Skip to main content

Monitoring Patients: What’s New in Intensive Care Setting?

  • Chapter
  • First Online:
Nursing in Critical Care Setting

Abstract

Monitoring (“to monitor”) is a term that involves the observation, actions, measuring, and understanding of many human activities in time. Historically, monitoring started as a physiological measurement problem and probably will end up as an overall assessment of the patient in intensive care. Monitoring is an activity that involves the entire ICU staff: nurses, doctors, respiratory therapists and rehabilitation therapists, and dietitians too. Monitoring is based on different operational models implemented in different countries of the world. Nurses, wherever present 24 h a day, often play the role of liaison between the various staff components, ensuring security, continuity, and harmony and coordinating and communicating all aspects of treatment and care that patient needs. Nurses also provide continuous monitoring and caring for patients and equipment and for their interactions.

Monitoring can be instrumental by the use of various technologies, or it can be derived by observation and the use of scales: both systems provide “bed monitoring” that represents the base of all intensive care unit activity.

We purposed MAGIS, a conceptual model to describe intensive care nursing monitoring which will be explained in later chapters.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  1. Nič M, Jirát J, Košata B, Jenkins A, McNaught A. IUPAC compendium of chemical terminology—the gold book. Research Triagle Park, NC: International Union of Pure and Applied Chemistry; 2009.

    Book  Google Scholar 

  2. Patient Care and Monitoring Systems. 2013. http://www.eng.tau.ac.il/~gannot/MI/file2.ppt. Accessed 12 May 2016.

  3. Welch JR, Theaker C. Ruolo infermieristico in terapia intensiva. In: Bersten AD, Soni N, editors. Oh Manuale di terapia intensiva. sesta edizione ed. Milano: Elsevier Health Sciences Italy; 2010. p. 3197–647.

    Google Scholar 

  4. Vincent JL, Singer M. Critical care: advances and future perspectives. Lancet. 2010;376(9749):1354–61. https://doi.org/10.1016/S0140-6736(10)60575-2.

    Article  PubMed  Google Scholar 

  5. Schallom M. Monitoring and support devices in the Intensive Care Unit. Support Line. 2014;36(6):20–5. 10.21037/jtd.2016.05.37.

    Article  Google Scholar 

  6. Ciccone A, Celani MG, Chiaramonte R, Rossi C, Righetti E. Continuous versus intermittent physiological monitoring for acute stroke. Cochrane Database Syst Rev 2013;(5):CD008444. doi: https://doi.org/10.1002/14651858.CD008444.pub2.

  7. Adams HP Jr, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Circulation. 2007;115(20):e478–534.

    Article  PubMed  Google Scholar 

  8. Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525–37.

    Article  PubMed  Google Scholar 

  9. ECRI Institute. Top 10 technology hazards for 2012. The risks that should be at the top of your prevention list. Health Devices. 2011;40(11):358–73.

    Google Scholar 

  10. Tomasi CD, Grandi C, Salluh J, Soares M, Giombelli VR, Cascaes S, et al. Comparison of CAM-ICU and ICDSC for the detection of delirium in critically ill patients focusing on relevant clinical outcomes. J Crit Care. 2012;27(2):212–7. https://doi.org/10.1016/j.jcrc.2011.05.015.

    Article  PubMed  Google Scholar 

  11. Christakou A, Papadopoulos E, Patsaki E, Sidiras G, Nanas S. Functional Assessment Scales in a general intensive care unit. Hosp Chron. 2013;8(4):164.

    Google Scholar 

  12. Gentili A. Il paziente critico. Clinica e assistenza infermieristica in anestesia e rianimazione. Milano: CEA; 1993.

    Google Scholar 

  13. Besso J, Lumb PD, Williams G. Intensive and critical care medicine. WFSICCM World Federation of Societies of Intensive and Critical Care Medicine. Milano: Springer; 2009.

    Google Scholar 

  14. Bersten AD, Soni N. Oh Manuale di terapia intensiva. London: Elsevier Health Sciences Italy; 2010.

    Google Scholar 

  15. Citerio G, Oddo M, Taccone FS. Recommendations for the use of multimodal monitoring in the neurointensive care unit. Curr Opin Crit Care. 2015;21(2):113–9. https://doi.org/10.1097/MCC.0000000000000179.

