Cardiological monitoring in a respiratory intermediate intensive care unit.
The appearance, in the last few years, of respiratory intermediate intensive care units (RIICU) has created a requirement of close collaboration among different physicians. The role of a cardiologist in a RIICU is well recognized as an important component to the pulmonolgist. The diagnostic tools for the cardiologist in a RIICU should be separated into two sections: in the first one specific and mandatory devices for monitoring are included; in the other second choice instruments and methods are considered. A 24h ECG monitoring system, noninvasive Pa recording, central venous pressure evaluation set from peripheral vein, pumps for infusive therapies and cardiac echo-Doppler have to be considered necessary. Specific ECG monitoring system and right heart catheterization or arterial cannulation cannot be mandatory for these patients. The presence of a cardiologist in a RIICU can facilitate adequate cardiac monitoring in respiratory patients.
Marangoni
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Division of Cardiology, Clinica del Lavoro Foundation IRCCS, Medical Center of Rehabilitation, Gussago (BS), Italy.
D002309:Cardiology; D006331:Heart Diseases / Q000503:physiopathology; D006801:Humans; D008991:Monitoring, Physiologic; D010819:Physician's Role; D012121:Respiration, Artificial; D012124:Respiratory Care Units; D012131:Respiratory Insufficiency / Q000503:physiopathology