Cited by 87Hemodynamic Monitoring and TherapySepsis Diagnosis and TreatmentHealthcare Technology and Patient Monitoring

Monitoring in the Intensive Care

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Kipnis, Eric, Ramsingh, Davinder, Bhargava, Maneesh, Dincer, Erhan, Cannesson, Maxime, Broccard, Alain, Vallet, Benoit, Bendjelid, Karim +1 more·2012·Critical Care Research and Practice

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.

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Crossref · 10.1155/2012/473507

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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].”

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Research works printed but not linked: 2

  1. [59]Ramsingh D Dorotta I Applegate RL II Blood A Regional tissue oxygen saturation in an animal model of global and regional oxygen delivery insults Proceedings of the American Society of Anesthesiologists Meeting 2010
  2. [106]Bates JH Assessment of mechanics Physiological Basis of Ventilatory Support (Lung Biology in Health and Disease) 1998 1st edition New York, NY, USA Marcel Dekker

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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
Venue
Critical Care Research and Practice
Published
2012
Volume
2012
Pages
1-20
ISSN
  • 2090-1305 (ISSN-L)
  • 2090-1313
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
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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