Cardiological monitoring in a respiratory intermediate intensive care unit

The appearance, in the last few years, of respiratory intermediate intensive care units (RIICU) has created a requirement of close collaboration among different physicians. The role of a cardiologist in a RIICU is well recognized as an important component to the pulmonolgist. The diagnostic tools for the cardiologist in a RIICU should be separated into two sections: in the first one specific and mandatory devices for monitoring are included; in the other second choice instruments and methods are considered. A 24h ECG monitoring system, noninvasive Pa recording, central venous pressure evaluation set from peripheral vein, pumps for infusive therapies and cardiac echo-Doppler have to be considered necessary. Specific ECG monitoring system and right heart catheterization or arterial cannulation cannot be mandatory for these patients. The presence of a cardiologist in a RIICU can facilitate adequate cardiac monitoring in respiratory patients.