Monitoring during mechanical ventilation.
Approximately half of the patients admitted to an ICU are admitted for the purposes of monitoring rather than interventional therapy. In the last decade, significant technologic advances have enhanced monitoring capacities, and the understanding of the pathophysiology of respiratory failure has improved pari passu, allowing clinicians to employ monitors in a more intelligent manner. This article deals with new developments in arterial blood gas monitoring, pulse oximetry, capnometry, and monitoring of neuromuscular function and pulmonary mechanics, emphasizing issues most relevant to mechanical ventilation.
Jubran
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Division of Pulmonary and Critical Care Medicine, Edward Hines, Jr, Veterans Administration Hospital, Hines, Illinois, USA.
Tobin
M J
MJ
D001784:Blood Gas Analysis; D019296:Capnography; D006801:Humans; D008170:Lung Compliance; D008991:Monitoring, Physiologic; D010092:Oximetry; D018467:Positive-Pressure Respiration, Intrinsic / Q000209:etiology / Q000503:physiopathology; D011659:Pulmonary Gas Exchange; D012119:Respiration / Q000502:physiology; D012121:Respiration, Artificial / Q000009:adverse effects; D014939:Work of Breathing