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Journal of Clinical Monitoring and Computing

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https://read.qxmd.com/read/30771199/in-response-to-temperature-monitoring-with-zero-heat-flux-technology-in-neurosurgical-patients
#1
LETTER
Eero Pesonen, Marja Silvasti-Lundell, Tomi T Niemi, Riku Kivisaari, Juha Hernesniemi, Marja-Tellervo Mäkinen
No abstract text is available yet for this article.
February 15, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30767137/rebuttal-to-as-simple-as-possible-but-not-simpler-estimating-the-effective-arterial-elastance-at-bedside
#2
LETTER
Manuel Ignacio Monge Garcia, Zhongping Jian, Jos J Settels, Feras Hatib, Maurizio Cecconi, Michael R Pinsky
No abstract text is available yet for this article.
February 14, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30767136/predicting-tachycardia-as-a-surrogate-for-instability-in-the-intensive-care-unit
#3
Joo Heung Yoon, Lidan Mu, Lujie Chen, Artur Dubrawski, Marilyn Hravnak, Michael R Pinsky, Gilles Clermont
Tachycardia is a strong though non-specific marker of cardiovascular stress that proceeds hemodynamic instability. We designed a predictive model of tachycardia using multi-granular intensive care unit (ICU) data by creating a risk score and dynamic trajectory. A subset of clinical and numerical signals were extracted from the Multiparameter Intelligent Monitoring in Intensive Care II database. A tachycardia episode was defined as heart rate ≥ 130/min lasting for ≥ 5 min, with ≥ 10% density. Regularized logistic regression (LR) and random forest (RF) classifiers were trained to create a risk score for upcoming tachycardia...
February 14, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30767135/correction-to-economic-and-operational-impact-of-an-improved-pathway-using-rapid-molecular-diagnostic-testing-for-patients-with-influenza-like-illness-in-a-german-emergency-department
#4
Matthias Brachmann, Katja Kikull, Clemens Kill, Susanne Betz
The article Economic and operational impact of an improved pathway using rapid molecular diagnostic testing for patients with influenza-like illness in a German emergency department, written by Matthias Brachmann, Katja Kikull, Clemens Kill and Susanne Betz, was originally published electronically on the publisher's internet portal (currently SpringerLink) on 04 January 2019 without open access.
February 14, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30758689/nipe-is-related-to-parasympathetic-activity-is-it-also-related-to-comfort
#5
EDITORIAL
Julien De Jonckheere, Laurent Storme
No abstract text is available yet for this article.
February 13, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30739233/temperature-monitoring-with-zero-heat-flux-technology-in-neurosurgical-patients
#6
LETTER
Matthias Menzel, Anselm Bräuer
No abstract text is available yet for this article.
February 9, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30726520/trending-algorithm-discriminates-hemodynamic-from-injury-related-tcmep-amplitude-loss
#7
Paul Jasiukaitis, Russ Lyon
Jasiukaitis and Lyon (J Clin Monit Comput, https://doi.org/10.1007/s10877-018-0181-9 , 2018) described an motor evoked potential (MEP)amplitude trending system to detect MEP amplitude loss against a background of MEP variability. They found that the end of case value of a running R2 triggered by a set MEP amplitude loss criterion appeared to discriminate new injury from non-injury in a small sample of three patients. The present study examines the predictive capability of the running R2 in a larger sample of patients (21 injured and 19 non-injured)...
February 6, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30725266/evaluation-and-application-of-a-method-for-estimating-nasal-end-tidal-o-2-fraction-while-administering-supplemental-o-2
#8
Kyle M Burk, Kai Kuck, Joseph A Orr
This paper describes a method for estimating the oxygen enhanced end-tidal fraction of oxygen (Fet Oe ), the end-tidal fraction of oxygen (Fet O2 ) that is raised by administering supplemental oxygen. The paper has two purposes: the first is to evaluate the method's accuracy on the bench and in volunteers; the second purpose is to demonstrate how to apply the method to compare two techniques of oxygen administration. The method estimates Fet Oe by analyzing expired oxygen as oxygen washes out of the lung. The method for estimating Fet Oe was first validated using a bench simulation in which tracheal oxygen was measured directly...
