Clinical review: Respiratory monitoring in the ICU - a consensus of 16 (original) (raw)
Related papers
Non-cardio respiratory monitoring of mechanically ventilated critically ill patients
Anaesthesia, Pain and Intensive Care, 2018
Critically ill patients often require multiple organ supports; respiratory support in terms of mechanical ventilation (MV) is one of the commonest. But, only providing an organ support contributes less to the complete well being of the patients. Moreover, MV itself can affect various physiological systems, metabolic response, and cause side effects. A very close temporal relationship exists between patients, monitoring and management decision too, and therefore, appropriate information from monitoring can lead to better outcomes. The present review is intended to briefly highlight the current opinions and strategies for non cardio-respiratory monitoring in such critically ill patients.
Cardio circulatory and respiratory monitoring of mechanically ventilated critically ill patients
Anaeshesia, Pain and Intensive Care, 2018
Respiratory support in terms of mechanical ventilation is very common in critically ill patients. These patients are often hemodynamically unstable too. The mechanophysiology of mechanical ventilation also affects other organ system and needs assessment and management accordingly. The procedure is not devoid of complication. It also has potential to failure to achieve the treatment objective requiring frequent assessment and adjustment. There is a very close temporal relationship between patients monitoring and management decision in critically ill patients in critical care practice. Early and appropriate information from monitoring can lead to better outcome including reduced mortality. The present review is intended to briefly highlight the current opinions and strategies for cardio circulatory and respiratory monitoring in such patients in critical care unit.
Current opinion in critical care, 2001
The introduction of mechanical ventilation in the intensive care unit environment had the merit of putting a potent life-saving tool in the physicians' hands in a number of situations; however, like most sophisticated technologies, it can cause severe side effects and eventually increase mortality if improperly applied. Assessment of respiratory mechanics serves as an aid in understanding the patient-ventilator interactions with the aim to obtain a better performance of the existing ventilator modalities. It has also provided a better understanding of patients' pathophysiology. Thanks to it, new ventilatory strategies and modalities have been developed. Finally, on-line monitoring of respiratory mechanics parameters is going to be more than a future perspective.
Non-Invasive Continuous Respiratory Monitoring on General Hospital Wards: A Systematic Review
PLOS ONE, 2015
Background Failure to recognize acute deterioration in hospitalized patients may contribute to cardiopulmonary arrest, unscheduled intensive care unit admission and increased mortality. Purpose In this systematic review we aimed to determine whether continuous non-invasive respiratory monitoring improves early diagnosis of patient deterioration and reduces critical incidents on hospital wards.
Monitoring in the Intensive Care
Critical Care Research and Practice, 2012
In critical care, the monitoring is essential to the daily care of ICU patients, as the optimization of patient’s hemodynamic, ventilation, temperature, nutrition, and metabolism is the key to improve patients' survival. Indeed, the decisive endpoint is the supply of oxygen to tissues according to their metabolic needs in order to fuel mitochondrial respiration and, therefore, life. In this sense, both oxygenation and perfusion must be monitored in the implementation of any resuscitation strategy. The emerging concept has been the enhancement of macrocirculation through sequential optimization of heart function and then judging the adequacy of perfusion/oxygenation on specific parameters in a strategy which was aptly coined “goal directed therapy.” On the other hand, the maintenance of normal temperature is critical and should be regularly monitored. Regarding respiratory monitoring of ventilated ICU patients, it includes serial assessment of gas exchange, of respiratory system ...
Critical Care, 2006
We summarize all original research in the field of respiratory intensive care medicine published in 2005 in Critical Care. Twenty-seven articles were grouped into the following categories and subcategories to facilitate rapid overview: mechanical ventilation (physiology, spontaneous breathing during mechanical ventilation, high frequency oscillatory ventilation, side effects of mechanical ventilation, sedation, and prone positioning); infection (pneumonia and sepsis); monitoring (ventilatory monitoring, pulmonary artery catheter and pulse oxymeter); and education (training and health outcome). ALI = acute lung injury; ARDS = acute respiratory distress syndrome; CMV = conventional mechanical ventilation; COPD = chronic obstructive pulmonary disease; ECMO = extracorporeal membrane oxygenation; ET = endothelin; HFOV = high-frequency oscillatory ventilation; IAP = intraabdominal pressure; ICU = intensive care unit; IPAH = idiopathic pulmonary arterial hypertension; IPV = intrapulmonary percussive ventilation; PCP = pulmonary capillary pressure; PEEP = positive end-expiratory pressure; SARS = severe acute respiratory syndrome; VAT = ventilator-associated tracheobronchitis.