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.

Natural language processing for electronic health records in anaesthesiology: an introduction to clinicians with recommendations and pitfalls
(Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - February 4, 2024 Category: Information Technology Source Type: research

Cerebral oxygenation saturation in childhood: difference by age and comparison of two cerebral oximetry algorithms
In this study, we aimed to assess and compare rSO2 levels in pediatric patients of different age groups undergoing non-cardiac surgery. We used two oximeters, tNIRS-1, which uses time-resolved spectroscopy, and conventional INVOS 5100C. Seventy-eight children —26 infants, 26 toddlers, and 26 schoolchildren—undergoing non-cardiac surgery were included. We investigated the differences in the rSO2 levels among the age groups and the correlation between the models and physiological factors influencing the rSO2 values. rSO2 measured by INVOS 5100C was significantly lower in infants than those in other patients. rSO2 measure...
Source: Journal of Clinical Monitoring and Computing - February 4, 2024 Category: Information Technology Source Type: research

The 10  Hz dynamic response of a fluid-filled pressure monitoring system is a novel alternative to the fast flush test and indicative of unacceptable systolic pressure overshoot
In conclusion, the gain at 10 Hz is sufficiently useful as an indicator to determine the correct systolic blood pressure. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - February 4, 2024 Category: Information Technology Source Type: research

In response: Improvement in vocal ‑cord visualization with Trachway video intubating stylet using direct oxygen flow and effective analysis of the fraction of inspired oxygen: a bench study
(Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - February 1, 2024 Category: Information Technology Source Type: research

Age-related changes in intraoperative mean values of nociceptive response in patients undergoing non-cardiac surgery under general anesthesia: A retrospective cohort study
In conclusion, there is likely an association between age and intraoperative mean NR index in patients under general anesthesia. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - January 27, 2024 Category: Information Technology Source Type: research

Automatic assessment of left ventricular function for hemodynamic monitoring using artificial intelligence and transesophageal echocardiography
In conclusion, autoMAPSE is feasible as an automatic tool for rapid and quantitative assessment of LV function, indicating its potential for hemodynamic monitoring.Graphical Abstract (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - January 27, 2024 Category: Information Technology Source Type: research

Can perioperative pCO2 gaps predict complications in patients undergoing major elective abdominal surgery randomized to goal-directed therapy or standard care? A secondary analysis
AbstractThe difference between venous and arterial carbon dioxide pressure (pCO2 gap), has been used as a diagnostic and prognostic tool. We aimed to assess whether perioperative pCO2 gaps can predict postoperative complications.  This was a secondary analysis of a multicenter RCT comparing goal-directed therapy (GDT) to standard care in which 464 patients undergoing high-risk elective abdominal surgery were included. Arterial and central venous blood samples were simultaneously obtained at four time points: after induction , at the end of surgery, at PACU/ICU admission, and PACU/ICU discharge. Complications within the fi...
Source: Journal of Clinical Monitoring and Computing - January 22, 2024 Category: Information Technology Source Type: research

Intraoperative electroencephalogram features related to frailty in older patients: an exploratory prospective observational study
AbstractFrailty is an independent risk factor for the increased incidence of postoperative delirium (POD). To date, the effect of frailty on intraoperative electroencephalogram (EEG) changes remains unexplored. The present study, an exploratory analysis of a prospective cohort study, aimed to investigate the differences in EEG characteristics between frail and robust patients. This prospective observational study was conducted between December 2020 and November 2021. The preoperative frailty status was assessed using the FRAIL scale. The patients ’ baseline (before anesthesia) and intraoperative EEG data were collected u...
Source: Journal of Clinical Monitoring and Computing - January 22, 2024 Category: Information Technology Source Type: research

