• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Practical impact of a decision support for goal-directed fluid therapy on protocol adherence: a clinical implementation study in patients undergoing major abdominal surgery
AbstractThe purpose of this study was to assess the effects of using a real time clinical decision-support system, “Assisted Fluid Management” (AFM), to guide goal-directed fluid therapy (GDFT) during major abdominal surgery. We compared a group of patients managed using the AFM system with a historical cohort of patients (control group) who had been managed using a manual GDFT strategy. Adherence to the pro tocol was defined as the relative intraoperative time spent with a stroke volume variation (SVV) <  13%. We hypothesised that patients in the AFM group would have more time during surgery with a SVV < �...
Source: Journal of Clinical Monitoring and Computing - January 3, 2019 Category: Information Technology Source Type: research

Automated, continuous and non-invasive assessment of pulse pressure variations using CNAP ® system
Abstract Non-invasive respiratory variations in arterial pulse pressure using infrared-plethysmography (PPVCNAP) are able to predict fluid responsiveness in mechanically ventilated patients. However, they cannot be continuously monitored. The present study evaluated a new algorithm allowing continuous measurements of PPVCNAP (PPVCNAPauto) (CNSystem, Graz, Austria). Thirty-five patients undergoing vascular surgery were studied after induction of general anaesthesia. Stroke volume was measured using the VigileoTM/FloTracTM. Invasive pulse pressure variations were manually calculated using an arterial line (PPVART) a...
Source: Journal of Clinical Monitoring and Computing - June 15, 2016 Category: Information Technology Source Type: research