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Diagnostic Modalities in Critical Care: Point-of-Care Approach
The concept of intensive care units (ICU) has existed for almost 70 years, with outstanding development progress in the last decades. Multidisciplinary care of critically ill patients has become an integral part of every modern health care system, ensuing improved care and reduced mortality. Early r...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700511/ https://www.ncbi.nlm.nih.gov/pubmed/34943438 http://dx.doi.org/10.3390/diagnostics11122202 |
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author | Rajsic, Sasa Breitkopf, Robert Bachler, Mirjam Treml, Benedikt |
author_facet | Rajsic, Sasa Breitkopf, Robert Bachler, Mirjam Treml, Benedikt |
author_sort | Rajsic, Sasa |
collection | PubMed |
description | The concept of intensive care units (ICU) has existed for almost 70 years, with outstanding development progress in the last decades. Multidisciplinary care of critically ill patients has become an integral part of every modern health care system, ensuing improved care and reduced mortality. Early recognition of severe medical and surgical illnesses, advanced prehospital care and organized immediate care in trauma centres led to a rise of ICU patients. Due to the underlying disease and its need for complex mechanical support for monitoring and treatment, it is often necessary to facilitate bed-side diagnostics. Immediate diagnostics are essential for a successful treatment of life threatening conditions, early recognition of complications and good quality of care. Management of ICU patients is incomprehensible without continuous and sophisticated monitoring, bedside ultrasonography, diverse radiologic diagnostics, blood gas analysis, coagulation and blood management, laboratory and other point-of-care (POC) diagnostic modalities. Moreover, in the time of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, particular attention is given to the POC diagnostic techniques due to additional concerns related to the risk of infection transmission, patient and healthcare workers safety and potential adverse events due to patient relocation. This review summarizes the most actual information on possible diagnostic modalities in critical care, with a special focus on the importance of point-of-care approach in the laboratory monitoring and imaging procedures. |
format | Online Article Text |
id | pubmed-8700511 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87005112021-12-24 Diagnostic Modalities in Critical Care: Point-of-Care Approach Rajsic, Sasa Breitkopf, Robert Bachler, Mirjam Treml, Benedikt Diagnostics (Basel) Review The concept of intensive care units (ICU) has existed for almost 70 years, with outstanding development progress in the last decades. Multidisciplinary care of critically ill patients has become an integral part of every modern health care system, ensuing improved care and reduced mortality. Early recognition of severe medical and surgical illnesses, advanced prehospital care and organized immediate care in trauma centres led to a rise of ICU patients. Due to the underlying disease and its need for complex mechanical support for monitoring and treatment, it is often necessary to facilitate bed-side diagnostics. Immediate diagnostics are essential for a successful treatment of life threatening conditions, early recognition of complications and good quality of care. Management of ICU patients is incomprehensible without continuous and sophisticated monitoring, bedside ultrasonography, diverse radiologic diagnostics, blood gas analysis, coagulation and blood management, laboratory and other point-of-care (POC) diagnostic modalities. Moreover, in the time of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, particular attention is given to the POC diagnostic techniques due to additional concerns related to the risk of infection transmission, patient and healthcare workers safety and potential adverse events due to patient relocation. This review summarizes the most actual information on possible diagnostic modalities in critical care, with a special focus on the importance of point-of-care approach in the laboratory monitoring and imaging procedures. MDPI 2021-11-25 /pmc/articles/PMC8700511/ /pubmed/34943438 http://dx.doi.org/10.3390/diagnostics11122202 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Rajsic, Sasa Breitkopf, Robert Bachler, Mirjam Treml, Benedikt Diagnostic Modalities in Critical Care: Point-of-Care Approach |
title | Diagnostic Modalities in Critical Care: Point-of-Care Approach |
title_full | Diagnostic Modalities in Critical Care: Point-of-Care Approach |
title_fullStr | Diagnostic Modalities in Critical Care: Point-of-Care Approach |
title_full_unstemmed | Diagnostic Modalities in Critical Care: Point-of-Care Approach |
title_short | Diagnostic Modalities in Critical Care: Point-of-Care Approach |
title_sort | diagnostic modalities in critical care: point-of-care approach |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700511/ https://www.ncbi.nlm.nih.gov/pubmed/34943438 http://dx.doi.org/10.3390/diagnostics11122202 |
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