Journal of clinical monitoring and computing
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Metabolic measurements using indirect calorimetry aid in nutritional assessment and management in intensive care units. They are used during weaning from mechanical ventilator and can calculate work of breathing also. We would like to report a case in which these monitors helped diagnose and manage a child with hypometabolism.
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In the present review we will describe and discuss the physiological and technological background necessary in understanding the dynamic parameters of fluid responsiveness and how they relate to recent softwares and algorithms' applications. We will also discuss the potential clinical applications of these parameters in the management of patients under general anesthesia and mechanical ventilation along with the potential improvements in the computational algorithms.