Hemodynamic monitoring in ICU.

Abstract:

:Oxygen supply to all tissues is possible only in a condition of adequate blood circulation. Oxygen demand is the driving force that is responsive of hemodynamic adjustment. The human body acts on four modulators (intravascular volume, inotropy, vasoactivity, chrono-tropy) in order to adjust the hemodynamic state. Hemodynamic monitoring consists of techniques able to assess the hemodynamic status and to understand the mechanism of patient decompensation; its goal is to maintain adequate tissue perfusion through appropriate therapeutic interventions. An early diagnosis of hemodynamic alteration is crucial for an early treatment; several reports have explored the effectiveness of hemodynamic manipulations and results are conflicting: too many variables can, in fact, modify the results: timing and lenght of the treatment, drugs used, etc. However, at least, in some specific settings, as sepsis, early intervention has a positive impact on mortality. In this presentation it will be briefly analyzed the most common parameters used in the ICU. Arterial pressure, central venous pressure, pulmonary artery catheter derived parameters, SvO2 and their relation with organ perfusion are considered and positive and negative aspects of this type of monitoring is reviewed. Starting from these considerations we would like to underline the importance of understanding the physiological basis of monitoring and the correct interpretation of data in order to have improvement on patient outcome.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Stucchi R,Poli G,Fumagalli R

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

483-7

issue

6

eissn

0375-9393

issn

1827-1596

journal_volume

72

pub_type

杂志文章
  • Propofol injection pain: is it still an issue? The effect of premedication.

    abstract:BACKGROUND:The use of propofol often results in pain upon injection. Various strategies can be used to reduce this pain, ranging from the administration of analgesics to modification of the propofol emulsion. However, basic premedication protocol aimed at peri- and postoperative pain reduction could also sufficiently r...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Dedic A,Adam S,Gommers D,Van Bommel J

    更新日期:2010-09-01 00:00:00

  • [Case of high spinal anesthesia as a complication of an interscalenic brachial plexus block].

    abstract::A case of high spinal anesthesia complicating an interscalene brachial plexus block is described. After an apparently straightforward location of the plexus with good paresthesias, the injection of 10 ml of local anesthetic caused a high spinal block whose main feature was apnea. The patient retained his consciousness...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Gregoretti S

    更新日期:1980-03-01 00:00:00

  • Patient blood management: a fresh look at a fresh approach to blood transfusion.

    abstract::The overall use of allogeneic blood transfusions in clinical practice remains relatively high and still varies widely among centres and practitioners. Moreover, allogeneic blood transfusions have historically been linked with risks and complications: some of them (e.g. transfusion reactions and transmission of pathoge...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Liumbruno GM,Vaglio S,Grazzini G,Spahn DR,Biancofiore G

    更新日期:2015-10-01 00:00:00

  • Inhalation anesthetics: a review.

    abstract::Inhalation agents represent a basic drug used in modern balanced anesthesia. In the present review, the pharmacokinetics, effectiveness and clinical effects of inhalation agents on different systems are discussed. Data concerning the metabolism and related toxicity of halogenated agents is reviewed, with particular re...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Torri G

    更新日期:2010-03-01 00:00:00

  • [Althesin in cryoextraction of the lens].

    abstract::The bulbar hypotonizing activity of Althesin in eye surgery has been assessed. The anaesthetic was then utilized in the induction and maintenance of narcosis in cryoextraction operations on the crystalline lens. In the 50 narcoses examined, a mean decrease in ocular tone of 30% was noted with respect to basal value fi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bottazzi D,Arena C,Bellini R,Guglielmetti M

    更新日期:1980-02-01 00:00:00

  • [Treatment of chest injuries in intensive care. Critical review of 54 clinical cases].

    abstract::All 54 chest trauma patients admitted to Resuscitation II of Pavia's S. Matteo Polyclinic in the period 1974-1979 have been reviewed in a critical analysis. Particular attention was paid to mortality in relation to age, associated pathology, treatment and the complications arising during the course of the trauma. Resu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Preseglio I,Pagani I,Adduci D,Scherini A,Bonezzi C

