians to optimize a patient’s status before late indications of a worsening condition occur. The evidence supporting use of the stroke volume optimization algorithm to treat hypovolemia is increasing. Many of the cardiac output monitor technologies today measure stroke volume, as well as the parameters that comprise stroke volume: preload, afterload, and contractility.
      pubtype: Academic Journal
      doctype:
        algorithm
        case study
        CEU
        exam questions
        pictorial
        review
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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