Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-23T11:58:15.509Z Has data issue: false hasContentIssue false

Chapter 17 - Haemodynamic Monitoring

Published online by Cambridge University Press:  18 August 2022

Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
Get access

Summary

Critical ill patients are often haemodynamically unstable and accurate continuous monitoring is vital. Haemodynamic monitoring describes the measurement of the cardiovascular stability of the patient. Invasive blood pressure monitoring and central venous pressure monitoring provide a ‘real time’ measurement of the patients haemodynamic status and better allows clinicians to pre-emptively treat a patient before a more serious problem arises. Although invasive blood pressure monitoring has several advantages compared to non-invasive blood pressure monitoring, it is not without risk. Central venous pressure monitoring is similarly beneficial in that it supports the clinical decision making regarding a patient’s fluid status but also comes with additional risks. This chapter explores invasive blood pressure and central venous pressure monitoring in detail.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hill., B. Role of central venous pressure monitoring in critical care settings. Nursing Standard 2018; 32: 4148.Google Scholar
Thomas, G. and Rees., D. Monitoring arterial blood pressure. Anaesthesia and Intensive Care Medicine 2018; 19: 194197.Google Scholar
Watson, C. and Wilkinson., M. Monitoring central venous pressure, arterial pressure and pulmonary wedge pressure. Anaesthesia and Intensive Care Medicine 2011; 13: 116120.Google Scholar
Barash, P., Cullen, B., Stoelting, R., et al. Clinical Anesthesia, 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins, 2013.Google Scholar
Wilson, S., Grunstein, I., Hirvela, E., and Price, D.. Ultrasound-guided radial artery catheterisation and the modified Allen’s test. Journal of Emergency Medicine 2010; 38: 354358.Google Scholar
Vygon. Vigmed Switch Product Leaflet-v1. Swindon: Vygon, 2018.Google Scholar
Everson, M., Webber, L., Penfold, C., Smith, S., and Freshwater-Turner, D.. Finding a solution: heparinised saline versus normal saline in the maintenance of invasive arterial lines in intensive care Journal of Intensive Care Society 2016; 17: 284289.Google Scholar
Tully, R., McGrath, B., Moore, J., Rigg, J., and Alexander., P. Observational study of the effect of heparin-containing flush solutions on the incidence of arterial catheter occlusion. Journal of Intensive Care Society 2014; 15: 213215.Google Scholar
National Patient Safety Agency. Rapid Response Report NPSA/2008/RRR002: Risks with Intravenous Heparin Solutions. London: National Patient Safety Agency, 2008.Google Scholar
Maurer, L. R., Luckhurst, C. M., Hamidi, A., et al. A low dose heparinized saline protocol is associated with improved duration of arterial line patency in critically ill COVID-19 patients. Journal of Critical Care 2020; 60: 253259.Google Scholar
Thompson, J., Moppett, I., and Wiles, M.. Smith and Aitkenhead’s Textbook of Anaesthesia, 7th ed. London: Elsevier, 2019.Google Scholar
Goodman, C. and Kitchen, G. Monitoring arterial blood pressure. Anaesthesia and Intensive Care Medicine 2020; 22: 4953.Google Scholar
Williamson, P. and Cattlin., C. Central venous cannulation. Anaesthesia and Intensive Care Medicine 2018; 19: 627628.Google Scholar
Gilbert, M. Central venous pressure and pulmonary artery pressure monitoring. Anaesthesia and Intensive Care Medicine 2018; 19: 189193.Google Scholar
Adam, S., Osborne, S., and Welch, J.. Critical Care Nursing, 3rd ed. Oxford: Oxford University Press, 2017.Google Scholar
Gwinutt, M. and Gwinnutt, C.. Clinical Anaesthesia: Lecture Notes, 7th ed. Chichester: John Wiley & Sons, 2017.Google Scholar
Al-Shaikh, B. and Stacey., S. Essentials of Equipment in Anaesthesia, Critical Care and Peri-Operative Medicine, 5th ed. London: Elsevier, 2019.Google Scholar
National Institute for Health and Care Excellence. Guidance on the Use of Ultrasound Locating Devices for Placing Central Venous Catheters. London: National Institute for Health and Care Excellence, 2002.Google Scholar
Flood, S. and Bodenham., A. Central venous cannulation: ultrasound techniques. Anaesthesia and Intensive Care Medicine 2015; 17: 58.Google Scholar
McCarthy, C. J., Behravesh, S., Naidu, S. G., and Oklu, R.. Air embolism: practical tips for prevention and treatment. Journal of Clinical Medicine 2016; 5: 93.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×