MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Clinical Monitoring and Computing' source. Wed, 10 Mar 2010 15:43:25 +0100 http://www.medworm.com/index.php?rid=3277634&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr0n47431717451j0%2F Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10877-009-9211-y Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 24 Journal Issue Volume 24, Number 1 / February, 2010 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3277634 Mon, 15 Feb 2010 19:09:49 +0100 3277634 http://www.medworm.com/index.php?rid=3274061&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F27461248v5745120%2F We report a case where despite taking precautions in this regard, we experienced a significant leak in the system due to a problem with the CO2 absorber, secondary to human error. Content Type Journal ArticleDOI 10.1007/s10877-010-9223-7Authors Goneppanavar Umesh, Kasturba Medical College Department of Anaesthesiology Manipal 576104 IndiaKaur Jasvinder, Kasturba Medical College Department of Anaesthesiology Manipal 576104 IndiaRoy Sagarnil, Kasturba Medical College Department of Anaesthesiology Manipal 576104 India Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3274061 Sat, 13 Feb 2010 06:48:58 +0100 3274061 http://www.medworm.com/index.php?rid=3241437&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv00l637272120r21%2F Content Type Journal ArticleDOI 10.1007/s10877-010-9222-8Authors Oliver Sykes, The Anaesthetics Department, St Peter’s Hospital Guildford Road Chertsey, Surrey KT16 0PZ UK Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3241437 Wed, 03 Feb 2010 17:57:25 +0100 3241437 http://www.medworm.com/index.php?rid=3241439&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fur25687600152r4t%2F Conclusions  ΔRDII in response to PLR does not successfully help identifying preload dependent patients contrarily to ΔPP or change in stroke volume. Content Type Journal ArticleDOI 10.1007/s10877-010-9221-9Authors Christophe Soltner, CHU d’Angers Pôle d’Anesthésie Réanimation 49933 Angers Cedex 9 FranceRomain Dantec, CHU d’Angers Pôle d’Anesthésie Réanimation 49933 Angers Cedex 9 FranceFrédéric Lebreton, CHU d’Angers Pôle d’Anesthésie Réanimation 49933 Angers Cedex 9 FranceJulien Huntzinger, CHU d’Angers Pôle d’Anesthésie Réanimation 49933 Angers Cedex 9 FranceLaurent Beydon, CHU d’Angers Pôle d’Anesthésie Réanimation 49933 Angers Cedex 9 France Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3241439 Wed, 03 Feb 2010 17:57:24 +0100 3241439 http://www.medworm.com/index.php?rid=3241438&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4k74161455836261%2F Abstract  Anesthetic agent analyzers fail when drug from a HFA propelled pMDI is administered. Most anesthetic vapor analyzers use infrared absorption at 3.3 micron. At this wavelength, substance like methane has been reported to interfere with the accuracy of measurement of anesthetic vapor. The anesthetic gas monitor 1304 (Brüel and Kjaer) which functions at 10.3–13 micron wavelength was not affected by methane. Is it possible, HFA with its structural similarity to inhaled anesthetic agents may be responsible for faulty reading of anesthetic vapor concentration in two of our monitors? Further evidence is needed to support this finding. Anesthesiologists need to be ever vigilant and recognize the need for smarter designs of anesthetic agent analyzers with changing ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3241438 Wed, 03 Feb 2010 17:57:24 +0100 3241438 http://www.medworm.com/index.php?rid=3191027&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv61g02h77u033626%2F Conclusions  If our conclusions will be confirmed by next larger reports, HRT could become a reliable index for screening the arrhythmic potential of patients affected by cardiac failure, to select the ones who need a defibrillator implantation. Content Type Journal ArticleDOI 10.1007/s10877-009-9218-4Authors Giovanni Fazio, University of Palermo Department of Cardiology Via Albiri 3 a 90125 Palermo ItalyFilippo M. Sarullo, University of Palermo Department of Cardiology Via Albiri 3 a 90125 Palermo ItalyLuciana D’Angelo, University of Palermo Department of Cardiology Via Albiri 3 a 90125 Palermo ItalyMonica Lunetta, University of Palermo Department of Cardiology Via Albiri 3 a 90125 Palermo ItalyClaudia Visconti, University of Palermo Department of Cardiology Via Albi... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3191027 Fri, 15 Jan 2010 18:01:31 +0100 3191027 http://www.medworm.com/index.php?rid=3161281&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr21813931737x370%2F Conclusions  These studies are consistent with drug synergy when isoflurane is mixed with nitrous oxide. This suggests that if these agents are considered for anesthesia when sensory evoked responses are to be monitored that the combination of these agents may produce more amplitude and latency changes than expected from a proportionate mixture of the individual agents. Content Type Journal ArticleDOI 10.1007/s10877-009-9219-3Authors Tod Sloan, University of Colorado at Denver Department of Anesthesiology Academic Office 1, 12631 East 17th Ave PO Box 6511 Aurora CO 80045 USAH. Sloan, The University of Texas Health Science Center at San Antonio Department of Anesthesiology San Antonio TX USAJ. Rogers, The University of Texas Health Science Center at San Antonio Departme... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3161281 Fri, 08 Jan 2010 21:40:01 +0100 3161281 http://www.medworm.com/index.php?rid=3161282&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F12jg477535675132%2F Conclusions  The use of alternative frontal reference leads (F3 and F4) for left posterior tibial nerve SEP monitoring yields signals of equal quality and reproducibility compared to signals with standard (FPz and C4′) referencing. These alternative leads may substitute for traditional referencing when placement of FPz or C4′ is precluded by the location of surgery. Content Type Journal ArticleDOI 10.1007/s10877-009-9216-6Authors John F. Bebawy, Northwestern University Feinberg School of Medicine Department of Anesthesiology Chicago IL USADhanesh K. Gupta, Northwestern University Feinberg School of Medicine Departments of Anesthesiology and Neurological Surgery Chicago IL USAMatthew A. Cotton, Northwestern University Feinberg School of Medicine Intraoperative Neuro... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3161282 Fri, 08 Jan 2010 21:40:00 +0100 3161282 http://www.medworm.com/index.php?rid=3161283&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F671727523271629j%2F Conclusion  From the data evaluated by us, microcirculatory dysfunction seems to be present very often during acute phases of Takotsubo illness, but it is not the only determining factor of the illness. Content Type Journal ArticleDOI 10.1007/s10877-009-9217-5Authors Giovanni Fazio, University of Palermo Department of Cardiology Palermo ItalyFilippo M. Sarullo, Buccheri La Ferla Fatebenefratelli Hospital Division of Cardiology Palermo ItalyGiuseppina Novo, University of Palermo Department of Cardiology Palermo ItalySalvatore Evola, Cannizzaro Hospital Department of Cardiology Catania ItalyMonica Lunetta, University of Palermo Department of Cardiology Palermo ItalyGiuseppe Barbaro, University of Palermo Department of Cardiology Palermo ItalyFrancesca Sconci, La Sapienza ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3161283 Fri, 08 Jan 2010 09:13:09 +0100 3161283 http://www.medworm.com/index.php?rid=3106042&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffg148721950v385k%2F Conclusions  Integrated mean arterial pressures observed from a well maintained patient monitor can be considered interchangeable with independently sampled intra-arterial pressures and may be confidently used as the reference against which to test the accuracy of non-invasive blood pressure measuring methods in the prehospital or emergency setting. Content Type Journal ArticleDOI 10.1007/s10877-009-9215-7Authors Sandy Muecke, Flinders University Department of Critical Care Medicine Adelaide SA AustraliaAndrew Bersten, Flinders University Department of Critical Care Medicine Adelaide SA AustraliaJohn Plummer, Flinders Medical Centre Pain Management Unit Adelaide SA Australia Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3106042 Fri, 18 Dec 2009 07:12:06 +0100 3106042 http://www.medworm.com/index.php?rid=3098257&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp1xg20l23h151332%2F Abstract  The test of the inner tube integrity is an