    Article  PubMed  Google Scholar 

  16. Schomer AC, Hanafy K. Neuromonitoring in the ICU. Int Anesthesiol Clin. 2015;53(1):107–22. https://doi.org/10.1097/AIA.0000000000000042.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Barr J, Fraser GL, Puntillo K, Ely EW, Gelinas C, Dasta JF, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263–306. https://doi.org/10.1097/CCM.0b013e3182783b72.

    Article  PubMed  Google Scholar 

  18. Stammet P, Collignon O, Werer C, Sertznig C, Devaux Y. Bispectral index to predict neurological outcome early after cardiac arrest. Resuscitation. 2014;85(12):1674–80. https://doi.org/10.1016/j.resuscitation.2014.09.009.

    Article  PubMed  Google Scholar 

  19. Kipnis E, Ramsingh D, Bhargava M, Dincer E, Cannesson M, Broccard A, Vallet B, Bendjelid K, Thibault R. Monitoring in the intensive care. Crit Care Res Pract. 2012;2012:473507. https://doi.org/10.1155/2012/473507.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Bulleri E, Fusi C. Manuale di monitoraggio grafico della ventilazione meccanica. Guida pratica alla rilevazione delle asincronie. FareLibri; 2015.

    Google Scholar 

  21. Poulia KA, Yannakoulia M, Karageorgou D, Gamaletsou M, Panagiotakos DB, Sipsas NV, Zampelas A. Evaluation of the efficacy of six nutritional screening tools to predict malnutrition in the elderly. Clin Nutr. 2012;31(3):378–85. https://doi.org/10.1016/j.clnu.2011.11.017.

    Article  PubMed  Google Scholar 

  22. Berni G, Francois C, Tonelli L. National Early Warning Score (NEWS) Misurazione standardizzata della gravità della malattia. 2016. http://www.regione.toscana.it/documents/10180/320308/National+early+warning+score+(NEWS)/072cf23a-213e-4dac-9ad3-4070579417fa. Accessed 16 Jun 2016.

  23. Rando K, Niemann CU, Taura P, Klinck J. Optimizing cost-effectiveness in perioperative care for liver transplantation: a model for low- to medium-income countries. Liver Transpl. 2011;17(11):1247–78. https://doi.org/10.1002/lt.22405.

    Article  PubMed  Google Scholar 

  24. Odell M, Victor C, Oliver D. Nurses’ role in detecting deterioration in ward patients: systematic literature review. J Adv Nurs. 2009;65(10):1992–2006.

    Article  PubMed  Google Scholar 

  25. Cabrera D, Thomas JF, Wiswell JL, Walston JM, Anderson JR, Hess EP, et al. Accuracy of ‘My Gut Feeling:’ comparing system 1 to system 2 decision-making for acuity prediction, disposition and diagnosis in an Academic Emergency Department. West J Emerg Med. 2015;16(5):653–7. https://doi.org/10.5811/westjem.2015.5.25301.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Adhikari NKJ, Fowler RA, Bhagwanjee S, Rubenfeld GD. Critical care and the global burden of critical illness in adults. Lancet. 2010;376(9749):1339–46. https://doi.org/10.1016/S0140-6736(10)60446-1.

    Article  PubMed  Google Scholar 

  27. Kisiel M. Nursing observations: knowledge to help prevent critical illness. Br J Nurs. 2006;15(19):1052–6. 10.12968/bjon.2006.15.19.22105.

    Article  PubMed  Google Scholar 

  28. Moller JT, Johannessen NW, Espersen K, Ravlo O, Pedersen BD, Jensen PF, et al. Randomized evaluation of pulse oximetry in 20,802 patients; II. Perioperative events and postoperative complications. J Am Soc Anesthesiol. 1993;78(3):445–53.

    Article  CAS  Google Scholar 

  29. Forsyth RJ, Raper J, Todhunter E. Routine intracranial pressure monitoring in acute coma. Cochrane Database Syst Rev. 2015;(11):CD002043. doi: https://doi.org/10.1002/14651858.CD002043.pub3.

  30. Cannesson M, Broccard A, Vallet B, Bendjelid K. Monitoring in the intensive care unit: its past, present, and future. Crit Care Res Pract. 2012;2012:452769. https://doi.org/10.1155/2012/452769.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Manici, M., Torbinio, C. (2018). Monitoring Patients: What’s New in Intensive Care Setting?. In: Nursing in Critical Care Setting. Springer, Cham. https://doi.org/10.1007/978-3-319-50559-6_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-50559-6_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50558-9

  • Online ISBN: 978-3-319-50559-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics