Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the fourth edition of a pocket-sized loose-leaf manual on hemodynamic monitoring, typically in the critical care setting.
Purpose: A review is provided of measurement, interpretation, and integration of hemodynamic parameters in critical care patient evaluation and management.
Audience: Nurses, respiratory therapists, and trainees working in the critical care setting are an appropriate audience for this work. The senior editor is a former respiratory therapy director and educator. Associate editors represent a variety of critical care disciplines.
Features: Beginning with a review of physiology, the reader encounters common cardiopulmonary conditions in the critical care unit and monitoring techniques, including pulmonary artery catheterization with continuous pulmonary arterial saturation monitoring, peripheral arterial pressure monitoring, and central venous pressure monitoring. Identifying and managing cardiopulmonary problems is then discussed. A final chapter describes common vasoactive drugs with particular emphasis on cardiovascular agents rather than agents addressing changes in pulmonary function. Each chapter is a combination of tables and line drawings that all reproduce with good quality. References are provided only occasionally and reflect classic reviews in the critical care medicine and nursing literature. An appendix describes measurement of body surface area. The index of seven pages provides adequate access to content.
Assessment: This is a worthy companion for the bedside critical care nurse or therapist and the junior practitioner. This is not a physiology or clinical strategies collection but rather a pocket-sized compendium of data allowing one to make decisions. Emphasis is on "bread and butter" critical care hemodynamic monitoring rather than less invasive techniques now in clinical trials.