Monitoring in the Intensive Care
Open accessAbstract
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.
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Continuous monitoring of patients is one of the most essential components in intensive care medicine, serving to notice critical changes in patients' health statuses and to guide daily intensive care therapy.
“Continuous monitoring of patients is one of the most essential components in intensive care medicine: first, to notice critical changes of patients’ health statuses, and second, to guide daily intensive care therapy [3].”
From Clinical requirements of future patient monitoring in the intensive care unit: qualitative study (2019) · cites this paper as [3]
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Clinical requirements of future patient monitoring in the intensive care unit: qualitative study
Poncette, A.-S., Spies, C., Mosch, L., Schieler, M., Weber-Carstens, S., Krampe, H., & Balzer, F. (2019) · JMIR Medical Informatics · doi:10.2196/13064 · Cited by 136 · see citing works
Deep Multi-Modal Transfer Learning for Augmented Patient Acuity Assessment in the Intelligent ICU
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- Authors
- Kipnis, E., Ramsingh, D., Bhargava, M., Dincer, E., Cannesson, M., Broccard, A., Vallet, B., Bendjelid, K., & Thibault, R.
- Affiliations
- Department of Anesthesiology and Critical Care, Lille University Teaching Hospital, Rue Michel Polonowski, 59037 Lille, France
- University of California, Irvine (US)
- University of Minnesota (US)
- Centre Hospitalier Universitaire de Lille (FR)
- Unité de Nutrition Humaine (FR)
- University Hospital of Geneva (CH)
- Corresponding author
- Bendjelid, Karim
- ORCID
- Venue
- Critical Care Research and Practice
- Publisher
- Hindawi Limited
- Published
- 2012
- Volume
- 2012
- Pages
- 1-20
- ISSN
- 2090-1305 (ISSN-L)
- 2090-1313
- PMC
- PMC3433116
- OpenAlex
- W2099442042
- Cited by
- 87
- References
- 189
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 8 · 2023: 6 · 2022: 28 · 2021: 3 · 2020: 1 · 2019: 7 · 2018: 3 · 2017: 13 · 2016: 2 · 2015: 2 · 2014: 5 · 2013: 1 · 2012: 1
- FWCI
- 2.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Critical Care Research and Practice (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Keywords
- intensive care monitoring, goal-directed therapy, tissue oxygenation, tissue perfusion, hemodynamic optimization, mechanical ventilation, respiratory mechanics, gas exchange, temperature monitoring, nutritional monitoring, metabolic monitoring, glycemic control, weaning from mechanical ventilation, resuscitation strategies
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