Voga G
Department of Intensive Internal Medicine, General Hospital, Celje, Slovenija.
Lijec Vjesn. 1995 Jun;117 Suppl 2:23-5.
Monitoring of vital functions is one of the most important and essential tools in the management of critically ill patients in the ICU. Today it is possible to detect and analyze a great variety of physiological signals by various noninvasive and invasive techniques. An intensivist should be able to select and perform the most appropriate monitoring method for the individual patient considering risk-benefit ratio of the particular monitoring technique and the need for immediate therapy, specific diagnosis, continuous monitoring and evaluation of morphology should be included. Despite rapid development of noninvasive monitoring techniques, invasive hemodynamic monitoring in still one of the most basic ICU procedures. It enables monitoring of pressures, flow and saturation, pressures in the systemic and pulmonary circulation, estimation of cardiac performance and judgment of the adequacy of the cardiocirculatory system. Carefully and correctly obtained information are basis for proper hemodynamic assessment which usually effects the therapeutic decisions.
生命功能监测是重症监护病房（ICU）中危重症患者管理最重要且必不可少的工具之一。如今，通过各种非侵入性和侵入性技术可以检测和分析多种生理信号。考虑到特定监测技术的风险效益比以及即时治疗的需求，重症监护医生应该能够为个体患者选择并实施最合适的监测方法，还应包括特定诊断、持续监测以及形态学评估。尽管非侵入性监测技术发展迅速，但有创血流动力学监测仍是ICU最基本的操作之一。它能够监测压力、流量和饱和度，监测体循环和肺循环中的压力，评估心脏功能以及判断心血管系统的充足性。仔细且正确获取的信息是进行恰当血流动力学评估的基础，而这通常会影响治疗决策。
