Document Detail


Monitoring the critically ill patient.
MedLine Citation:
PMID:  10612963     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It has long been recognised that the physiological response of the patient to a stress or disease process will very largely determine the outcome. It is important, therefore, to monitor the physiological responses of patients since this not only allows the assessment of physiological reserve but will also give a baseline against which the effectiveness of any applied treatment can be judged. Basic knowledge of the principles of monitoring and correct interpretation of data is important since a failure to do so can result in misdirected therapy. Much of what will be discussed in this review revolves around the maintenance of normal aerobic metabolism and thus maintenance of viable cell function and measurement of the degree of tissue oxygenation. Reduced supply of oxygen over demand for oxygen results in cell injury and organ dysfunction. Only by assessing this dysfunction can appropriate modifications of therapy be undertaken.
Authors:
N R Webster
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Surgeons of Edinburgh     Volume:  44     ISSN:  0035-8835     ISO Abbreviation:  J R Coll Surg Edinb     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-01-14     Completed Date:  2000-01-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503110     Medline TA:  J R Coll Surg Edinb     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  386-93     Citation Subset:  IM    
Affiliation:
Academic Unit of Anaesthesia and Intensive Care, University of Aberdeen, U.K. n.r.webster@abdn.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Critical Care*
Education, Medical, Continuing
Health Status
Humans
Monitoring, Physiologic / methods*
Oxygen / analysis
Postoperative Care*
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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