February 6, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30725265/hypoventilation-patterns-during-bronchoscopic-sedation-and-their-clinical-relevance-based-on-capnographic-and-respiratory-impedance-analysis
#9
Yu-Lun Lo, Hau-Tieng Wu, Yu-Ting Lin, Han-Pin Kuo, Ting-Yu Lin
Capnography involves the measurement of end-tidal CO2 (EtCO2 ) values to detect hypoventilation in patients undergoing sedation. In a previous study, we reported that initiating a flexible bronchoscopy (FB) examination only after detecting signs of hypoventilation could reduce the risk of hypoxemia without compromising the tolerance of the patient for this type of intervention. We hypothesize that hypoventilation status could be determined with greater precision by combining thoracic impedance-based respiratory signals, RESP, and EtCO2 signals obtained from a nasal-oral cannula...
February 6, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30721390/observational-study-of-newborn-infant-parasympathetic-evaluation-as-a-comfort-system-in-awake-patients-admitted-to-a-pediatric-intensive-care-unit
#10
Juan Valencia-Ramos, Juan Arnaez, Sara Calvo, Fernando Gomez, Isabel Del Blanco
To compare the newborn infant parasympathetic evaluation system (NIPE) scores with a validated clinical scale using two different nebulizers in children with bronchiolitis admitted to a PICU. Comfort was evaluated using the COMFORT-behavior scale (CBS) before (T1), during (T2) and after (T3) each nebulization. In order to compare NIPE and CBS values during the whole T1 to T3 period, the variable Dif-CBS was defined as the difference between maximal and minimal CBS scores, and Dif-NIPE as the difference between 75th and 25th percentile NIPE values...
February 5, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30721389/an-exploratory-clinical-evaluation-of-a-head-worn-display-based-multiple-patient-monitoring-application-impact-on-supervising-anesthesiologists-situation-awareness
#11
Paul D Schlosser, Tobias Grundgeiger, Penelope M Sanderson, Oliver Happel
PURPOSE: Supervising anesthesiologists overseeing several operating rooms must be aware of the status of multiple patients, so they can consult with the anesthetist in single operating rooms or respond quickly to critical events. However, maintaining good situation awareness can be challenging when away from patient bedsides or a central monitoring station. In this proof-of-concept study, we evaluated the potential of a head-worn display that showed multiple patients' vital signs and alarms to improve supervising anesthesiologists' situation awareness...
February 5, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30710218/did-a-training-seminar-really-reduce-endotracheal-cuff-pressure
#12
LETTER
Cheuk-Kwan Sun, Kuo-Chuan Hung
No abstract text is available yet for this article.
February 1, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30701420/ionm-practice-guidelines-for-the-ionm-supervising-professional-some-questions
#13
LETTER
Anurag Tewari
No abstract text is available yet for this article.
January 30, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30689136/bilateral-erector-spinae-plane-block-with-single-injection
#14
LETTER
Hadi Ufuk Yörükoğlu, Can Aksu, Cennet Tor Kılıç, Yavuz Gürkan
No abstract text is available yet for this article.
January 28, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30671895/measuring-the-accuracy-of-propofol-target-controlled-infusion-tci-before-and-after-surgery-with-major-blood-loss
#15
Thomas Mohler, JoEllen Welter, Martina Steurer, Luis Neumann, Max Zueger, Thomas Kraemer, Alexander Dullenkopf
Target-controlled infusion (TCI) is based on pharmacokinetic models designed to achieve a desired drug level in the blood. TCI's predictive accuracy of plasma propofol levels at the end of surgery with major blood loss has not been well established. This prospective observational study included adult patients (BMI 20-35 kg/m2 ) undergoing surgery with expected blood loss ≥ 1500 mL. The study was conducted with the Schnider TCI propofol model (Alaris PK Infusion Pump, CareFusion, Switzerland). Propofol levels were assessed in steady-state at the end of anaesthesia induction (Tinitial ) and before the end of surgery (Tfinal )...
January 22, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30671894/non-sinusoidal-waves-in-the-eeg-and-their-simulated-effect-on-anaesthetic-quantitative-eeg-monitors
#16
Rebecca M Pullon, Samuel McCabe, Amy Gaskell, Jamie W Sleigh
The effect of anaesthetic drugs on the cortex are commonly estimated from the electroencephalogram (EEG) by quantitative EEG monitors such as the Bispectral Index (BIS). These monitors use ratios of high to low frequency power which assumes that each neurological process contributes a unique frequency pattern. However, recent research of the effect of deep brain stimulation on EEG beta oscillations suggests that wave shape, a non-sinusoidal feature that is only measurable in the time-domain, can change the frequency 'signature' of a neurological rhythmical process by the inclusion or removal of harmonic frequencies...
January 22, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30666542/preoperative-cerebral-and-renal-oxygen-saturation-and-clinical-outcomes-in-pediatric-patients-with-congenital-heart-disease
#17
Junichi Saito, Daiki Takekawa, Jun Kawaguchi, Takuya Suganuma, Mao Konno, Satoko Noguchi, Takaharu Tokita, Eiji Hashiba, Kazuyoshi Hirota
We examined the predictability of preoperative cerebral and renal rSO2 values for outcomes in pediatric patients undergoing cardiac surgery under cardiopulmonary bypass (CPB). Patients who underwent pediatric cardiac surgery under CPB between September 2015 and September 2017 were enrolled in this study. Patients monitored with both cerebral and renal rSO2 at the beginning of surgery were included. The primary outcome was the prediction of outcomes after pediatric cardiac surgery. Outcome was defined as any of: (1) death within 30 days after surgery, or the need for (2) renal replacement therapy or (3) extracorporeal membrane oxygenation, (4) shorten mechanical ventilator-free day,(5) shorten ICU-free survival day...
January 21, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30661196/pulmonary-lung-doppler-signals-normative-data-in-a-pediatric-population-compared-with-adults
#18
Danielle S Burstein, Rachel K Hopper, Elisa K McCarthy, Keeley Hall, Rachel Schatzberger, Yoram Palti, Jeffrey A Feinstein
Lung Doppler signals (LDS) acquired via transthoracic echocardiography is a novel technology previously reported in adults for use in detecting pulmonary hypertension. The aim of this study was to characterize LDS in healthy children to establish normative pediatric LDS data, and compare the pediatric data to the previously published healthy adult LDS. In this prospective, two-center study, LDS were acquired in children without cardiopulmonary disease using a 2 MHz transthoracic pulsed Doppler transducer. The data were processed to obtain Doppler velocity patterns corresponding to phases of the cardiac cycle...
January 19, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30661195/barriers-to-ultrasound-guidance-for-central-venous-access-a-survey-among-dutch-intensivists-and-anaesthesiologists
#19
Harm J Scholten, Esther Ten Bloemendal, Bente Botter, Hendrikus H M Korsten, R Arthur Bouwman
Accumulating evidence shows that ultrasound (US) guidance improves effectiveness and safety of central venous catheter (CVC) placement. Several international guidelines therefore recommend the use of US for placement of CVCs. However, surveys show that the landmark-based technique is still widely used, while the percentage of physicians using US is increasing less than expected. The goal of this study was to investigate current practice for central venous catheterization in anaesthesiology and intensive care in the Netherlands, identify barriers for further implementation of US guidance and to evaluate whether personality traits are associated with the choice of technique...
January 19, 2019: Journal of Clinical Monitoring and Computing
https://read.qxmd.com/read/30659411/level-of-agreement-of-point-of-care-and-laboratory-hba1c-measurements-in-the-preoperative-outpatient-clinic-in-non-diabetic-patients-who-are-overweight-or-obese
#20
Floris van Raalten, Yasmine L Hiemstra, Noor Keulen, Yoni van Duivenvoorde, Katrin Stoecklein, Evert A Verhagen, Christa Boer
Implementation of point-of-care HbA1c devices in the preoperative outpatient clinic might facilitate the early diagnosis of glycemic disturbances in overweight or obese patients undergoing surgery, but validation studies in this setting do not exist. We determined the level of agreement between a point-of-care and laboratory HbA1c test in non-diabetic patients visiting the outpatient clinic for preoperative risk profiling. Point-of-care HbA1c levels were measured in whole blood obtained by a finger prick (Siemens DCA Vantage HbA1c analyzer) and in hemolysed EDTA blood in the central laboratory (LAB)...
January 18, 2019: Journal of Clinical Monitoring and Computing
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