All authors read and approved the final manuscript before submission. Correspondence to Jean-Louis Vincent. He has no other conflicts of interest to declare related to this manuscript.
The other authors declare that they have no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and Permissions. Vincent, JL. How to describe cardiovascular dynamics in critically ill patients. Crit Care 23, Download citation. Received : 06 April Accepted : 23 July Published : 06 August Anyone you share the following link with will be able to read this content:.
Sorry, a shareable link is not currently available for this article. The term stable is originally defined as the condition of the patient being unchanged for a substantial amount of time. However, if this is the case, all patients in the ICU would be defined as unstable, as the unpredictable nature of their condition is what makes these patients critically ill.
For example, organ support can show some sort of stability in vital signs, however, this patient should still be considered as critically ill. Main issues lie in the ill-defined nature of the terminology. As the terms stable and unstable are not uniform, they can vary depending on the doctor or nurse and their respective experience or knowledge of the patient.
Defining a patient as stable assumes positive outcomes, however, patients can still have ongoing conditions under this description, e. Stable, in this case, can mean that the patient is not improving and there is a possibility that there will not be a positive outcome. Terms to define stability in cardiovascular dynamics can vary among physicians and therefore clinical staff need to be certain that the condition of the patient is not misinterpreted. Source: Critical Care.
Image Credit: iStock. Invasive arterial blood pressure monitoring is suggested whenever possible. In particular, the endotracheal intubation should be prevented from displacement and falling-off, and venous access should be prevented from blockage and slippage.
Patients with frequent agitation can be appropriately administered with analgesic and sedative drugs. Therefore, all adequate measures should be taken to ensure the safety of patients and the minimum time spent in transportation.
Transport staff is suggested to fully carry out transfer and handover, as well as post-transport decontamination expert opinion. Medical records about patient medical history, laboratory examination results, and meaningful clinical events should be transferred to the receiving medical team.
A dedicated team should clean the dedicated route and elevator right after transport. All transport staff should wear new personal protective equipment before getting into the same ambulance for the return journey, and remove the personal protective equipment to the designated clinical area on arrival.
The ambulance should be terminally cleaned after returning to the primary hospital or health care center [ ]. If transport staff is exposed to infection, it should be handled in accordance with the relevant principles and practice of infectious diseases. Until now, the pathogenesis and etiology of COVID remain unclear, and there are still no targeted therapies for COVID patients except for empirically symptomatic treatments for critically ill patients. World Health Organization.
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