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Clinical review: Respiratory monitoring in the ICU - a consensus of 16

Laurent Brochard1, Greg S Martin2, Lluis Blanch3, Paolo Pelosi4, F Javier Belda5, Amal Jubran6, Luciano Gattinoni7, Jordi Mancebo8, V Marco Ranieri9, Jean-Christophe M Richard1, Diederik Gommers10, Antoine Vieillard-Baron11, Antonio Pesenti12, Samir Jaber13, Ola Stenqvist14 and Jean-Louis Vincent15*

Author Affiliations

1 Department of Intensive Care, Hôpitaux Universitaires de Genève, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva, Switzerland; and Université de Genève, Switzerland

2 Division of Pulmonary, Allergy and Critical Care, Emory University School of Medicine, Grady Memorial Hospital, 615 Michael Street, Suite 205, Atlanta, GA 30322, USA

3 Critical Care Center, Corporacio Sanitaria Universitària Parc Tauli, Universitat Autònoma de Barcelona, 08208 Sabadell, Spain, CIBER Enfermedades Respiratorias, ISCiii, Madrid, Spain

4 Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, San Martino Hospital, Largo Rosanna Benzi 8 16132, Genoa, Italy

5 Department of Anesthesia and Surgical Critical Care, Hospital Clínico Universitario, Avda Blasco Ibañez 17, 46010 Valencia, Spain

6 Division of Pulmonary and Critical Care Medicine, Edward Hines Jr. VA Hospital, 111N, 5th Avenue and Roosevelt Road, Hines, IL 60141, USA

7 Dipartimento di Anestesiologia, Terapia Intensive e Scienze Dermatologiche, and Dipartimento do Anestesia, Rianimazione (Intensive e Subintensiva) e Terapia del Dolore, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Università degli Studi di Milano, via F, Sforza 35, 20122, Milan, Italy

8 Servicio Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Carrer St. Quintí 89, 08041 Barcelona, Spain

9 Department of Anesthesia and Intensive Care Medicine, University of Turin, S. Giovanni Battista, Molinette Hospital, Corso Dogliotti 14, 10126 Turin, Italy

10 Adult Intensive Care, Erasmus MC, Room H623, 's Gravendijkwal 230, 3015CE Rotterdam, The Netherlands

11 Intensive Care Unit, Section Thorax - Vascular disease - Abdomen - Metabolism, CHU Ambroise Paré, 9 avenue Charles-de-Gaulle, 92104 Boulogne, France

12 Anesthesia and Intensive Care, University of Milan-Bicocca, A.O. Ospedale S. Gerardo, Via Pergolesi 33, 20900 Monza, Italy

13 Department of Critical Care Medicine and Anesthesiology, Saint Eloi University Hospital and Montpellier School of Medicine, 80 Avenue Augustin Fliche, 34295 Montpellier - Cedex 5, France

14 Department of Anesthesiology and Intensive Care, Sahlgrenska University Hospital, Bla Straket 5, Gothenburg, SE 413 45, Sweden

15 Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, 808 route de Lennik, 1070 Brussels, Belgium

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Critical Care 2012, 16:219  doi:10.1186/cc11146

Published: 26 April 2012


Monitoring plays an important role in the current management of patients with acute respiratory failure but sometimes lacks definition regarding which 'signals' and 'derived variables' should be prioritized as well as specifics related to timing (continuous versus intermittent) and modality (static versus dynamic). Many new techniques of respiratory monitoring have been made available for clinical use recently, but their place is not always well defined. Appropriate use of available monitoring techniques and correct interpretation of the data provided can help improve our understanding of the disease processes involved and the effects of clinical interventions. In this consensus paper, we provide an overview of the important parameters that can and should be monitored in the critically ill patient with respiratory failure and discuss how the data provided can impact on clinical management.