Monitoring plays an important role in the current management of patients with acute respiratory failure but sometimes lacks definition regarding which 'signals' and 'derived variables' should be prioritized as well as specifics related to timing (continuous versus intermittent) and modality (static versus dynamic). Many new techniques of respiratory monitoring have been made available for clinical use recently, but their place is not always well defined. Appropriate use of available monitoring techniques and correct interpretation of the data provided can help improve our understanding of the disease processes involved and the effects of clinical interventions. In this consensus paper, we provide an overview of the important parameters that can and should be monitored in the critically ill patient with respiratory failure and discuss how the data provided can impact on clinical management.

Clinical review: respiratory monitoring in the ICU : a consensus of 16 [Recensione] / L. Brochard, G.S. Martin, L. Blanch, P. Pelosi, F.J. Belda, A. Jubran, L. Gattinoni, J. Mancebo, V.M. Ranieri, J.C. Richard, D. Gommers, A. Vieillard-Baron, A. Pesenti, S. Jaber, O. Stenqvist, J.L. Vincent. - In: CRITICAL CARE. - ISSN 1466-609X. - 16:2(2012 Apr 26), pp. 219.1-219.14. [10.1186/cc11146]

Clinical review: respiratory monitoring in the ICU : a consensus of 16

L. Gattinoni;A. Pesenti;
2012

Abstract

Monitoring plays an important role in the current management of patients with acute respiratory failure but sometimes lacks definition regarding which 'signals' and 'derived variables' should be prioritized as well as specifics related to timing (continuous versus intermittent) and modality (static versus dynamic). Many new techniques of respiratory monitoring have been made available for clinical use recently, but their place is not always well defined. Appropriate use of available monitoring techniques and correct interpretation of the data provided can help improve our understanding of the disease processes involved and the effects of clinical interventions. In this consensus paper, we provide an overview of the important parameters that can and should be monitored in the critically ill patient with respiratory failure and discuss how the data provided can impact on clinical management.
acute lung injury; end-expiratory pressure; critically-ill-patients; electrical-impedance tomography; patient-ventilator asynchrony; intensive-care-unit; receiving mechanical ventilation; functional residual capacity; traumatic brain-injury; lower inflection point
Settore MED/41 - Anestesiologia
26-apr-2012
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/173454
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