UNIGE document Scientific Article - Review
previous document  unige:26519  next document
add to browser collection
Title

Monitoring in the intensive care

Authors
Kipnis, Eric
Ramsingh, Davinder
Bhargava, Maneesh
Dincer, Erhan
Cannesson, Maxime
Broccard, Alain
Vallet, Benoit
show hidden authors show all authors [1 - 9]
Published in Critical care research and practice. 2012, vol. 2012, p. 473507
Abstract 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.
Identifiers
PMID: 22970356
Full text
Article (Published version) (1.3 MB) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group Groupe de Recherche en Hémodynamique (913)
Citation
(ISO format)
KIPNIS, Eric et al. Monitoring in the intensive care. In: Critical care research and practice, 2012, vol. 2012, p. 473507. https://archive-ouverte.unige.ch/unige:26519

152 hits

0 download

Update

Deposited on : 2013-03-01

Export document
Format :
Citation style :