Skip to main content
SpringerLink
Log in

Intensive Care Monitoring

  • Chapter
Multiple Organ Failure

  • 362 Accesses

Abstract

Intensive care medicine, as a discipline to treat the most critically ill patients, had its beginnings during the last quarter of the twentieth century. From the beginning, hemodynamic monitoring needs evolved as physicians sought to optimize their patients’ hemodynamic status, provide early intervention, and establish a warning system of impending cardiovascular deterioration, A perennial concern of the intensivist is the adequacy of the systemic circulation.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Kirton OC, Windsor J, Wedderburn R, et al: Failure of splanchnic resuscitation in the acutely injured trauma patient correlation with multiple organ system failure and length of stay in the ICU. Chest 1998; 113: 1064–1069.

    Article  PubMed  CAS  Google Scholar 

  2. Moore F, Haenel J, Moore E, et al: Incommensurate oxygen consumption in response to maximal oxygen availability predicts post injury multiple organ failure. J Trauma 1992; 3: 58–67.

    Article  Google Scholar 

  3. Tuchschmidt J, Fried J, Astiz M, et al: Elevation of cardiac output and oxygen delivery improves outcome in septic shock. Chest 1992; 102: 216–220.

    Article  PubMed  CAS  Google Scholar 

  4. Yu M, Levy MM, Smith P, et al: Effect of maximizing oxygen delivery on morbidity and mortality rates in critically ill patients: a prospective, randomized, controlled study. Crit Care Med 1993; 21: 830–832.

    Article  PubMed  CAS  Google Scholar 

  5. Maynard N, Bihari D, Beale R, et al: Assessment of splanchnic oxygenation by gastric tonometry in patients with acute circulatory failure. JAMA 1993; 270: 1203–1210.

    Article  PubMed  CAS  Google Scholar 

  6. Chang MC, Cheatham ML, Nelson LD, et al: Gastric tonometry supplements information provided by systemic indicators of oxygen transport. J Trauma 1994; 27: 488–494.

    Article  Google Scholar 

  7. Landow L, Phillip DA, Heard SO, et al: Gastric tonometry and venous oximetry in cardiac surgery patients. Crit Care Med 1991; 19: 1226–1233.

    Article  PubMed  CAS  Google Scholar 

  8. Gutierrez G: Cellular energy metabolism during hypoxia. Crit Care Med 1991; 19: 619–626.

    Article  PubMed  CAS  Google Scholar 

  9. Ivatury RR, Simon RJ, Havriliak D, et al: Gastric mucosal pH and organ delivery and oxygen consumption indices in the assessment of adequacy of resuscitation after trauma: a prospective randomized study. J Trauma 1995; 39: 128–134.

    Article  PubMed  CAS  Google Scholar 

  10. Porter JM, Ivatury RR: In search of the optimal endpoints of resuscitation in trauma patients: a review. J Trauma 1998; 44: 908–914.

    Article  PubMed  CAS  Google Scholar 

  11. Carins CB, Moore FA, Haenel JB, et al: Evidence for early supply independent mitochondrial dysfunction in patients developing multiple organ failure after trauma. J Trauma 1997; 42: 532–536.

    Article  Google Scholar 

  12. Soto Y, Weil MH, Tang W: Tissue hyperearbic acidosis as a marker of acute circulatory failure (shock). Chest 1998; 114: 263–274.

    Article  Google Scholar 

  13. Mythen MO, Webb AR: The role of gut mucosal hypoperfusion in the pathogenesis of post-operative organ dysfunction. Intensive Care Med 1994; 20: 203–209.

    Article  PubMed  CAS  Google Scholar 

  14. Kirton OC, Civetta JM; Splanchnic flow and resuscitation. In; Civetta JM, Taylor RW, Kirby RR (eds) Critical Care, 3rd ed. Philadelphia, Lippincott-Raven

    Google Scholar 

  15. Barquist E, Kirton OC, Windsor J, et al: The impact of antioxidant and splanchnic-directed therapy on persistent uncorrected gastric mucosal pH in the critically injured trauma patient. J Trauma 1998; 14: 355–359.

