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ADEKUNLE ENITAN REFLECTIVE ASSESSMENT OF THE CRITICALLY ILL PATIENT HAEMODYNAMIC MONITORNG: OBSERVING AND OPTIMISING APPROPIRATE PARAMETERS INTRODUCTION This reflective assessment is on Mr Benedict. He was transferred to the Intensive care unit (ICU) from Operating theatre after Removal of Abdominal adhesions. GIBBS model 1988 will be used to analyse this reflection. Continuous accurate heamodynamic measurement is vital to Mr Benedict's treatment, and a faster pressure responsive monitoring device: Pulse contour cardiac output machine (PiCCO) was used, thus facilitated assessment and restoration of his adequate perfusion. For data protection reason, his real name would be referred to as MR Benedict throughout this reflective assessment. Data on the caregivers and medical staff will also be concealed (Nursing and Midwifery Council UK 2002). DESCRIPTION Mr Benedict, aged 70 years old was admitted into Intensive Care Unit (ICU) Postoperative removal of abdominal adhesions. He weighed approximately 80kg; he had past medical history of two episodes of Transient Ischemic...

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