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Monitoring of Respiration and Circulation - J. A. Blom

Monitoring of Respiration and Circulation

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Monitoring of Respiration and Circulation provides biomedical engineers with a comprehensive source for understanding the variables of the respiratory and circulatory systems, which indicate how well these systems are functioning. This book covers techniques for measuring the variables, including modeling, medical instrumentation, and signal processing. It also discusses the reasons for the measurements.
The book describes the measurement principles, as well as the related physiology and anatomy, which is necessary to interpret the measurement's meaning. The author's goal is to provide a survey of the field, a review of the necessary fundamentals on which deeper study can be based, and an overview of possible search terms.
The early chapters of Monitoring of Respiration and Circulation provide an overview of the fundamentals of the respiratory and circulatory systems, and modeling. The intermediate chapters describe important clinical measurement methods and the information they provide about patients, including approaches, possibilities, limitations, and accuracies. Next, the book discusses state-of-the-art therapeutic instruments and supporting systems, such as infusion drips and pumps, heart-lung machines, and pacemakers.
Everything comes together in the final chapter, where patient monitoring is described as a feedback process with a human in the loop, underscoring the need for comprehensive yet understandable information in order to provide high-quality therapy.

"a nice, concise introduction to monitoring and is an excellent choice for an introductory course on monitoring." -Books, Films, Tapes & Software

Basic Anatomy and Physiologyp. 1
Overview of the respiratory and circulatory systemp. 1
Anatomy and physiology of the lung and the airwaysp. 3
Trachea, bronchi, alveolip. 4
Surfactant, intrapleural pressurep. 6
Volume-pressure relationships of lung and thoraxp. 8
The respiratory musclesp. 13
Lung volumesp. 15
Partial pressuresp. 16
Dead spacep. 19
Gas exchangep. 20
The ventilation-perfusion ratiop. 22
Some pathophysiologiesp. 23
Anatomy and physiology of the heart and the circulatory systemp. 24
Blood transportp. 25
Blood; blood gases; hemoglobin; hematocritp. 28
Volume-pressure relationships of heart and blood vesselsp. 32
Pressures throughout the circulationp. 33
Cardiac mechanicsp. 37
The electrocardiogramp. 40
Some pathophysiologiesp. 41
Questionsp. 42
Physics of Fluid Transport in Tubesp. 45
Fluid dynamicsp. 45
The Navier-Stokes equationp. 47
Laminar flow and the Poiseuille equationp. 48
Pulsatile flow and Womersley's solutionp. 49
Fluid inertance and resistancep. 50
The Euler equationp. 51
The Bernoulli equationp. 52
Turbulent flowp. 54
Flow through collapsible tubesp. 56
The effect of gravity on gas exchangep. 58
Modelsp. 61
Natural frequency and damping ratiop. 66
Transport modelsp. 68
Multiple modelsp. 70
Questionsp. 71
Measuring Pressurep. 73
Measuring gas pressurep. 73
The esophageal balloonp. 74
Measuring blood pressurep. 75
Invasive methodsp. 75
Non-invasive methodsp. 82
Questionsp. 88
Measuring Flowp. 91
Measuring gas flowp. 91
The pneumotachographp. 91
Other obstructive differential pressure transducersp. 92
The rotameterp. 93
The turbine flowmeterp. 95
The hot wire anemometerp. 96
Measuring blood flowp. 97
The electromagnetic flowmeterp. 97
Ultrasonic Doppler blood velocity and flow measurementsp. 98
Questionsp. 105
Measuring Composition and Concentrationp. 107
Measuring gas compositionp. 107
Mass spectroscopyp. 107
Infrared absorption spectroscopyp. 109
Photoacoustic spectroscopyp. 113
The oxygen analyzerp. 114
Measuring blood compositionp. 115
Measuring oxygen saturationp. 115
Questionsp. 118
Respiratory Measurementsp. 119
Measuring lung volumesp. 119
Corrections for temperature, pressure and water vaporp. 121
Measuring absolute lung volumesp. 122
Measuring dead space and unequal ventilationp. 124
The single breath nitrogen washout methodp. 125
Measuring lung compliancep. 126
Forced expiratory flow-volume curvesp. 129
Measuring diffusionp. 133
Questionsp. 134
Circulatory Measurementsp. 135
Measuring cardiac outputp. 135
Fick's methodp. 136
Indicator dilution methodsp. 138
Measuring total blood volumep. 140
Measuring the blood volume of isolated vascular bedsp. 140
Measuring temperaturep. 141
Questionsp. 142
Therapeutic Devicesp. 143
Syringes, infusion drips and infusion pumpsp. 143
Ventilatorsp. 145
The inlet combinationp. 146
Open systemsp. 147
Circle systemsp. 153
Heart-lung machinesp. 154
Defibrillators and cardiovertersp. 156
Pacemakersp. 158
Electrocauteryp. 159
Questionsp. 161
Patient Monitoringp. 163
Medical decision making; differential diagnosisp. 164
Risk and quality of informationp. 165
Safety issuesp. 167
Patient monitoring as a processp. 169
Normality and stabilityp. 170
Which physiological functions to monitorp. 170
Monitoring devicesp. 171
Signal characteristics; bandwidthsp. 172
Signal acquisition, validation and processingp. 172
Data typesp. 176
Displayp. 178
Modular versus integrated; basic functionsp. 179
Combining measurements into a diagnosisp. 180
Alarm systemsp. 180
Clinical control systemsp. 182
Questionsp. 183
Indexp. 185
Table of Contents provided by Rittenhouse. All Rights Reserved.

ISBN: 9780849320835
ISBN-10: 0849320836
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 200
Published: 15th December 2003
Country of Publication: US
Dimensions (cm): 22.86 x 15.88  x 1.91
Weight (kg): 0.42
Edition Number: 1