RT Book, Section
A1 Cyr, Anthony R.
A1 Alarcon, Louis H.
A2 Brunicardi, F. Charles
A2 Andersen, Dana K.
A2 Billiar, Timothy R.
A2 Dunn, David L.
A2 Kao, Lillian S.
A2 Hunter, John G.
A2 Matthews, Jeffrey B.
A2 Pollock, Raphael E.
SR Print(0)
ID 1164308917
T1 Physiologic Monitoring of the Surgical Patient
T2 Schwartz's Principles of Surgery, 11e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259835353
LK accesssurgery.mhmedical.com/content.aspx?aid=1164308917
RD 2024/04/16
AB Key  Points  The  delivery  of  modern  critical  care  is  predicated  on  the  ability  to  monitor  a  large  number  of  physiologic  variables  and  formulate  evidenced-based  therapeutic  strategies  to  manage  these  variables.  Technological  advances  in  monitoring  have  at  least  a  theoretical  risk  of  exceeding  our  ability  to  understand  the  clinical  implications  of  the  derived  information.  This  could  result  in  the  use  of  monitoring  data  to  make  inappropriate  clinical  decisions.  Therefore,  the  implementation  of  any  new  monitoring  technology  must  take  into  account  the  relevance  and  accuracy  of  the  data  obtained,  the  risks  to  the  patient,  and  the  evidence  supporting  any  intervention  directed  at  correcting  the  detected  abnormality.  The  routine  use  of  invasive  monitoring  devices,  specifically  the  pulmonary  artery  catheter,  must  be  questioned  in  light  of  the  available  evidence  that  does  not  demonstrate  a  clear  benefit  to  its  widespread  use  in  various  populations  of  critically  ill  patients.  The  future  of  physiologic  monitoring  will  be  dominated  by  the  application  of  noninvasive  and  highly  accurate  devices  which  guide  evidenced-based  therapy.