Riassunto
Il monitoraggio di minima è quello adeguato alla severità del paziente, tenendo conto che le condizioni cliniche potrebbero variare rapidamente. Non ha senso quindi avere la disponibilità di un monitoraggio emodinamico invasivo se stiamo trattando una semplice riacutizzazione di BPCO in fase iniziale, così come è impensabile applicare la NIV in un paziente con una polmonite caratterizzata da grave ipossia avendo a disposizione il solo saturimetro. Chiaramente sarebbe auspicabile lavorare in una struttura che possieda un sistema integrato di monitoraggio non invasivo e invasivo, in maniera tale da non dover eventualmente trasferire il paziente in caso di deterioramento. Questo è possibile, al di fuori delle Terapie Intensive, solo nelle Terapie Intensive Respiratorie di terzo livello.
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Letture consigliate
Aubier M, Murciano D, Lecocquic Y et al (1985) Bilateral phrenic stimulation: a simple technique to assess diaphragmatic fatigue in humans. J Appl Physiol 58(1):58–64
Bellemare F, Grassino A (1983) Force reserve of the diaphragm in patients with chronic obstructive pulmonary disease. J Appl Physiol 55(1 Pt 1):8–15
Bergeron N, Dubois MJ, Dumont M et al (2001) Intensive Care Delirium Screening Checklist: evaluation of a new screening tool. Intensive Care Med 27(5):859–864
Bone RG (1990) Monitoring respiratory and hemodynamic function in the patient with respiratory failure. In: Kirby RR, Banner MJ, Downs JB (eds) Clinical applications of ventilatory support. Churchill Livingstone Med, New York
Ceriana P, Fanfulla F, Mazzacane F et al (2009) Delirium in patients admitted to a step-down unit: Analysis of incidence and risk factors. J Crit Care [Epub ahead of print]
Corrado A, Ambrosino N, Rossi A et al (1994) Unità di terapia intensiva respiratoria. Rassegna di patologia dell’apparato respiratorio 9(2):115–123
Cunnion RE, Natanson C (1994) Echocardiography, pulmonary artery catheterization, and radionuclide cineangiography in septic shock. Intensive Care Med 20(8):535–537
Ely WE, Inouye SK, Bernard GR et al (2001) Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA 286(21):2703–2710
Grandjean T (1968) [A microtechnic of right heart catheterization useful at the bedside without fluoroscopic monitoring]. Une microtechnique du cathétérisme cardiaque droit praticable au lit du malade sans contrôle radioscopique. Cardiologie 51(3):184–192
Johnson DC, Batool S, Dalbec R (2008) Transcutaneous carbon dioxide pressure monitoring in a specialized weaning unit. Respir Care 53(8):1042–1047
Kelly BJ, Matthog MA (1993) Prevalence and severity of neurological dysfunction in critically ill patients. Influence on need for continued mechanical ventilation. Chest 104:1818–1824
Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) APACHE II: a severity of disease classification system. Crit Care Med 13(10):18–23
Laghi F, Cattapan SE, Jubran A et al (2003) Is weaning failure caused by low-frequency fatigue of the diaphragm? Am J Respir Crit Care Med 167(2):120–127
Laporta D, Grassino A (1985) Assessment of transdiaphragmatic pressure in humans. J Appl Physiol 58(5):1469–1476
Lichtenstein DA, Meziére GA (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 134(1):117–125
Lofaso F, Fodil R, Lorino H et al (2000) Inaccuracy of tidal volume delivered by home mechanical ventilators. Eur Respir J 15:338–341
Milic-Emili J, Mead J, Turner JM, Glauser EM (1964) Improved technique for estimating pleural pressure from esophageal balloons. J Appl Physiol 19:207–211
Miller JM, Moxham J, Green M (1985) The maximal sniff in the assessment of diaphragm function in man. Clin Sci (Lond) 69(1):91–96
Nava S, Ambrosino N, Crotti P et al (1993) Recruitment of some respiratory muscles during three maximal inspiratory manoeuvres. Thorax 48(7):702–707
Sassoon CS, Te TT, Mahutte CK, Light RW (1987) Airway occlusion pressure. An important indicator for successful weaning in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 135(1):107–113
Talmor D, Sarge T, Malhotra A et al (2008) Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 359(20):2095–2104
Tobin MJ, Perez W, Guenther SM et al (1986) The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis 134(6):1111–1118
Tobin MJ (1988) Respiratory monitoring in the intensive care unit. Am Rev Respir Dis 138(6):1625–1642
Vassilakopoulos T (2008) Understanding wasted/ineffective efforts in mechanically ventilated COPD patients using the Campbell diagram. Intensive Care Med 34(7):1336–1339
Withelaw WA, Derenne JP, Milic-Emili J (1975) Occlusion pressure as a measure of respiratory center output in conscious man. Respir Physiol 23(2):181–99
Yang KL, Tobin MJ (1991) A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 324(21):1445–50
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Nava, S., Fanfulla, F. (2010). Monitoraggio nella ventiloterapia non invasiva. In: Ventilazione meccanica non invasiva. Springer, Milano. https://doi.org/10.1007/978-88-470-1548-7_18
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DOI: https://doi.org/10.1007/978-88-470-1548-7_18
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