1,629 results match your criteria Journal of clinical monitoring and computing[Journal]


Correction to: Mathematical arterialisation of peripheral venous blood gas for obtainment of arterial blood gas values: a methodological validation study in the clinical setting.

J Clin Monit Comput 2019 Apr 23. Epub 2019 Apr 23.

Centre for Clinical Research, North Denmark Regional Hospital, Bispensgade 37, 9800, Hjørring, Denmark.

The corresponding author has identified a calculation mistake in the original publication of the article. The corrected value is given in this Correction. Under the Results section, the median (range) age of the patients in the methodological study should read 76 (26-86) years instead of 56 (26-86) years. Read More

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http://dx.doi.org/10.1007/s10877-019-00314-yDOI Listing

Validation of electrical velocimetry in resuscitation of patients undergoing liver transplantation. Observational study.

J Clin Monit Comput 2019 Apr 19. Epub 2019 Apr 19.

Department of Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Major hemodynamic changes are frequently noted during liver transplantation (LT). We evaluated the performance of electrical velocimetry (EV) as compared to that of TEE in SV optimization during liver transplantation. This was an observational study in 32 patients undergoing LT. Read More

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http://dx.doi.org/10.1007/s10877-019-00313-zDOI Listing

Estimating the effective arterial elastance at bedside: a reply to a rebuttal.

J Clin Monit Comput 2019 Apr 16. Epub 2019 Apr 16.

Service de Médecine Intensive-Réanimation, Hôpitaux universitaires Paris Centre - Hôpital Cochin, 75014, Paris, France.

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http://link.springer.com/10.1007/s10877-019-00303-1
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http://dx.doi.org/10.1007/s10877-019-00303-1DOI Listing
April 2019
1 Read

Monitoring the level of hypnosis using a hierarchical SVM system.

J Clin Monit Comput 2019 Apr 15. Epub 2019 Apr 15.

Department of Anesthesia, Waikato Hospital, Hamilton, Hamilton, New Zealand.

Monitoring level of hypnosis is a major ongoing challenge for anesthetists to reduce anesthetic drug consumption, avoiding intraoperative awareness and prolonged recovery. This paper proposes a novel automated method for accurate assessing of the level of hypnosis with sevoflurane in 17 patients using the electroencephalogram signal. In this method, a set of distinctive features and a hierarchical classification structure based on support vector machine (SVM) methods, is proposed to discriminate the four levels of anesthesia (awake, light, general and deep states). Read More

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http://link.springer.com/10.1007/s10877-019-00311-1
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http://dx.doi.org/10.1007/s10877-019-00311-1DOI Listing
April 2019
1 Read

Pre-specified outcomes must be followed.

J Clin Monit Comput 2019 Apr 11. Epub 2019 Apr 11.

Department of Anesthesiology and Critical Care, Medical Center University of Freiburg, Hugstetter Straße 55, 79095, Freiburg, Germany.

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http://link.springer.com/10.1007/s10877-019-00312-0
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http://dx.doi.org/10.1007/s10877-019-00312-0DOI Listing
April 2019
1 Read

The effects of a recruitment manoeuvre with positive end-expiratory pressure on lung compliance in patients undergoing robot-assisted laparoscopic radical prostatectomy.

J Clin Monit Comput 2019 Apr 9. Epub 2019 Apr 9.

Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

The effects of a recruitment manoeuvre (RM) with positive end-expiratory pressure (PEEP) on lung compliance (C) are not well characterised in robot-assisted laparoscopic radical prostatectomy (RARP). Patients were allocated to group R (n = 10; with an RM) or C (n = 9; without an RM). An RM involved sustained inflation of 30 cmHO for 30 s. Read More

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http://dx.doi.org/10.1007/s10877-019-00306-yDOI Listing
April 2019
1 Read

Comparison of LM-Supreme™ and endotracheal tube in patients undergoing gynecological laparoscopic surgery.

J Clin Monit Comput 2019 Apr 9. Epub 2019 Apr 9.

Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Dokuz Eylul University, İzmir, Turkey.