    Article  Google Scholar 

  16. Gutierrez G, Andry JM: Nuclear magnetic resonance measurements: clinical applications. Crit Care Med 1989; 17: 73–82.

    Article  PubMed  CAS  Google Scholar 

  17. Knudson MM, Bermudez KM, Doyle CA, et al: Use of tissue oxygen tension measurements during resuscitation from hemorrhagic shock. J Trauma 1997; 42: 608–614.

    Article  PubMed  CAS  Google Scholar 

  18. Waxman K, Annas C, Daughters K, et al: A method to determine the adequacy of resuscitation using tissue oxygen monitoring. J Trauma 1994; 36: 852–858.

    Article  PubMed  CAS  Google Scholar 

  19. Lee P, Langdale L, Mock C, et al: Near-infrared spectroscopy: continuous measurement of cytochrome oxidation during hemorrhagic shock. Crit Care Med 1997; 25: 166–170.

    Article  Google Scholar 

  20. Nelson L: The new pulmonary artery catheters: continuous venous oximetry, right ventricular ejection fraction and continuous cardiac output. New Horiz 1997; 5: 251–258.

    PubMed  CAS  Google Scholar 

  21. Diebel LN, Meyers T, Dulchausky S: Effects of increasing airway pressure and PEEP on the assessment of cardiac preload. J Trauma 1997; 42: 585–591.

    Article  PubMed  CAS  Google Scholar 

  22. Kraut EJ, Owings JT, Anderson JT, et al: Right ventricular volumes over estimate left ventricular preload in critically ill patients. J Trauma 1997; 42: 839–846.

    Article  PubMed  CAS  Google Scholar 

  23. Chang MC, Blinman TA, Rutherford EJ, et al: Preload assessment in trauma patients during large-volume shock resuscitation. Arch Surg 1996; 131: 728–731.

    Article  PubMed  CAS  Google Scholar 

  24. Gattinoni L, Brazzi L, Pelosi P, et al: A trial of goal-oriented hemodynamic therapy in critically ill patients. N Engl J Med 1995; 333: 1025–1032.

    Article  PubMed  CAS  Google Scholar 

  25. Boldt J, Menges T, Wollbruk M, et al: Is continuous cardiac output measurement using thermodilution reliable in the critically ill patient? Crit Care Med 1994; 22: 1913–1918.

    PubMed  CAS  Google Scholar 

  26. Mihm FG, Gettinger A, Hanson W, et al: A multicenter evaluation of a new continuous cardiac output pulmonary artery catheter system. Crit Care Med 1998; 26: 1346–1350.

    Article  PubMed  CAS  Google Scholar 

  27. Burchell SA, Yu M, Takiguchi SA, et al: Evaluation of a continuous cardiac output and mixed venous oxygen saturation catheter in critically ill surgical patients. Crit Care Med 1997; 25: 388–391.

    Article  PubMed  CAS  Google Scholar 

  28. Jacquet L, Hanique G, Glorieux D, et al: Analysis of the accuracy of continuous thermodilution cardiac output measurements. Intensive Care Med 1996; 22: 1125–1129.

    Article  PubMed  CAS  Google Scholar 

  29. Greim CA, Roewer N, Lavx G, et al: On-line estimation of left ventricular stroke volume using transesophageal echocardiography and acoustic quantification. Br J Anesth 1996; 77: 365–369.

    Article  CAS  Google Scholar 

  30. Krishnamurthy B, McMurray TJ, McClean E: The perioperative use of the esophageal Doppler monitor in patients undergoing coronary artery revascularization. Anesthesia 1997; 52: 624–629.

    Article  CAS  Google Scholar 

  31. Perrino AC, Harris SN, Luther MA: Intraoperative determination of cardiac output using multiplane transesophageal echocardiography. Anesthesiology 1998; 89: 350–357.

    Article  PubMed  Google Scholar 

  32. Greim CA, Roewer N, Apfel C, et al: Relation of echocardiographic preload indices to stroke volume in critically ill patients with normal and low cardiac index. Intensive Care Med 1997; 23: 411–416.

