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Monitoring in the Intensive Care
Joint Authors
Dincer, Erhan
Ramsingh, Davinder
Vallet, Benoit
Broccard, Alain
Bhargava, Maneesh
Cannesson, Maxime
Bendjelid, Karim
Kipnis, Eric
Thibault, Ronan
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-20, 20 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-27
Country of Publication
Egypt
No. of Pages
20
Main Subjects
Abstract EN
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 mechanics, and of patients' readiness for liberation from invasive positive pressure ventilation.
Also, the monitoring of nutritional and metabolic care should allow controlling nutrients delivery, adequation between energy needs and delivery, and blood glucose.
The present paper will describe the physiological basis, interpretation of, and clinical use of the major endpoints of perfusion/oxygenation adequacy and of temperature, respiratory, nutritional, and metabolic monitorings.
American Psychological Association (APA)
Kipnis, Eric& Ramsingh, Davinder& Bhargava, Maneesh& Dincer, Erhan& Cannesson, Maxime& Broccard, Alain…[et al.]. 2012. Monitoring in the Intensive Care. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-20.
https://search.emarefa.net/detail/BIM-474330
Modern Language Association (MLA)
Kipnis, Eric…[et al.]. Monitoring in the Intensive Care. Critical Care Research and Practice No. 2012 (2012), pp.1-20.
https://search.emarefa.net/detail/BIM-474330
American Medical Association (AMA)
Kipnis, Eric& Ramsingh, Davinder& Bhargava, Maneesh& Dincer, Erhan& Cannesson, Maxime& Broccard, Alain…[et al.]. Monitoring in the Intensive Care. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-20.
https://search.emarefa.net/detail/BIM-474330
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474330