important checklist prior to the safe use of Bain’s breathing system. This is because the major concern with the use of Bain’s circuit is the potential malfunctioning of the circuit due to avulsion of the inner fresh gas delivery tube at the machine end which will turn the outer tube into dead space, a hazard recognized by Hannallah. Pethick test although widely used may not be foolproof to detect leaks in the inner tube. Ghani suggested the use of a plunger to perform the inner tube occlusion. Partially or completely occluded outer tube may produce a false positive result. Using very high flows or prolonged occlusion may cause damage to anesthetic machine due to high pressure. Content Type Journal ArticleDOI 10.100... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098257 Tue, 15 Dec 2009 07:08:52 +0100 3098257 http://www.medworm.com/index.php?rid=3098258&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh78m0u4431l16265%2F Conclusions  VCLTVV alone was not able to prevent ARDS and infection in the Control Group as the reduction of intubation. In the Treatment Group, VCLTVV and medicated BAL facilitated the removal of degradated lung material and recruited the contused lung regions, enabling the healing of the lung pathology. Content Type Journal ArticleDOI 10.1007/s10877-009-9213-9Authors Giuseppe A. Marraro, A.O. Fatebenefratelli and Ophthalmiatric Hospital Anesthesia and Intensive Care Department Milan ItalyCarmelo Denaro, Azienda Ospedaliera “Cannizzaro” Anesthesia and Intensive Care Department Catania ItalyClaudio Spada, A.O. Fatebenefratelli and Ophthalmiatric Hospital Anesthesia and Intensive Care Department Milan ItalyMarco Luchetti, A.O. Fatebenefratelli and Ophthalmiatric Ho... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098258 Sun, 13 Dec 2009 06:42:40 +0100 3098258 http://www.medworm.com/index.php?rid=3086753&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh78m0u4431l16265%2F Conclusions  VCLTVV alone was not able to prevent ARDS and infection in the Control Group as the reduction of intubation. In the Treatment Group, VCLTVV and medicated BAL facilitated the removal of degradated lung material and recruited the contused lung regions, enabling the healing of the lung pathology. Content Type Journal ArticleDOI 10.1007/s10877-009-9213-9Authors Giuseppe A. Marraro, A.O. Fatebenefratelli and Ophthalmiatric Hospital Anesthesia and Intensive Care Department Milan ItalyCarmelo Denaro, Azienda Ospedaliera “Cannizzaro” Anesthesia and Intensive Care Department Catania ItalyClaudio Spada, A.O. Fatebenefratelli and Ophthalmiatric Hospital Anesthesia and Intensive Care Department Milan ItalyMarco Luchetti, A.O. Fatebenefratelli and Ophthalmiatric Ho... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3086753 Sun, 13 Dec 2009 06:42:40 +0100 3086753 http://www.medworm.com/index.php?rid=3086754&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F301j3068644245r6%2F Conclusions  The bispectral index and index of consciousness values may be interchangeable. The interchangeability is better appreciated during normotension and hypotension but not during non pulsatile state of cardiopulmonary bypass. Content Type Journal ArticleDOI 10.1007/s10877-009-9214-8Authors Murali Chakravarthy, Wockhardt Heart Institute Bannerughatta Road Bangalore Karnataka 560076 IndiaSrinivasa Holla, Wockhardt Heart Institute Bannerughatta Road Bangalore Karnataka 560076 IndiaVivek Jawali, Wockhardt Heart Institute Bannerughatta Road Bangalore Karnataka 560076 India Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3086754 Thu, 10 Dec 2009 15:12:00 +0100 3086754 http://www.medworm.com/index.php?rid=3032155&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F31x73j8k45633664%2F Conclusions  Metrics that are highly reproducible and require few RRIs are advantageous for patient monitoring as less time is required to assess physiological status and initiate early interventions. Based on our analyses from healthy, resting humans, we have identified a select cohort of heart period variability metrics that performed well in regards to these two criteria. Content Type Journal ArticleDOI 10.1007/s10877-009-9210-zAuthors Caroline A. Rickards, University of Texas at San Antonio Department of Health and Kinesiology San Antonio TX 78249 USAKathy L. Ryan, US Army Institute of Surgical Research 3400 Rawley E Chambers Avenue, Building 3611 Fort Sam Houston TX 78234-6315 USAVictor A. Convertino, US Army Institute of Surgical Research 3400 Rawley E Chambers A... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3032155 Mon, 23 Nov 2009 17:09:26 +0100 3032155 http://www.medworm.com/index.php?rid=2997426&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff5x535542u843027%2F Conclusions  Using two types of gauze pads, we confirmed that liquids significantly increased light transmission through gauze pad, but porcine blood decreased light transmission. This opposite response can be used to distinguish liquids from blood on a gauze pad. Content Type Journal ArticleDOI 10.1007/s10877-009-9206-8Authors Akihiro Takeuchi, Kitasato University Department of Medical Informatics, School of Allied Health Sciences 1-15-1 Kitasato Sagamihara Kanagawa 228-8555 JapanKai Ishida, Kitasato University Graduate School of Medical Sciences Sagamihara JapanYasuo Morohoshi, Kitasato University School of Medicine Department of Laboratory Animal Science Sagamihara JapanToshihiro Shinbo, Kitasato University Department of Clinical Engineering, School of Allied Health... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2997426 Fri, 13 Nov 2009 18:16:15 +0100 2997426 http://www.medworm.com/index.php?rid=2986829&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq28m0jt7417h6252%2F Conclusions. The project developed a remote hearing assessment system based on services on a web server. The system minimizes hardware and software requirements on the audiologist’s computer and can be realized with regular Internet service subscription. Patient operations involved in hearing assessment are simple; making hearing test services more accessible to those otherwise may not be able to obtain the desired hearing care. Content Type Journal ArticleDOI 10.1007/s10877-009-9208-6Authors Jianchu Yao, East Carolina University Greenville NC 27858 USAYongbo Wan, East Carolina University Greenville NC 27858 USAGregg D. Givens, East Carolina University Greenville NC 27858 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Sou... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2986829 Wed, 11 Nov 2009 07:18:27 +0100 2986829 http://www.medworm.com/index.php?rid=2971545&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc78690v3482034m5%2F Conclusion  XSLT proved to be a very satisfactory technique to create different printouts and is therefore a feasible technique to enhance any AIMS. As XML turns out to be one of the most important formats for medical data, we call for the development of an international anaesthetic XML-standard and its adoption to AIMS. Content Type Journal ArticleDOI 10.1007/s10877-009-9209-5Authors Andreas Meyer-Bender, University Hospital of Munich-Campus Großhadern Department of Anaesthesiology Marchioninistr. 15 81377 Munich GermanyRichard Spitz, University Hospital of Munich-Campus Großhadern Department of Anaesthesiology Marchioninistr. 15 81377 Munich GermanyBernhard Pollwein, University Hospital of Munich-Campus Großhadern Department of Anaesthesiology Marchioninistr. 15 8... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2971545 Fri, 06 Nov 2009 19:33:50 +0100 2971545 http://www.medworm.com/index.php?rid=2947975&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc31183l7gr3w33x7%2F Conclusion  The accuracy of transcutaneously measured values of oxygen improved significantly during spontaneous ventilation. Content Type Journal ArticleDOI 10.1007/s10877-009-9207-7Authors Murali Chakravarthy, Wockhardt Hospitals Mumbai IndiaSandeep Narayan, Wockhardt Hospitals Mumbai IndiaRaghav Govindarajan, Wockhardt Hospitals Mumbai IndiaVivek Jawali, Wockhardt Hospitals Mumbai India Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2947975 Fri, 30 Oct 2009 07:36:53 +0100 2947975 http://www.medworm.com/index.php?rid=2936551&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6366q6654t3rg617%2F Discussion  Mixed-myotomal recording electrodes did not consistently increase baseline TcMEP amplitude. The decrease in amplitude after ligation was both smaller and more variable in the “jumped” TA-GAS electrodes. Thus, this technique may allow someone relying on TcMEP monitoring to miss