    Article  PubMed  CAS  Google Scholar 

  33. Shoemaker WC, Wo CCJ, Bishop MH, et al: Noninvasive physiologic monitoring of high-risk surgical patients. Arch Surg 1996; 131: 732–737.

    Article  PubMed  CAS  Google Scholar 

  34. Shoemaker WC, Wo CCJ, Bishop MH, et al: Multicenter trial of a new thoracic electrical bioimpedance device for cardiac output estimation. Crit Care Med 1994; 22: 1907–1912.

    PubMed  CAS  Google Scholar 

  35. Shoemaker WC, Belzberg H, Wo CCJ, et al: Multicenter study of noninvasive monitoring systems as alternatives to invasive monitoring of acutely ill emergency patients. Chest 1998; 114: 1643–1652.

    Article  PubMed  CAS  Google Scholar 

  36. Thangathurai D, Charbonnet C, Roessler P, et al: Continuous intraoperative noninvasive cardiac output monitoring using a new thoracic bioimpedance device. J Cardiothorac Vasc Anesth 1997; 11: 440–444.

    Article  PubMed  CAS  Google Scholar 

  37. Marik PE, Pendelton JE, Smith R: A comparison of hemodynamic parameters derived from transthoracic electrical bioimpedance with those parameters obtained by thermodilution and ventricular angiography. Crit Care Med 1997; 25: 1545–1550.

    Article  PubMed  CAS  Google Scholar 

  38. Kirton OC, Civetta JM: Do pulmonary artery catheters alter outcome in trauma patients? New Horiz 1997; 5: 222–227.

    PubMed  CAS  Google Scholar 

  39. Levy M: Pulmonary capillary pressure and tissue perfusion: clinical implications during resuscitation from shock. New Horiz 1996; 4: 504_518.

    PubMed  Google Scholar 

  40. Deibel LN, Wilson RF, Tagett MG, et al: End-diastolic volume; a better indicator of preload in the critically ill. Arch Surg 1992; 127: 817–821.

    Article  Google Scholar 

  41. Swan HJC, Ganz W, Forrester JS, et al: Catheterization of the heart and pulmonary artery was accomplished by floating a flowdirected balloon-tipped catheter. N Engl J Med 1970; 283: 447–451.

    Article  PubMed  CAS  Google Scholar 

  42. Bishop MH, Shoemaker WC, Appel PL, et al: Relationship between supranormal circulatory values, time delays, and outcome in severely traumatized patients. Crit Care Med 1993: 21: 51–63.

    Article  Google Scholar 

  43. Abou-Khalil B, Scalea TM, Trooskin SZ, et al: Hemodynamic responses to shock in young trauma patients: need for invasive monitoring. Crit Care Med 1994; 22: 633–639.

    Article  PubMed  CAS  Google Scholar 

  44. Durham RM, Neunaber K, Mazuski JE, et al: The use of oxygen consumption and delivery as endpoints for resuscitation in critically ill patients. J Trauma 1996; 41: 32–40.

    Article  PubMed  CAS  Google Scholar 

  45. Davis JW, Kaups KL: Base deficit in the elderly: a marker of severe injury and deaths. J Trauma 1998; 45: 873–877.

    Article  PubMed  CAS  Google Scholar 

  46. Abramson D, Scalea TM, Hitchcock R, et al: Lactate clearance and survival following injury. J Trauma 1993; 35: 585–589.

    Article  Google Scholar 

  47. Rhee P, Langdale L, Mock C, et al: Near-infrared spectroscopy: continuous measurement of cytochrome oxidation during hemorrhagic shock. Crit Care Med 1997; 25: 166–170.

    Article  PubMed  CAS  Google Scholar 

  48. Varon AJ, Kirton OC, Civetta JM: Physiologic monitoring of the surgical patient. In: Schwartz SI (ed) Principles of Surgery, vol 12. 1999; 485–509.

