Respiratory monitoring in an intermediate intensive unit

M. Vitacca, E. Clini

Research output: Contribution to journalArticle

Abstract

The major goal of monitoring is continuous recording of indices that enhance our understanding of the underlying pathophysiology, in order to improve diagnosis and guide management, and identify trends that assist in assessing the therapeutic response and predicting prognosis. Nowadays, technology has made it possible to automatically sense and display a wide variety of physiological indices. An ideal monitoring system should be pertinent to patient management, propose interpretable data, show high technical accuracy, high sensitivity, good reproducibility, be practical to use. The international literature, our personal experience, and cost considerations have proposed the following monitoring standards as the best for a noninvasive respiratory intermediate intensive care unit (RIICU): 1) mandatory indices: respiratory rate, oxygen saturation, haemogas-analysis, tidal volume, minute ventilation, maximum voluntary ventilation, forced expiratory volume in one second, forced vital capacity, vital capacity, maximal inspiratory pressure, heart rate and blood pressure; 2) second choice indices: capnometry, respiratory inductive plethysmography, transcutaneous monitoring of gases, haemodynamic monitoring, mechanics data by means of an eosophageal balloon, and central drive. Pulmonary monitoring devices shorten the time for patients who remain on mechanical ventilators; a reduction both in the risk of associated complications and the costs involved is a natural consequence. Continuous monitoring of significant physiological indices has the potential far predicting a critical event, and providing an opportunity for the institution of lifesaving measures. In conclusion, a RIICU where it is possible to admit patients from various other intensive care units (ICUs) or those requiring preventive care until aggressive therapy is essential, must be equipped with adequate, noninvasive and less expensive bedside respiratory monitoring devices.

Original languageEnglish
Pages (from-to)508-512
Number of pages5
JournalMonaldi Archives for Chest Disease - Cardiac Series
Volume49
Issue number6
Publication statusPublished - 1994

    Fingerprint

Keywords

  • Intermediate intensive care unit
  • Respiratory monitoring

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

Cite this