A non-invasive continuous and real-time volumetric monitoring in spontaneous breathing subjects based on bioimpedance —ExSpiron®Xi: a validation study in healthy volunteers
AbstractTidal volume (TV) monitoring breath-by-breath is not available at bedside in non-intubated patients. However, TV monitoring may be useful to evaluate the work of breathing. A non-invasive device based on bioimpedance provides continuous and real-time volumetric tidal estimation during spontaneous breathing. We performed a prospective study in healthy volunteers aimed at evaluating the accuracy, the precision and the trending ability of measurements of ExSpiron ®Xi as compared with the gold standard (i.e. spirometry). Further, we explored whether the differences between the 2 devices would be improved by the calibr...
Source: Journal of Clinical Monitoring and Computing - January 19, 2024 Category: Information Technology Source Type: research

Detection of tongue edema caused by endotracheal intubation tube in ICU patients by ultrasonography: a prospective, observational, clinical study
ConclusionsTongue edema may develop due to the long-term application of pressure of the ETI tube on the tongue and may impair oxygenation after extubation.ClinicalTrials.gov IdentifierNCT05249738. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - January 19, 2024 Category: Information Technology Source Type: research

Racial effects on masimo pulse oximetry: impact of low perfusion index
Conclusion: Masimo SET® pulse oximeters with RD SET® sensors are accurate for individuals of both Black and White races when Pi is normal, as well as during conditions when Pi is low. The ARMS for all conditions studied is well within FDA standards. This study was conducted in healthy volunteers during well-controlled laboratory desaturations, and results could vary under certain challenging clinical conditions. (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - January 19, 2024 Category: Information Technology Source Type: research

Cerebral autoregulation derived blood pressure targets in elective neurosurgery
AbstractPoor postoperative outcomes may be associated with cerebral ischaemia or hyperaemia, caused by episodes of arterial blood pressure (ABP) being outside the range of cerebral autoregulation (CA). Monitoring CA using COx (correlation between slow changes in mean ABP and regional cerebral O2 saturation —rSO2) could allow to individualise the management of ABP to preserve CA. We aimed to explore a continuous automated assessment of ABPOPT (ABP where CA is best preserved) and ABP at the lower limit of autoregulation (LLA) in elective neurosurgery patients. Retrospective analysis of prospectively collected data of 85 pa...
Source: Journal of Clinical Monitoring and Computing - January 19, 2024 Category: Information Technology Source Type: research

Closed-loop anesthesia: foundations and applications in contemporary perioperative medicine
AbstractA closed-loop automatically controls a variable using the principle of feedback. Automation within anesthesia typically aims to improve the stability of a controlled variable and reduce workload associated with simple repetitive tasks. This approach attempts to limit errors due to distractions or fatigue while simultaneously increasing compliance to evidence based perioperative protocols. The ultimate goal is to use these advantages over manual care to improve patient outcome. For more than twenty years, clinical studies in anesthesia have demonstrated the superiority of closed-loop systems compared to manual contr...
Source: Journal of Clinical Monitoring and Computing - January 6, 2024 Category: Information Technology Source Type: research

FiO2 prediction formula during low flow oxygen therapy in an adult model: a bench study
This study proposes a New FiO2 Prediction Formula (NFiO2) for low-flow oxygenation and compares its predictive value to precedent formulas. In a bench study, the O2 Flow rate was delivered through a T-piece connected to a dual-compartment artificial lung controlled by a mechanical ventilator. To test the NFiO2 formula, a set of ventilatory parameters were tested: Tidal Volume was set from 400 to 600 ml, Respiratory Rate (RR) was set from 18 to 30 CPM, Ti/Ttot was set at 0.33 and 0.25, and O2 flow rates from 3 to 10  L/min. A data acquisition system measured all parameters. To quantify the accuracy of the NFiO2 compared to...
Source: Journal of Clinical Monitoring and Computing - December 29, 2023 Category: Information Technology Source Type: research

Artificial intelligence model predicting postoperative pain using facial expressions: a pilot study
ConclusionML models using facial expressions can accurately predict the presence of significant postoperative pain and have the potential to screen patients in need of rescue analgesia.Trial registration numberThis study was registered at ClinicalTrials.gov (NCT05477303; date: June 17, 2022). (Source: Journal of Clinical Monitoring and Computing)
Source: Journal of Clinical Monitoring and Computing - December 27, 2023 Category: Information Technology Source Type: research