• Critical care clinics · Oct 2000

    Review

    The future of bedside monitoring.

    • R Kohli-Seth and J M Oropello.
    • Department of Surgery, Mount Sinai Medical Center, City University of New York, New York, USA.
    • Crit Care Clin. 2000 Oct 1; 16 (4): 557-78, vii-viii.

    AbstractToday's intensivists are provided with more information than ever before, yet current monitors present data from multiple sources in a relatively raw form with virtually no intelligent data integration and processing. In the next century, technological advances in miniaturization, biosensors and computer processing, coupled with an improved understanding of critical illnesses at the molecular level, will lead to the development of a new generation of monitors. Monitoring will move from the traditional macroscopic invasive approach to a noninvasive, molecular analysis of evolving critical disease processes. It is likely that disturbances in homeostasis will become known immediately or before they would otherwise be manifest clinically. Nanotechnology will permit monitoring of critical changes in the intracellular environment or the by-products of cellular metabolism and signal messaging. This article discusses monitoring technologies that hold promise for further development in the next century and point out techniques likely to be abandoned.

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