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Increasingly, surgical procedures are performed at bedside in the intensive care unit (ICU). Cost savings and gaining timely access to the operating room (OR) have helped to spur this trend towards more ICU-based procedures.he most common procedures performed in the ICU include percutaneous tracheostomy, percutaneous endoscopic gastrostomy tube and inferior vena cava filter. Performing these procedures in the ICU is equally safe and more cost effective than performing them in the OR.
As a result, decisions about oxygen are often based on surrogate measures of tissue oxygenation that are inappropriate (such as arterial blood gases). The invasive nature of patient care in the ICU creates approaches to evaluating tissue oxygenation that are not available in other areas of the hospital.eonardo da Vinci, 1500. Despite good intentions, much of what we do to patients in the name of aerobic support is without documented need or documented benefit. This is a reflection of the inability to obtain a direct measurement of tissue oxygen tensions.