While laryngeal mask is widely used for laparoscopic interventions in some countries, concerns exist regarding pulmonary aspiration and inadequate ventilation. We compared the LM-Supreme™ (LM-S) with the endotracheal tube (ETT) for laparoscopic gynecological interventions in terms of ventilation parameters and gastric distention. This prospective randomized and double-blind study. Read More

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http://dx.doi.org/10.1007/s10877-019-00310-2DOI Listing
April 2019
1 Read

Cricoid-mental distance-based versus weight-based criteria for size selection of classic laryngeal mask airway in adults: a randomized controlled study.

J Clin Monit Comput 2019 Apr 8. Epub 2019 Apr 8.

Department of Anesthesiology, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, 510060, China.

The optimal size selection of laryngeal mask airway (LMA) based on body weight is not always applicable. This study was prospectively conducted to evaluate the efficacy of cricoid-mental distance-based method versus weight-based method in optimal size selection of LMA in adults. Seventy-four patients (aged from 18 to 65) undergoing ophthalmic surgery were randomly assigned into cricoid-mental (CM) distance-based group or weight-based group to select appropriate size of LMA. Read More

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http://dx.doi.org/10.1007/s10877-019-00308-wDOI Listing

Neuroanesthesiologists as interoperative neurophysiologists: a collaborative cognitive apprenticeship model of training in a community of clinical practice.

J Clin Monit Comput 2019 Apr 6. Epub 2019 Apr 6.

Department of Anesthesiology, University of Florida College of Medicine, 1600 SW Archer Road, PO Box 100254, Gainesville, FL, 32610, USA.

Directing intraoperative neurophysiologic monitoring (IONM) is a patient care activity for which no formal training programs exist, even though the need for well-trained practitioners is readily evident while caring for patients with diseases of the brain, spinal cord, spinal column, or nervous system. Here, we present the theoretical basis and institutional experience for a successful model of learning a new and complex set of skills: the medical direction of IONM. In a major academic institution, a clinical community of practice absorbed new members with professional backgrounds ranging from a recent neuroanesthesia fellowship to several decades of neuroanesthesia practice and trained them in a collaborative cognitive apprenticeship model to medically direct IONM. Read More

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http://dx.doi.org/10.1007/s10877-019-00304-0DOI Listing
April 2019
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Machine learning applied to multi-sensor information to reduce false alarm rate in the ICU.

J Clin Monit Comput 2019 Apr 6. Epub 2019 Apr 6.

Department of Industrial Engineering and Management, Ben-Gurion University of the Negev, POB 653, Beer Sheva, Israel.

Studies reveal that the false alarm rate (FAR) demonstrated by intensive care unit (ICU) vital signs monitors ranges from 0.72 to 0.99. Read More

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http://dx.doi.org/10.1007/s10877-019-00307-xDOI Listing
April 2019
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A prospective randomized comparison of airway seal using the novel vision-guided insertion of LMA-Supreme® and LMA-Protector®.

J Clin Monit Comput 2019 Apr 5. Epub 2019 Apr 5.

Department of Anaesthesia, Khoo Teck Puat Hospital, Yishun Central, Singapore.

The laryngeal mask airways supreme (LMA-Supreme™) and protector (LMA-Protector™) are generally placed blindly, often resulting in a less than optimal position and vision-guided placement has been recommended. This prospective, randomized controlled study compared the efficacy of airway seal by measuring the oropharyngeal leak pressure in 100 surgical patients who underwent a variety of non-thoracic surgery under general anaesthesia, suitable with a supraglottic airway device. Patients were allocated to either the LMA-Supreme (n = 50) or LMA-Protector (n = 50) group. Read More

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http://link.springer.com/10.1007/s10877-019-00301-3
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http://dx.doi.org/10.1007/s10877-019-00301-3DOI Listing
April 2019
2 Reads

A simplified quantitative acid-base approach for patients with acute respiratory diseases.

J Clin Monit Comput 2019 Apr 5. Epub 2019 Apr 5.

Department of Pulmonary Medicine, "Georgios Papanikolaou" General Hospital of Thessaloniki, G. Papanikolaou Ave, 57010, Exohi, Greece.

The Stewart-Figge acid-base model has been criticized for being mathematically complex. We aimed to develop simpler formalisms, which can be used at the bedside. The following simplifications were used: (1) [Ca] and [Mg] are replaced by their mid-reference concentrations (2) pH is set to 7. Read More

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http://dx.doi.org/10.1007/s10877-019-00302-2DOI Listing
April 2019
1 Read

Quantitative evaluation of stress in Japanese anesthesiology residents based on heart rate variability and psychological testing.

J Clin Monit Comput 2019 Apr 1. Epub 2019 Apr 1.

Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Clinical anesthesiologists, particularly residents, work in stressful environments. However, evidence-based physiological and psychological tests to evaluate stress are still lacking. In this single-center study of 33 residents, we investigated the relationship between heart rate variability (HRV), which had the potential to screen residents' stress levels using Holter electrocardiography (ECG) and psychological mood as assessed by the Profile of Mood States (POMS) questionnaire. Read More

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http://link.springer.com/10.1007/s10877-019-00305-z
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http://dx.doi.org/10.1007/s10877-019-00305-zDOI Listing
April 2019
3 Reads

Significant factors influencing inadvertent hypothermia in pediatric anesthesia.

J Clin Monit Comput 2019 Mar 26. Epub 2019 Mar 26.

Department of Anesthesia, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Thermal imbalances are very common during surgery. Hypothermia exposes the patient to post-operative shivering, cardiac dysfunction, coagulopathy, bleeding, wound infection, delayed anesthesia recovery, prolonged hospital stay and increased hospitalization cost. There are many factors contributing to intraoperative hypothermia. Read More

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http://link.springer.com/10.1007/s10877-019-00259-2
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http://dx.doi.org/10.1007/s10877-019-00259-2DOI Listing
March 2019
12 Reads

Effect of transpulmonary pressure-guided positive end-expiratory pressure titration on lung injury in pigs with acute respiratory distress syndrome.

J Clin Monit Comput 2019 Mar 22. Epub 2019 Mar 22.

Department of Neurology, Clinical Medical College, Wutaishan Hospital, YangZhou University, Yangzhou, 225001, Jiangsu, China.

To investigate the effect of positive end-expiratory pressure (PEEP) guided by transpulmonary pressure or with maximum oxygenation-directed PEEP on lung injury in a porcine model of acute respiratory distress syndrome (ARDS). The porcine model of ARDS was induced in 12 standard pigs by intratracheal infusion with normal saline. The pigs were then randomly divided into two groups who were ventilated with the lung-protective strategy of low tidal volume (VT) (6 ml/kg), using different methods to titrate PEEP level: transpulmonary pressure (TP group; n = 6) or maximum oxygenation (MO group; n = 6). Read More

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http://link.springer.com/10.1007/s10877-019-00267-2
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http://dx.doi.org/10.1007/s10877-019-00267-2DOI Listing
March 2019
6 Reads

Pulse pressure variation using a novel smartphone application (Capstesia) versus invasive pulse contour analysis in patients undergoing cardiac surgery: a secondary analysis focusing on clinical decision making.

J Clin Monit Comput 2019 Mar 19. Epub 2019 Mar 19.

Department of Anesthesiology and Intensive Care, Hôpitaux Universitaires Paris-Sud, Université Paris-Sud, Université Paris-Saclay, Hôpital De Bicêtre, Assistance Publique Hôpitaux de Paris (AP-HP), Le Kremlin-Bicêtre, France.

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http://dx.doi.org/10.1007/s10877-019-00300-4DOI Listing
March 2019
3 Reads

Dynamic properties of glucose complexity during the course of critical illness: a pilot study.

J Clin Monit Comput 2019 Mar 19. Epub 2019 Mar 19.

Service de Réanimation Polyvalente, Centre Hospitalier Louis Pasteur, CH de Chartres, 28000, Chartres, France.

Methods to control the blood glucose (BG) levels of patients in intensive care units (ICU) improve the outcomes. The development of continuous BG levels monitoring devices has also permitted to optimize these processes. Recently it was shown that a complexity loss of the BG signal is linked to poor clinical outcomes. Read More

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http://dx.doi.org/10.1007/s10877-019-00299-8DOI Listing
March 2019
8 Reads
1.448 Impact Factor

Acceptance of a propofol and remifentanil infusion dosing algorithm to optimize postoperative emergence and analgesia.

J Clin Monit Comput 2019 Mar 13. Epub 2019 Mar 13.

Department of Anesthesiology, University of Florida, P.O. Box 100524, Gainesville, FL, 32610-0254, USA.

We implemented a pharmacokinetic/pharmacodynamic (PK/PD) based optimization algorithm recommending intraoperative Remifentanil and Propofol infusion rates to minimize time to emergence and maximize the duration of analgesia in a clinical setting. This feasibility study tested the clinical acceptance of the optimization algorithm's recommendations during scoliosis surgical repair for 14 patients. Anesthesiologist accepted 359/394 (91%) of the recommendations given on the basis of the optimization algorithm. Read More

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http://dx.doi.org/10.1007/s10877-019-00295-yDOI Listing
March 2019
2 Reads

Optimizing intraoperative administration of propofol, remifentanil, and fentanyl through pharmacokinetic and pharmacodynamic simulations to increase the postoperative duration of analgesia.

J Clin Monit Comput 2019 Mar 12. Epub 2019 Mar 12.

Department of Anesthesiology, University of Utah, 30 N 1900 E, Salt Lake City, UT, 84132, USA.

Titrating an intraoperative anesthetic to achieve the postoperative goals of rapid emergence and prolonged analgesia can be difficult because of inter-patient variability and the need to provide intraoperative sedation and analgesia. Modeling pharmacokinetics and pharmacodynamics of anesthetic administrations estimates drug concentrations and predicted responses to stimuli during anesthesia. With utility of these PK/PD models we created an algorithm to optimize the intraoperative dosing regimen. Read More

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http://dx.doi.org/10.1007/s10877-019-00298-9DOI Listing

Journal of clinical monitoring and computing end of year summary 2018: hemodynamic monitoring and management.

J Clin Monit Comput 2019 Apr 7;33(2):211-222. Epub 2019 Mar 7.

Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Hemodynamic management is a mainstay of patient care in the operating room and intensive care unit (ICU). In order to optimize patient treatment, researchers investigate monitoring technologies, cardiovascular (patho-) physiology, and hemodynamic treatment strategies. The Journal of Clinical Monitoring and Computing (JCMC) is a well-established and recognized platform for publishing research in this field. Read More

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http://dx.doi.org/10.1007/s10877-019-00297-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420447PMC
April 2019
3 Reads

Transcranial motor evoked potentials electrically elicited by multi-train stimulation can reflect isolated nerve root injury more precisely than those by conventional multi-pulse stimulation: an experimental study in rats.

J Clin Monit Comput 2019 Mar 5. Epub 2019 Mar 5.

Department of Orthopedic Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.

Nerve root injury can occur in complex spine surgeries. Recording transcranial motor-evoked potentials (TcMEPs) has been the most popular method to monitor motor function during surgery. However, TcMEPs cannot detect single nerve root injury satisfactorily. Read More

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http://dx.doi.org/10.1007/s10877-019-00296-xDOI Listing
March 2019
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Somatosensory evoked potential loss due to intraoperative pulse lavage during spine surgery: case report and review of signal change management.

J Clin Monit Comput 2019 Mar 5. Epub 2019 Mar 5.

Northwestern University, Chicago, IL, USA.

Intraoperative neurophysiologic monitoring (IONM) includes various neurophysiologic tests which assess the functional integrity of the central and peripheral nervous systems during surgical procedures which place these structures at risk for iatrogenic injury. The rational for using IONM is to provide timely feedback of changes in neural function to enable the reversal of such insult before the development of irreversible neural injury. There are various causes of intraoperative loss of neuromonitoring signals and it is important to systematically rule out all possible causes quickly and thoroughly in order to target the cause of signal loss, correct it and take measures to prevent the same in the future. Read More

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http://dx.doi.org/10.1007/s10877-019-00294-zDOI Listing
March 2019
1 Read

Postoperative desaturation and bradypnea after general anesthesia in non-ICU patients: a retrospective evaluation.

J Clin Monit Comput 2019 Mar 2. Epub 2019 Mar 2.

Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.

Respiratory depression, presenting as desaturation and bradypnea, is common during the early postoperative period. However, it has not been evaluated by appropriate monitoring. The purpose of the present study was to identify the incidence and predictors of desaturation and bradypnea following general anesthesia, using a continuous and centralized monitoring system, in non-ICU patients who did not have serious complications and did not undergo major surgery. Read More

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http://dx.doi.org/10.1007/s10877-019-00293-0DOI Listing

Two-site regional oxygen saturation and capnography monitoring during resuscitation after cardiac arrest in a swine pediatric ventricular fibrillatory arrest model.

J Clin Monit Comput 2019 Feb 28. Epub 2019 Feb 28.

Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Abstarct: To investigate the use of two-site regional oxygen saturations (rSO) and end tidal carbon dioxide (EtCO) to assess the effectiveness of resuscitation and return of spontaneous circulation (ROSC). Eight mechanically ventilated juvenile swine underwent 28 ventricular fibrillatory arrests with open cardiac massage. Cardiac massage was administered to achieve target pulmonary blood flow (PBF) as a percentage of pre-cardiac arrest baseline. Read More

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http://dx.doi.org/10.1007/s10877-019-00291-2DOI Listing
February 2019

Philips Intellivue NMT module: precision and performance improvements to meet the clinical requirements of neuromuscular block management.

J Clin Monit Comput 2019 Feb 26. Epub 2019 Feb 26.

Anesthesiology Department, CHU UCL Namur, Avenue Dr Gaston Thérasse, 1, 5530, Yvoir, Belgium.

The variability or inaccuracy of acceleromyographic measurements could interfere with the interpretation of the train-of-four (TOF) ratio during neuromuscular block (NMB) recovery. This study evaluated the precision and performance of the Philips Intellivue NMT module (NMT) before (part 1) and after (part 2) several technical upgrades (i.e. Read More

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http://dx.doi.org/10.1007/s10877-019-00287-yDOI Listing
February 2019

Correction to: Mindray 3-directional NMT Module (a new generation "Tri-axial" neuromuscular monitor) versus the Relaxometer mechanomyograph and versus the TOF-Watch SX acceleromyograph.

J Clin Monit Comput 2019 Feb 26. Epub 2019 Feb 26.

Laboratory of Pharmacometrics, Centre for Drug Clinical Research, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.

In the original publication of the article, the article note "Ashraf A. Dahaba and Zhao Yang Xiao equally contributed to the study and are both first authors." was published incorrectly. Read More

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http://dx.doi.org/10.1007/s10877-019-00273-4DOI Listing
February 2019
1.448 Impact Factor

Measuring arterial oxygen saturation from an intraosseous photoplethysmographic signal derived from the sternum.

J Clin Monit Comput 2019 Feb 25. Epub 2019 Feb 25.

Department of Surgical Sciences, Section of Anaesthesia & Intensive Care, Uppsala University, Uppsala, Sweden.

Photoplethysmography performed on the peripheral extremities or the earlobes cannot always provide sufficiently rapid and accurate calculation of arterial oxygen saturation. The purpose of this study was to evaluate a novel photoplethysmography prototype to be fixed over the sternum. Our hypotheses were that arterial oxygen saturation can be determined from an intraosseous photoplethysmography signal from the sternum and that such monitoring detects hypoxemia faster than pulse oximetry at standard sites. Read More

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http://dx.doi.org/10.1007/s10877-019-00289-wDOI Listing
February 2019

Journal of Clinical Monitoring and Computing 2017/2018 end of year summary: monitoring-and provocation-of the microcirculation and tissue oxygenation.

J Clin Monit Comput 2019 Apr 11;33(2):201-209. Epub 2019 Feb 11.

Department of Anesthesiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, PO Box 30.001, 9700RB, Groningen, The Netherlands.

The microcirculation is the ultimate goal of hemodynamic optimization in the perioperative and critical care setting. In this fourth end-of-year summary of the Journal of Clinical Monitoring and Computing on this topic, we take a closer look at papers published in the last 2 years that focus on this important aspect. The majority of these papers investigated the use of either cerebral or peripheral tissue oxygen saturation, derived non-invasively using near infrared spectroscopy (NIRS). Read More

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http://dx.doi.org/10.1007/s10877-019-00270-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420417PMC

Comparison of the venous-arterial CO to arterial-venous O content difference ratio with the venous-arterial CO gradient for the predictability of adverse outcomes after cardiac surgery.

J Clin Monit Comput 2019 Feb 22. Epub 2019 Feb 22.

Department of Anesthesiology, Osaka City University Graduate School of Medicine, 1-5-7 Asahimachi, Abenoku, Osaka City, Osaka, 545-8586, Japan.

This study aimed to compare the prognostic performance of the ratio of mixed and central venous-arterial CO tension difference to arterial-venous O content difference (Pv-aCO/Ca-vO and Pcv-aCO/Ca-cvO, respectively) with that of the mixed and central venous-to-arterial carbon dioxide gradient (Pv-aCO and Pcv-aCO, respectively) for adverse events after cardiac surgery. One hundred and ten patients undergoing cardiac surgery with cardiopulmonary bypass were enrolled. After catheter insertion, three blood samples were withdrawn simultaneously through arterial pressure, central venous, and pulmonary artery catheters, before and at the end of the operation, and preoperative and postoperative values were determined. Read More

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http://dx.doi.org/10.1007/s10877-019-00286-zDOI Listing
February 2019

Forehead electrodes sufficiently detect propofol-induced slow waves for the assessment of brain function after cardiac arrest.

J Clin Monit Comput 2019 Feb 20. Epub 2019 Feb 20.

Research Group of Surgery, Anaesthesiology and Intensive Care, Medical Faculty, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland.

In a recent study, we proposed a novel method to evaluate hypoxic ischemic encephalopathy (HIE) by assessing propofol-induced changes in the 19-channel electroencephalogram (EEG). The study suggested that patients with HIE are unable to generate EEG slow waves during propofol anesthesia 48 h after cardiac arrest (CA). Since a low number of electrodes would make the method clinically more practical, we now investigated whether our results received with a full EEG cap could be reproduced using only forehead electrodes. Read More

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http://dx.doi.org/10.1007/s10877-019-00282-3DOI Listing
February 2019

Pretreatment with glucose-insulin-potassium improves ventricular performances after coronary artery bypass surgery: a randomized controlled trial.

J Clin Monit Comput 2019 Feb 20. Epub 2019 Feb 20.

Department of Anaesthesiology, Pharmacology and Intensive Care, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva, Switzerland.

Heart failure is the main cause of poor outcome following open heart surgery and experimental studies have demonstrated that glucose-insulin-potassium (GIK) infusion exerts cardioprotective effects by reducing myocardial ischemia-reperfusion injuries. This randomized controlled trial was designed to assess the effects of GIK on left ventricular function in moderate-to-high risk patients undergoing on-pump isolated coronary artery bypass surgery (CABGS), or combined with aortic valve replacement. The primary outcomes were the effects of GIK on two- and three-dimensional left ventricular ejection fraction (2D and 3D-LVEF), and on transmitral flow propagation velocity (Vp), that occurred between the pre- and post-CPB periods. Read More

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http://dx.doi.org/10.1007/s10877-019-00280-5DOI Listing
February 2019

Positive end-expiratory pressure increases arterial oxygenation in elderly patients undergoing urological surgery using laryngeal mask airway in lithotomy position.

J Clin Monit Comput 2019 Feb 20. Epub 2019 Feb 20.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Elderly patients undergoing urological surgery in the lithotomy position may be vulnerable to perioperative hypoxemia. Positive end-expiratory pressure (PEEP) can improve arterial oxygenation. Although laryngeal mask airway (LMA) is widely utilized in urological surgery, it is not known how PEEP affects arterial oxygenation in these patients. Read More

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http://dx.doi.org/10.1007/s10877-019-00281-4DOI Listing
February 2019

Comparison of the use of AnaConDa® versus AnaConDa-S® during the post-operative period of cardiac surgery under standard conditions of practice.

J Clin Monit Comput 2019 Feb 19. Epub 2019 Feb 19.

Anaesthesiology and Critical Care, Hospital de León, University Hospital Complex, C/Altos de Nava s/n, 24071, Leon, Spain.

Changes have been made to the AnaConDa device (Sedana Medical, Stockholm, Sweden), decreasing its size to reduce dead space and carbon dioxide (CO) retention. However, this also involves a decrease in the surface area of the activated carbon filter. The CO elimination and sevoflurane (SEV) reflection of the old device (ACD-100) were thus compared with the new version (ACD-50) in patients sedated after coronary artery bypass graft surgery. Read More

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http://dx.doi.org/10.1007/s10877-019-00285-0DOI Listing
February 2019

The value of acoustic respiratory rate monitoring in a patient with postoperative hemorrhage after thyroidectomy: a case report.

J Clin Monit Comput 2019 Feb 19. Epub 2019 Feb 19.

Department of Anesthesiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.

Acoustic respiratory rate (RRa) monitoring is a non-invasive method of monitoring respiratory rate in spontaneously breathing individuals. The aim of this report is to highlight the clinical utility of this monitoring system in post-thyroidectomy patients by presenting a case of respiratory compromise due to post-thyroidectomy hematoma, in which the alarm of the respiratory rate monitor alerted the nursing staff about the complication. A 61-year-old woman who uneventfully underwent right thyroid lobectomy for adenomatous goiter under general anesthesia with endotracheal intubation was being monitored postoperatively using the RRa monitoring system. Read More

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http://dx.doi.org/10.1007/s10877-019-00283-2DOI Listing
February 2019
3 Reads

Intraoperative reduction of vasopressors using processed electroencephalographic monitoring in patients undergoing elective cardiac surgery: a randomized clinical trial.

J Clin Monit Comput 2019 Feb 19. Epub 2019 Feb 19.

Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.

Intraoperative vasopressor and fluid application are common strategies against hypotension. Use of processed electroencephalographic monitoring (pEEG) may reduce vasopressor application, a known risk factor for organ dysfunction, in elective cardiac surgery patients. Randomized single-centre clinical trial at Jena University Hospital. Read More

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http://dx.doi.org/10.1007/s10877-019-00284-1DOI Listing
February 2019
1 Read

As simple as possible, but not simpler: estimating the effective arterial elastance at bedside.

J Clin Monit Comput 2019 Feb 18. Epub 2019 Feb 18.

Service de Médecine Intensive-Réanimation, Hôpitaux universitaires Paris Centre-Hôpital Cochin, 75 014, Paris, France.

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http://dx.doi.org/10.1007/s10877-019-00278-zDOI Listing
February 2019

In response to: "Temperature monitoring with zero-heat-flux technology in neurosurgical patients".

J Clin Monit Comput 2019 Feb 15. Epub 2019 Feb 15.

Division of Anesthesiology, Department of Anesthesiology and Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

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http://dx.doi.org/10.1007/s10877-019-00275-2DOI Listing
February 2019
1.448 Impact Factor

Rebuttal to: "As simple as possible, but not simpler: estimating the effective arterial elastance at bedside".

J Clin Monit Comput 2019 Feb 14. Epub 2019 Feb 14.

Department Anaesthesia and Intensive Care Units, Humanitas Research Hospital, Humanitas University, Milan, Italy.

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http://dx.doi.org/10.1007/s10877-019-00279-yDOI Listing
February 2019

Predicting tachycardia as a surrogate for instability in the intensive care unit.

J Clin Monit Comput 2019 Feb 14. Epub 2019 Feb 14.

Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

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. Read More

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http://link.springer.com/10.1007/s10877-019-00277-0
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http://dx.doi.org/10.1007/s10877-019-00277-0DOI Listing
February 2019
5 Reads

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.

J Clin Monit Comput 2019 Feb 14. Epub 2019 Feb 14.

Department of Emergency Medicine, University Hospital Marburg, 35033, Marburg, Germany.

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. Read More

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http://dx.doi.org/10.1007/s10877-019-00262-7DOI Listing
February 2019

NIPE is related to parasympathetic activity. Is it also related to comfort?

J Clin Monit Comput 2019 Feb 13. Epub 2019 Feb 13.

EA 4489-Perinatal Environment and Health, University of Lille, 59000, Lille, France.

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http://dx.doi.org/10.1007/s10877-019-00276-1DOI Listing
February 2019
2 Reads

Temperature monitoring with zero-heat-flux technology in neurosurgical patients.

J Clin Monit Comput 2019 Feb 9. Epub 2019 Feb 9.

Department of Anesthesiology, University Hospital Göttingen, Göttingen, Germany.

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http://dx.doi.org/10.1007/s10877-019-00274-3DOI Listing
February 2019

Trending algorithm discriminates hemodynamic from injury related TcMEP amplitude loss.

J Clin Monit Comput 2019 Feb 6. Epub 2019 Feb 6.

DABNM, Division of Operating Rooms, University of California San Francisco, San Francisco, CA, USA.

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. Read More

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http://dx.doi.org/10.1007/s10877-019-00272-5DOI Listing
February 2019

Evaluation and application of a method for estimating nasal end-tidal O fraction while administering supplemental O.

J Clin Monit Comput 2019 Feb 6. Epub 2019 Feb 6.

Departments of Anesthesiology and Bioengineering, University of Utah, 84132, Salt Lake City, UT, USA.

This paper describes a method for estimating the oxygen enhanced end-tidal fraction of oxygen (FO), the end-tidal fraction of oxygen (FO) 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 FO by analyzing expired oxygen as oxygen washes out of the lung. Read More

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http://dx.doi.org/10.1007/s10877-019-00264-5DOI Listing
February 2019

Hypoventilation patterns during bronchoscopic sedation and their clinical relevance based on capnographic and respiratory impedance analysis.

J Clin Monit Comput 2019 Feb 6. Epub 2019 Feb 6.

Department of Thoracic Medicine, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, 199 Tun-Hwa N. Rd., Taipei, Taiwan.

Capnography involves the measurement of end-tidal CO (EtCO) 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 EtCO signals obtained from a nasal-oral cannula. Read More

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http://dx.doi.org/10.1007/s10877-019-00269-0DOI Listing
February 2019
2 Reads

Observational study of newborn infant parasympathetic evaluation as a comfort system in awake patients admitted to a pediatric intensive care unit.

J Clin Monit Comput 2019 Feb 5. Epub 2019 Feb 5.

Pediatric Intensive Care Unit, Burgos University Hospital, Avenida Islas Baleares s/n, CP 09006, Burgos, Spain.

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. Read More

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http://dx.doi.org/10.1007/s10877-019-00268-1DOI Listing
February 2019
4 Reads

An exploratory clinical evaluation of a head-worn display based multiple-patient monitoring application: impact on supervising anesthesiologists' situation awareness.

J Clin Monit Comput 2019 Feb 5. Epub 2019 Feb 5.

Department of Anesthesia and Critical Care, University Hospital of Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany.

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. Read More

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http://dx.doi.org/10.1007/s10877-019-00265-4DOI Listing
February 2019

Did a training seminar really reduce endotracheal cuff pressure?

J Clin Monit Comput 2019 Feb 1. Epub 2019 Feb 1.

Department of Anesthesiology, Chi Mei Medical Center, No. 901, ChungHwa Road, YungKung Dist, Tainan, 71004, Taiwan.

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http://dx.doi.org/10.1007/s10877-019-00271-6DOI Listing
February 2019