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Physiological profiles and therapeutic goals — graphical aids support quick orientation in intensive care

  • Published:
International journal of clinical monitoring and computing

Abstract

Although present-day technical facilities and modern patient monitoring produce an overwhelming number of measured parameters in intensive care medicine, there is a great need to develop decision aids to enable ICU personnel to become quickly orientated in the pathophysiological state of the patients under their care. One possible way for the representation of a multidimensional pattern of physiological values is the graphical display of a physiological profile of a patient's state.

A combination of this display and the concept of ‘therapeutic goals’ is well suited for reducing the complexity of the computer output and for aiding in the necessary decisions in a twofold manner:

  1. 1.

    substantial deviations of a single parameter are instantly visible and may be checked for their causes

  2. 2.

    the physician obtains an impression of the most serious deviations from the intended therapeutic goal for his patient. So she/he can act to support the patient in achieving the most likely course for recovery.

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Abbreviations

AaDO2, AaDO2 :

alveolo-arterial oxygen difference

avDO2, avDO2 :

arterio-mixed venous oxygen difference

CaO2, CaO2 :

arterial oxygen content

Ceff stat:

effective static compliance

CI:

cardiac index

DO2I, DO2I:

oxygen delivery (CaO2×CI)

FIO2, FIO2 :

inspired oxygen fraction

PaCO2, PaCO2 :

arterial CO2 partial pressure

PaO2, PaO2 :

arterial O2 partial pressure

pHa:

arterial pH

Qs/Qt:

pulmonary shunt

VD/VT:

dead space ratio

VO2I, VO2I:

oxygen consumption (avDO2×CI×10)

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Author information

Authors and Affiliations

  1. Clinic for Anaesthesiology and Intensive Care Medicine, Friedrichshain Hospital, Leninallee 49, D-O-1017, Berlin, Germany

    Heinz Mrochen, Ullrich Hieronymi & Manfred Meyer

Authors
  1. Heinz Mrochen
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  2. Ullrich Hieronymi
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  3. Manfred Meyer
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Additional information

Based on a paper delivered at the 1st Annual Meeting of the European Society for Computing and Technology in Anaesthesia and Intensive Care, Goldegg-Salzburg/Austria, 24–27 October, 1990

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Mrochen, H., Hieronymi, U. & Meyer, M. Physiological profiles and therapeutic goals — graphical aids support quick orientation in intensive care. J Clin Monit Comput 8, 207–212 (1991). https://doi.org/10.1007/BF01738894

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  • DOI: https://doi.org/10.1007/BF01738894

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