Nietzsche, Ecce Homo
Brazilian Consensus on Monitoring and Hemodynamic support
Parte I: Método e Definições*
Part I: Method and Definitions
Ederlon Rezende, Álvaro Réa-Neto, Cid Marcos David, Ciro Leite Mendes, Fernando Suparregui Dias,
Guilherme Schettino, Suzana Margareth Ajeje Lobo, Alberto Barros, Eliézer Silva, Gilberto Friedman,
José Luiz Gomes do Amaral, Marcelo Park, Maristela Monachini, Mirella Cristine de Oliveira,
Murillo Santucci César Assunção, Nelson Akamine, Patrícia Veiga C Mello, Renata Andréa Pietro Pereira,
Rubens Costa Filho, Sebastião Araújo, Sérgio Félix Pinto, Sérgio Ferreira, Simone Mattoso Mitushima,
Sydney Agareno, Yuzeth Nóbrega de Assis Brilhante; Painel de Especialistas do Consenso Brasileiro de Monitorização e Suporte Hemodinâmico da Associação de Medicina Intensiva Brasileira (AMIB).
SUMMARY
BACKGROUND AND OBJECTIVES: The multidisciplinary team involved in the care of critically ill patients has to constantly observe the vital signs of these patients to detect any indication of organ dysfunction. Equipments and laboratory tests are also often used in the intensive care setting to assess vital organs perfusion and to early detect tissue hypoxia preventing multiple organ failure. Based on this believe, the Associação de Medicina Intensiva Brasileira – AMIB gathered experts to create guidelines and recommendations for monitoring and hemodynamic support to be used by the healthcare professionals who work in the Brazilian’s Intensive Care Medicine.
METHODS: Modified Delphi methodology was used to develop a consensus. AMIB indicated a coordinator who invited more six experts in the area of monitoring and hemodynamic support to constitute the Consensus Advisory Board. Twenty five physicians and nurses selected from different regions of the country completed the expert panel, which reviewed the pertinent bibliography listed at the MEDLINE in the period from 1996 to