    更新日期:1981-11-01 00:00:00

  • [Appropriate arterial pressure management for subarachnoid hemorrhage ].

    abstract::A correct assessment of arterial pressure state during SAH is one of most critical issue in neurologic intensive care. It is important to evaluate two different clinical conditions: a) during SAH when the aneurysm is open, b) after aneurysmal clipping or embolization. The authors propose pressure parameters appropriat...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: De Vivo P,Ciritella P,Del Gaudio A

    更新日期:1998-05-01 00:00:00

  • Extracorporeal respiratory support and minimally invasive ventilation in severe ARDS.

    abstract:BACKGROUND:To evaluate the results of treatment of severe acute respiratory distress syndrome (ARDS) with extracorporeal life support (ECLS), minimal sedation and low pressure supported ventilation in adults. METHODS: DESIGN AND SETTING:observational study in a tertiary referral center, Intensive Care Unit, Astrid Li...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Frenckner B,Palmér P,Lindén V

    更新日期:2002-05-01 00:00:00

  • Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol.

    abstract::Critical ultrasound, apparently a recent field, is in fact the outcome of a slow process, initiated since 1946. The lung was traditionally not considered as part of ultrasound, yet we considered its inclusion as a priority in our definition of critical ultrasound. Acute respiratory failure is one of the most distressi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Lichtenstein D

    更新日期:2009-05-01 00:00:00

  • A methodological approach for determination of maximal inspiratory pressure in patients undergoing invasive mechanical ventilation.

    abstract:BACKGROUND:Maximal inspiratory pressure (MIP) can help to evaluate inspiratory muscle strength. However its determination in ventilated patients is cumbersome and needs special equipment. We hypothesized that MIP could be obtained by using the expiratory hold knob of the ventilator. The aim of this study was to verify ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Spadaro S,Marangoni E,Ragazzi R,Mojoli F,Verri M,Longo L,Astolfi L,Volta CA

    更新日期:2015-01-01 00:00:00

  • Hyponatremia, hypernatremia: a physiological approach.

    abstract::Natremia belongs to the toolbox of the practicing intensivist. It is an indicator of the hydration status, which is an item that must be continuously monitored in critically ill patients. Hyponatremia is not rare (1% to 2% of hospitalised patients), and hypernatremia is about 10 times less frequent while hypernatremia...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Offenstadt G,Das V

    更新日期:2006-06-01 00:00:00

  • Interfacing spontaneous breathing and mechanical ventilation. New insights.

    abstract::Mechanical ventilation (MV) with positive pressure insufflations of gas into the lung may be required to ensure sufficient oxygenation of blood and elimination of carbon dioxide in acute respiratory failure. Interfacing spontaneous breathing and mechanical ventilation has been used to improve gas exchange and may offe...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Hedenstierna G,Lichtwarck-Aschoff M

    更新日期:2006-04-01 00:00:00

  • Preoperative predictive model for acute kidney injury after elective cardiac surgery: a prospective multicenter cohort study.

    abstract:BACKGROUND:Predictive models of acute kidney injury after cardiac surgery (CS-AKI) include emergency surgery and patients with hemodynamic instability. Our objective was to evaluate the performance of validated predictive models (Thakar and Demirjian) in elective cardiac surgery and to propose a better score in the cas...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究

    doi:10.23736/S0375-9393.18.12257-7

    authors: Callejas R,Panadero A,Vives M,Duque P,Echarri G,Monedero P,Renal Dysfunction in Cardiac Surgery Spanish Group (GEDRCC2).

    更新日期:2019-01-01 00:00:00

  • Whole-exome sequencing of a family with local anesthetic resistance.

    abstract:BACKGROUND:Local anesthetics (LA) work by blocking sodium conductance through voltage-gated sodium channels. Complete local anesthetic resistance is infrequent, and the cause is unknown. Genetic variation in sodium channels is a potential mechanism for local anesthetic resistance. A patient with a history of inadequate...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Clendenen N,Cannon AD,Porter S,Robards CB,Parker AS,Clendenen SR

    更新日期:2016-10-01 00:00:00

  • [Cranial trauma and multiple trauma: from the street to the operating room].

    abstract::Brain injury occurs with a range of severity: even less severe cases should be carefully observed since they may deteriorate. By definition severe head injury has a Glasgow Coma Scale score of 8 or less; comatose patients are defined as cases who do not obey commands, do not open their eyes and do not speak. Very ofte...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Stocchetti N,Longhi L,Magnoni S,Rossi S,Rotelli S

    更新日期:1999-06-01 00:00:00

  • Perioperative ultrasound applied to diagnosis and decision making in anesthesia.

    abstract:INTRODUCTION:Ultrasound is a portable and safe technology that is increasingly used to assist anesthetic procedures and has been integrated into the routine practice of a wide range of invasive procedures. As a complementary diagnostic tool, publications related to perioperative support other than vascular access and n...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.17.12178-4

    authors: Ferreira Albuquerque Costa NT,Gomar Sancho C

    更新日期:2018-01-01 00:00:00

  • Neurologic deficit after peripheral nerve block: what to do?

    abstract::Regional nerve injury is a recognized complication of plexus anesthesia. Nerve damage after regional anesthesia is the most frightening complication for the patient, the anesthetist and the surgeon too. In order to limit possible medico-legal issues, the anesthetist has to follow an algorithm. The indication and infor...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Borgeat A

    更新日期:2005-06-01 00:00:00

  • Perioperative hemodynamic goal-directed therapy and mortality: a systematic review and meta-analysis with meta-regression.

    abstract:INTRODUCTION:Recent data found that perioperative goal directed therapy (GDT) was effective only in higher control mortality rates (>20%) with a relatively high heterogeneity that limited the strength of evidence. The aim of the present meta-analysis was to clearly understand which high risk patients may benefit of GDT...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析

    doi:

    authors: Giglio M,Manca F,Dalfino L,Brienza N

    更新日期:2016-11-01 00:00:00

  • Non invasive ventilation in cardio-surgical patients.

    abstract::Non invasive ventilation (NIV), primarily applied in cardiogenic pulmonary edema, decompensated COPD and hypoxemic respiratory failure, has also found a wide application in the postoperative period. The expanding indications to the transcatheter treatment of diseased left heart valves have led to an increase in cardia...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Guarracino F,Ambrosino N

    更新日期:2011-07-01 00:00:00

  • No progression of Eschmann tube: case report.

    abstract::A 74-year-old patient was submitted to urgent surgery for intestinal occlusion. After the induction of the anaesthesia, tracheal intubation failed since no progression of Eshmann tracheal tube introducer was possible. The ventilation was difficult and a laryngeal mask was inserted. After oxygenation, the tracheal tube...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Marini F,Rizzo L,Farnesi C,Sarti A

    更新日期:2012-02-01 00:00:00

  • [Acute effects of a new type of lipidic emulsion in critical patients].

    abstract::A new type of 10% lipidic emulsion based on safflower oil and soya (Liposyn II, Abbott, Latina) characterised by a high linoleic/linolenic acid ratio was administered in random, double blind fashion with 10% Intralipid to 20 subjects submitted to major surgery of the digestive system. Dosage was 1.2 g/kg at an infusio...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tomassetti M,Celleno D,Capogna G,Reggio S

    更新日期:1989-01-01 00:00:00

  • Nonoperative management of blunt hepatic trauma.

    abstract::Over the past 15 years, there have been dramatic changes in the management of blunt hepatic trauma, specifically in the imaging techniques, and in the non-operative management. Actually, in more than 80% of blunt hepatic trauma, non operative management is used. In the last 20% the surgical option has to be taken with...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Létoublon C,Arvieux C

    更新日期:2002-04-01 00:00:00

  • [Removal of a swallowed endotracheal tube in a neonate].

    abstract::Immediately following delivery a newborn infant was severely depressed. Because no respiratory effort was made and copious mucus was present, a Cole endotracheal tube was easily inserted into the trachea. Because of a mistaken manoeuvre for fastening the tube, the plastic adapter connection became dislodged from the t...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Peduto VA,Toscano A,Loche F

    更新日期:1994-04-01 00:00:00

  • [Acute pulmonary edema from dislocation of a laryngeal mask].

    abstract::A case of pulmonary edema secondary to dislocation of laryngeal mask during awakening from anesthesia is described. The complication has been ascribed to physiopathological changes of the alveolo-capillary membrane caused by inspiratory efforts secondary to dislocation of laryngeal mask during awakening from anesthesi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Buttiglieri A,Di Ciero G,Verdecchia C,Gambino A,Fagiano G

    更新日期:1999-09-01 00:00:00

  • The optimal effect site concentration of remifentanil in combination with intravenous midazolam and topical lidocaine for awake fibreoptic nasotracheal intubation in patients undergoing cervical spine surgery.

    abstract:BACKGROUND:Remifentanil has been suggested as a suitable agent for conscious sedation during fibreoptic intubation. We evaluated the optimal effect site concentration (Ce) of remifentanil target-controlled infusion (TCI) for awake nasotracheal fibreoptic intubation in patients undergoing elective cervical spine surgery...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Song JW,Kwak YL,Lee JW,Chang CH,Kim HS,Shim YH

    更新日期:2012-05-01 00:00:00

  • [Comparison of 2 modified Fick methods and thermodilution for determining the cardiac output in patients with mechanical ventilation].

    abstract:OBJECTIVE:To evaluate the effectiveness of two cardiac output measurement methods based on a modified Fick equation, that calculate the O2 consumption (VO2) dividing the CO2 production (VCO2) by a fixed respiratory quotient (RQ). DESIGN:Comparative study. SETTING:One 5 beds general intensive care unit in a 500 beds g...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Corbanese U,Possamai C

    更新日期:1995-05-01 00:00:00

  • [Postoperative intravenous analgesia].

    abstract::The authors report the results of two clinical studies on postoperative pain relief with PCA. In the first clinical study 44 patients, undergoing gynecologic surgery, were assigned at random to two groups. The first was treated by PCA (infusor Baxter) with morphine i.v. (basal bolus 0.05 mg/kg, loading doses 1 mg ever...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Paoletti F,Ciammitti B,Tosti F,Boanelli A,Pasqualucci V

    更新日期:1993-10-01 00:00:00

  • [Enoximone in weaning from mechanical circulation support in pediatric patients].

    abstract:OBJECTIVE:To assess and record the response to continuous infusion of the phosphodiesterase inhibitor enoximone during weaning from mechanical circulatory support (MCS) and to verify the possibility of success with this indication in pediatric patients. DESIGN:Retrospective study. SETTING:Pediatric cardiac surgery in...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Bevilacqua S,Del Sarto P,Tommasini G,Moschetti R,Scebba L,Murzi B,Genovesi M,Nicolini A,Santoli F

    更新日期:1997-01-01 00:00:00

  • Non-opioid analgesics for pain management following ambulatory surgery: a review.

    abstract::Multimodal pain management, combining analgesics with different mode of action in order to minimize occurrence of side-effects still providing safe and efficacious pain management after ambulatory surgery has become standard of care. The combined use of local anaesthesia in order to reduce noxious influx during the pr...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Warren-Stomberg M,Brattwall M,Jakobsson JG

    更新日期:2013-09-01 00:00:00

  • [Double-blind study of lysine acetylsalicylate in the control of postoperative pain of somatic origin].

    abstract::In 61 patients submitted to subdural anesthesia for orthopedic operations, postoperative somatic pain was treated by double-blind iv injection of lysine acetylsalicylate 1.8 g or placebo randomly. Patients with persistent pain received methadone 10 mg im. No placebo response was obtained; LAS had similar but shorter e...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Frova G,Geraci P,Giurati G,Pagani I,Ronchi G

    更新日期:1981-05-01 00:00:00