Abstract:
:Subjective assessment of the respiratory rate and the adequacy of tidal ventilation are the oldest and most widely practiced forms of respiratory monitoring in critically ill patients. Surprisingly, this method of assessment has itself never been evaluated in patients. The estimation of tidal volume in nine patients was performed by full-time intensive care unit (ICU) personnel and compared to the objective measurement of using a calibrated and validated respiratory inductive plethysmograph (RIP). Linear correlation analysis was performed. Poor correlation between clinical estimation by ICU personnel and actual measurement by RIP was revealed in all cases. A widespread and potentially dangerous tendency to overestimate tidal volume was noted. These data suggest that subjective assessment of tidal volume is inaccurate in critically ill patients and that the development of techniques of continuous, nonobtrusive and objective monitoring are to be encouraged.
journal_name
Chestjournal_title
Chestauthors
Semmes BJ,Tobin MJ,Snyder JV,Grenvik Adoi
10.1378/chest.87.5.577subject
Has Abstractpub_date
1985-05-01 00:00:00pages
577-9issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(15)41172-9journal_volume
87pub_type
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