    Google Scholar 

  49. Robin ED: Death by pulmonary artery flow-directed catheter: time for a moratorium? Chest 1987; 92: 727–731.

    Article  PubMed  CAS  Google Scholar 

  50. Connors AF, Speroff T, Dawson NV, et al: The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA 1996; 276: 889–897.

    Article  PubMed  Google Scholar 

  51. Urban P, Scheidegger D, Gabathuler J, et al: Thermodilution measurement of right ventricular volume and ejection fraction: a comparison with biplane angiography. Crit Care Med 1987; 15: 652–655.

    Article  PubMed  CAS  Google Scholar 

  52. Ferris S, Konno M: In vivo validation of a thermodilution right ventricular ejection fraction method. J Clin Monit 1992; 8: 74–79.

    Article  PubMed  CAS  Google Scholar 

  53. Chang MC, Meredith JW: Cardiac preload, splanchnic perfusion, and their relationship during resuscitation in trauma patients. J Trauma 1997; 42: 577–584.

    Article  PubMed  CAS  Google Scholar 

  54. Chang MC, Mondy JS, Meredith JW, et al: Redefining cardiovascular performance during shock resuscitation: ventricular stroke work, power, and the pressure-volume diagram. J Trauma 1998; 45: 470–478.

    Article  PubMed  CAS  Google Scholar 

  55. Beele PL, McMichan JC, Marsh HM, et al: Continuous monitoring of mixed venous oxygen saturation in critically ill patients. Anesth Analg 1982; 61: 513–517.

    Google Scholar 

  56. Doglio GR, Pusajo JF, Equrrola MA, et al: Gastric mucosal pH as a prognostic index of mortality in critically ill patients. Crit Care Med 1991; 19: 1037–1040.

    Article  PubMed  CAS  Google Scholar 

  57. Miller PR, Kincald EH, Meredith JW, et al: Threshold values of pH and mucosal-arterial CO2 gap during resuscitation. J Trauma 1998; 45: 868–872.

    Article  PubMed  CAS  Google Scholar 

  58. Ivatury R, Simon R, Havriliak D, et al: Gastric mucosal pH and oxygen delivery and oxygen consumption indices in the assessment of adequacy of resuscitation after trauma: a prospective randomized study. J Trauma 1995; 39: 128–134.

    Article  PubMed  CAS  Google Scholar 

  59. Smith DN: Bioimpedance measurement of cardiac output [letter to the editor]. Crit Care Med 1994; 22: 1513–1514.

    Article  PubMed  CAS  Google Scholar 

  60. Weil MH: Electrical bioimpedance for noninvasive measurement of cardiac output [letter to the editor]. Crit Care Med 1997; 25: 1455.

    Article  PubMed  CAS  Google Scholar 

  61. Stausholm K, Rosenberg-Adamson S, Edvardsen L, et al: Validation of pulse oximetry for monitoring of hypoxemic episodes in the late postoperative period. Br J Anaesth 1997; 78: 86–87.

    Article  PubMed  CAS  Google Scholar 

  62. Larson CP: Continuous arterial blood gas monitoring: a technology in transition. Intensive Care Med 1996; 22: 1141–1143.

    Article  PubMed  Google Scholar 

Download references

Authors
  1. Orlando C. Kirton
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Joseph M. Civetta
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, St. Louis University Hospital, St. Louis, Missouri, 63110, USA

    Arthur E. Baue MD (Professor Emeritus) (Professor Emeritus)

  2. Department of Surgery, Klinikum Grosshadern, University of Munich, Munich, D-81377, Germany

    Eugen Faist MD (Professor) (Professor)

  3. Department of Surgery, School of Medicine, University of New Mexico, Albuquerque, New Mexico, 87131, USA

    Donald E. Fry MD (Professor and Chairman) (Professor and Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media New York

About this chapter

Cite this chapter

Kirton, O.C., Civetta, J.M. (2000). Intensive Care Monitoring. In: Baue, A.E., Faist, E., Fry, D.E. (eds) Multiple Organ Failure. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1222-5_26

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-1222-5_26

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7049-2

  • Online ISBN: 978-1-4612-1222-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation