Journal of Clinical Monitoring and Computing This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Correction to: Dyspnea: perfusion index and triage status
(Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 25, 2023 Category: Information Technology Source Type: research

The elephant in the room: cybersecurity in healthcare
AbstractCybersecurity has seen an increasing frequency and impact of cyberattacks and exposure of Protected Health Information (PHI). The uptake of an Electronic Medical Record (EMR), the exponential adoption of Internet of Things (IoT) devices, and the impact of the COVID-19 pandemic has increased the threat surface presented for cyberattack by the healthcare sector.  Within healthcare generally and, more specifically, within anaesthesia and Intensive Care, there has been an explosion in wired and wireless devices used daily in the care of almost every patient—the Internet of Medical Things (IoMT); ventilators, anaesth...
Source: Journal of Clinical Monitoring and Computing - April 24, 2023 Category: Information Technology Source Type: research

Assessment of stress response due to C-Mac D-blade guided videolaryngoscopic endotracheal intubation and docking of da Vinci surgical robot using perfusion index in patients undergoing transoral robotic oncosurgery
AbstractClinical utility of perfusion index (PI) has entered a new realm as a non-invasive, quantitative index of stress response to endotracheal intubation. Transoral robotic surgery (TORS) involves F-K retractor aided docking of the surgical robot producing haemodynamic and stress responses akin to laryngoscopy. We compared the stress response to videolaryngoscopy with that due to docking of da Vinci surgical robot using PI, heart rate and mean arterial pressure evaluated at specific time points post-laryngoscopy and post-docking. Twenty-six adult patients, scheduled for TORS under general endotracheal anaesthesia were i...
Source: Journal of Clinical Monitoring and Computing - April 24, 2023 Category: Information Technology Source Type: research

Evaluation of intravenous infusion of labetalol versus magnesium sulfate on cerebral hemodynamics of preeclampsia patients with severe features using transcranial doppler
ConclusionBoth magnesium sulfate and labetalol reduce CPP while maintaining cerebral blood flow (CBF) in preeclampsia patients with severe features.Trial registrationThe institutional review board of the Faculty of Medicine, Zagazig University approved this study with the reference number (ZU-IRB#: 6353-23-3-2020) and it was registered at clinicaltrials.gov (NCT04539379). (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 19, 2023 Category: Information Technology Source Type: research

Automated APACHE II and SOFA score calculation using real-world electronic medical record data in a single center
AbstractThe integration of illness severity and organ dysfunction scores into clinical practice, including the APACHE II and SOFA scores, has been challenging due to constraints associated to manual score calculation. With electronic medical records (EMR), score calculation automation using data extraction scripts has emerged as a solution. We aimed to demonstrate that APACHE II and SOFA scores calculated with an automated EMR-based data extraction script predict important clinical endpoints. In this retrospective cohort study, every adult patient admitted to one of our three ICUs, between July 1, 2019, and December 31, 20...
Source: Journal of Clinical Monitoring and Computing - April 19, 2023 Category: Information Technology Source Type: research

Bioimpedance based determination of cardiac index does not show enough trueness for point of care use in patients with systolic heart failure
AbstractCardiac output (CO) is a key parameter in diagnostics and therapy of heart failure (HF). The thermodilution method (TD) as gold standard for CO determination is an invasive procedure with corresponding risks. As an alternative, thoracic bioimpedance (TBI) has gained popularity for CO estimation as it is non-invasive. However, systolic heart failure (HF) itself might worsen its validity. The present study validated TBI against TD.  In patients with and without systolic HF (LVEF ≤ 50% or>  50% and NT-pro-BNP <  125 pg/ml, respectively) right heart catheterization including TD was performed. TBI (Ta...
Source: Journal of Clinical Monitoring and Computing - April 19, 2023 Category: Information Technology Source Type: research

Modeling the impacts of assumptions and nonpulmonary factors on the performance and reliability of indices of oxygenation
AbstractAssessment of oxygenation is fundamental to the care of patients. Numerous indices of oxygenation have been developed that entail variable degrees of invasiveness, complexity and physiologic underpinning. The clinical reliability of these indices has been questioned. This theoretical study uses a steady-state model of blood gas physiology to study the assumptions and nonpulmonary factors that have been hypothesized to impact index performance. A model derived from cardiac and pulmonary Fick expressions was used to calculate the effects of the physiological parameters —shunt, dead space, cardiac output, ventilatio...
Source: Journal of Clinical Monitoring and Computing - April 13, 2023 Category: Information Technology Source Type: research

Time-course of heart rate variability after total hip arthroplasty
AbstractHeart rate variability (HRV) is a measure of the autonomic nervous system function and possibly related to postoperative outcome. Despite several HRV studies in different surgical settings, optimal indices and timepoints for measuring have not been adequately determined. Consequently, there is a need for detailed descriptive procedure-specific studies on the time-course of perioperative HRV within a modern fast-track surgical setting. We measured HRV continuously in 24 patients from 4  days before until 9 days after total hip arthroplasty (THA). Statistical methods included mainly ANOVA and t-tests or Kruskal–W...
Source: Journal of Clinical Monitoring and Computing - April 13, 2023 Category: Information Technology Source Type: research

The importance of monitoring cerebral oxygenation in non brain injured patients
AbstractOver the past few years, the use of non-invasive neuromonitoring in non-brain injured patients has increased, as a result of the recognition that many of these patients are at risk of brain injury in a wide number of clinical scenarios and therefore may benefit from its application which allows interventions to prevent injury and improve outcome. Among these, are post cardiac arrest syndrome, sepsis, liver failure, acute respiratory failure, and the perioperative settings where in the absence of a primary brain injury, certain groups of patients have high risk of neurological complications. While there are many neu...
Source: Journal of Clinical Monitoring and Computing - April 12, 2023 Category: Information Technology Source Type: research

Improving the benefit of processed EEG monitors: it ’s not about the car but the driver
(Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 10, 2023 Category: Information Technology Source Type: research

Oxygen Reserve Index and Arterial Partial Pressure of Oxygen: Relationship in Open Heart Surgery
Conclusions: The preserved relationship between ORI and PaO2 in the mild and moderate hyperoxic range can allow more precise titration of oxygen therapy to guide therapy targeting normoxia, mildly and moderately hyperoxia. Additionally, it could have a potential use as an early warning system for impeding hypoxia. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 7, 2023 Category: Information Technology Source Type: research

Early detection of oliguric events in critically ill patients in the ICU with a novel continuous urine flow measurement device: results of an initial validation study
Conclusion: The Serenno Medical Automatic urine output measuring device required minimal supervision, little ICU nursing staff attention, and is sufficiently accurate and precise. In addition to providing continuous assessments of urine output, it was considerably more accurate than hourly nursing assessments. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 7, 2023 Category: Information Technology Source Type: research

Robust Non-Contact Monitoring of Respiratory Rate using a Depth Camera
ConclusionsWe have demonstrated high accuracy in performance for respiratory rate based on a depth camera system. We have shown the ability to perform well at both high and low rates which are clinically important. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 3, 2023 Category: Information Technology Source Type: research

Comparative evaluation of King Vision videolaryngoscope channeled and non-channeled blades with direct laryngoscope for intubation performance and skill retention by medical students: a randomized cross over two period study
Conclusion: KVC performed better in terms of time to intuba tion, success rate and ease of procedure as compared to KVNC and DL, both for acquisition and retention of skill. Hence, we advocate that KVC should be the preferred device over KVNC and DL for teaching intubation skills to novices. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 1, 2023 Category: Information Technology Source Type: research

Neural networks for estimation of facial palsy after vestibular schwannoma surgery
ConclusionNN based on preoperative HB, traintime and tumor size provide good estimations of postoperative HB. The method is amenable to real-time implementation and supports integration of information from different sources. NN could enable multimodal facial nerve monitoring and improve postoperative outcomes. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - April 1, 2023 Category: Information Technology Source Type: research