an otherwise detectable isolated nerve root injury (i.e., have a false-negative result). Content Type Journal ArticleDOI 10.1007/s10877-009-9205-9Authors Russ Lyon, UCSF San Francisco USAShane Burch, UCSF San Francisco USAJeremy Lieberman, UCSF San Francisco USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2936551 Tue, 27 Oct 2009 18:24:45 +0100 2936551 http://www.medworm.com/index.php?rid=2918025&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fyu8612nnmk265nhk%2F Abstract  TIPS is a percutaneous procedure which diverts blood from the portal to the systemic circulation preventing rebleeding from varices and stopping or reducing the formation of ascites. The choice of the anaesthetic technique is still a matter of debate. Since January 2003, 150 consecutive TIPS were performed using total intravenous anesthesia (TIVA), (propofol/fentanyl or remifentanil), endotracheal intubation and mechanical ventilation. Sixty-one patients were classified as ASA 2, 73 ASA 3, and 16 ASA 4. According to CHILD classification, 96 patients were in Class A, 48 in Class B, 6 in Class C. Mean duration f the procedure was 100±62 min. After TIPS placement Portal vein pressure decreased from 30±10 to 14±4 mmHg while RAP increased from 8±4 to 12±6... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2918025 Wed, 21 Oct 2009 12:19:48 +0100 2918025 http://www.medworm.com/index.php?rid=2914089&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F88832332xp26nr05%2F Abstract  Monitoring of aortic blood flow, conducting large portions of the cardiac output (CO), allows conclusions on the global hemodynamic status of patients. For this purpose, transesophageal Doppler (TED) devices have been developed, which interrogate the descending aorta and calculate aortic blood flow velocity using the Doppler principle. The recorded velocity–time curve can be used to estimate CO as well other advanced hemodynamic parameters such as preload, afterload and myocardial contractility. Clinical studies in perioperative patients have demonstrated a reduced postoperative morbidity and shorter length of hospital stay when TED is used to guide fluid management. However, several assumptions are needed to translate the measured Doppler frequency shift to hem... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2914089 Tue, 20 Oct 2009 15:23:43 +0100 2914089 http://www.medworm.com/index.php?rid=2884381&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx408662q50xx2565%2F Conclusions  The MSGM response time for CO2 and O2 was less than 1/3 of the SSGM. The performance of the MSGM was maintained at high breathing frequencies. The accuracy was within clinically acceptable limits for both monitors. Content Type Journal ArticleDOI 10.1007/s10877-009-9203-yAuthors Mattias Berggren, SU/The Queen Silvia Children’s Hospital Department of Paediatric Anaesthesia and Intensive Care 416 85 Gothenburg SwedenNasser Hosseini, Sahlgrenska University Hospital Department of Biomedical Engineering Gothenburg SwedenKrister Nilsson, SU/The Queen Silvia Children’s Hospital Department of Paediatric Anaesthesia and Intensive Care 416 85 Gothenburg SwedenOla Stenqvist, SU/Sahlgrenska Hospital Department of Anaesthesia and Intensive Care 41345 Gothenburg Swed... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2884381 Sat, 10 Oct 2009 07:24:31 +0100 2884381 http://www.medworm.com/index.php?rid=2810987&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa890780682218227%2F Conclusions  Both FD-OCT and CLSM provide high-resolution images of alveolar structure giving depth information that is beneficial to conventional microscopy. CLSM also facilitates endoscopic view on alveoli being well comparable to images gained through a thoracic window. Content Type Journal ArticleDOI 10.1007/s10877-009-9200-1Authors Johannes Bickenbach, University Hospital RWTH Aachen Department of Surgical Intensive Care Pauwelsstr. 30 52074 Aachen GermanyRolf Dembinski, University Hospital RWTH Aachen Department of Surgical Intensive Care Pauwelsstr. 30 52074 Aachen GermanyMichael Czaplik, University Hospital RWTH Aachen Department of Anaesthesiology Aachen GermanySven Meissner, TU Dresden Clinical Sensoring and Monitoring, Medical Faculty Dresden GermanyArata Tab... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2810987 Wed, 16 Sep 2009 13:07:37 +0100 2810987 http://www.medworm.com/index.php?rid=2810988&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frv4k464563616553%2F Conclusions  This position paper summarizes commonly used protocols for recording and interpreting the intraoperative use of EEG. Furthermore, the American Society of Neurophysiological Monitoring recognizes this as primarily an educational service. Content Type Journal ArticleDOI 10.1007/s10877-009-9191-yAuthors Michael R. Isley, Orlando Regional Medical Center Intraoperative Neuromonitoring Department Orlando FL 32806 USAHarvey L. Edmonds, University of Louisville School of Medicine Department of Anesthesiology and Perioperative Medicine Louisville KY 40207-3633 USAMark Stecker, Marshall University School Of Medicine Neuroscience Department Huntington WV 25705 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Sou... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2810988 Wed, 16 Sep 2009 13:07:32 +0100 2810988 http://www.medworm.com/index.php?rid=3098259&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F133w2t83gn17075m%2F Conclusions  The results confirmed the concept of using flow impedance to index the needle tip location—whether the tip is positioned in joint or tendon. This instrument’s user interface can serve as a training aid for medical students and infrequent operators. Content Type Journal ArticleDOI 10.1007/s10877-009-9202-zAuthors Jianchu Yao, East Carolina Unveristy Greenville NC USAStephanie T. Sullivan, East Carolina Unveristy Greenville NC USAChristopher A. Eckert, East Carolina Unveristy Greenville NC USAEdwin C. Bartlett, East Carolina Unveristy Greenville NC USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 23 Journal Issue Volume 23, Number 6 / December, 2009 (Source: Journal of C... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098259 Wed, 16 Sep 2009 13:07:30 +0100 3098259 http://www.medworm.com/index.php?rid=2810989&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F133w2t83gn17075m%2F Conclusions  The results confirmed the concept of using flow impedance to index the needle tip location—whether the tip is positioned in joint or tendon. This instrument’s user interface can serve as a training aid for medical students and infrequent operators. Content Type Journal ArticleDOI 10.1007/s10877-009-9202-zAuthors Jianchu Yao, East Carolina Unveristy Greenville NC USAStephanie T. Sullivan, East Carolina Unveristy Greenville NC USAChristopher A. Eckert, East Carolina Unveristy Greenville NC USAEdwin C. Bartlett, East Carolina Unveristy Greenville NC USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2810989 Wed, 16 Sep 2009 13:07:30 +0100 2810989 http://www.medworm.com/index.php?rid=2767435&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn142660w8vk71135%2F Conclusion: Results suggests that PTT response reflects the myogenic components in the early part of RH and PPG amplitude response reflects the metabolic component reinforcing the later course of RH. PPG amplitude and PTT can be used to quantify the changes in diameter and tone of the vessel wall, respectively during RH. The collective responses of PPG amplitude and PTT can be more appropriate to facilitate PPG technique for monitoring of vasodilation caused by RH. Content Type Journal ArticleDOI 10.1007/s10877-009-9199-3Authors Nandakumar Selvaraj, Indian Institute of Technology Delhi Centre for Biomedical Engineering Block No. II, 299C, Hauz khas New Delhi 110016 IndiaAshok K. Jaryal, All India Institute of Medical Sciences Department of Physiology New Delhi 110608 IndiaJayashree... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2767435 Thu, 03 Sep 2009 06:39:54 +0100 2767435 http://www.medworm.com/index.php?rid=3098260&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fet6r72j17757h641%2F Abstract  Electric energy have been in use for the treatment of various ailments, including pain, since the time of Pharaohs. The theoretical basis of electrotherapy of pain was provided by the Gate Control Theory of Melzak and Wall. In 1965, Shealey et al. first introduced electrical stimulation of spinal cord for treating pain. At present spinal cord stimulation (SCS) is a well established form of treatment for failed back surgery syndrome, complex regional pain syndrome and refractory pain due to ischemia. The indications for SCS is growing and the technology involved in this is rapidly advancing, however, high level of scientific evidence is still lacking to support this form of therapy due to difficulties in blinding and comparing with control groups. Future developmen... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098260 Thu, 03 Sep 2009 06:39:53 +0100 3098260 http://www.medworm.com/index.php?rid=2767436&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fet6r72j17757h641%2F Abstract  Electric energy have been in use for the treatment of various ailments, including pain, since the time of Pharaohs. The theoretical basis of electrotherapy of pain was provided by the Gate Control Theory of Melzak and Wall. In 1965, Shealey et al. first introduced electrical stimulation of spinal cord for treating pain. At present spinal cord stimulation (SCS) is a well established form of treatment for failed back surgery syndrome, complex regional pain syndrome and refractory pain due to ischemia. The indications for SCS is growing and the technology involved in this is rapidly advancing, however, high level of scientific evidence is still lacking to support this form of therapy due to difficulties in blinding and comparing with control groups. Future developmen... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2767436 Thu, 03 Sep 2009 06:39:53 +0100 2767436 http://www.medworm.com/index.php?rid=2742765&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw766608357p57146%2F Conclusions  The first order rate constant (ke0 value) determining the equilibration between age-related MAC values and MAC effect site concentration is substantially higher for desflurane than for sevoflurane or isoflurane. Content Type Journal ArticleDOI 10.1007/s10877-009-9196-6Authors Sascha Kreuer, University of Saarland Department of Anaesthesiology and Intensive Care Medicine 66421 Homburg/Saar Saarland GermanyJörgen Bruhn, UMC St. Radboud Department of Anaesthesiology Nijmegen The NetherlandsWolfram Wilhelm, St.-Marien-Hospital Department of Anaesthesiology and Intensive Care Medicine Luenen NRW GermanyUlrich Grundmann, University of Saarland Department of Anaesthesiology and Intensive Care Medicine 66421 Homburg/Saar Saarland GermanyHauke Rensing, University o... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2742765 Thu, 27 Aug 2009 15:52:07 +0100 2742765 http://www.medworm.com/index.php?rid=2723725&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl6r2758240786180%2F Abstract  The problem of assessing agreement between two devices occurs with great frequency in the medical literature. If it can be demonstrated that a new device agrees sufficiently with a device currently in use, then the new device can be approved for general use. This work discusses how a prediction interval can be used to estimate the whether a future difference between two devices will be within acceptable limits with reasonable confidence. The method is illustrated with an example involving measurements of peak expiratory flow. Content Type Journal ArticleDOI 10.1007/s10877-009-9198-4Authors Cody Hamilton, Edwards Lifesciences Department of Clinical Operations One Edwards Way Irvine CA 92614 USAJames D. Stamey, Baylor University Department of Statistical Science ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2723725 Fri, 21 Aug 2009 17:10:00 +0100 2723725 http://www.medworm.com/index.php?rid=2723726&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe8802k2147362332%2F We report a case during which it was simultaneously recorded usual Bispectral Index (BIS) values and elevated suppression ratio (SR) during resuscitation maneuvers. A 52-year-old woman, scheduled for a suspension laryngoscopy, required cardio-pulmonary resuscitation due to an anaphylactic shock secondary to the administration of succinylcholine. Post-crisis analysis of the BIS trace showed both BIS numbers consistent with an adequate level hypnosis and an increase in SR. Simultaneous hypnotic BIS values and an elevated SR is striking as SR quantifies electroenceph- alographic suppression. Clinicians must remember that SR is␣one of the parameters incorporated into BIS and must take␣SR into account even when the BIS is within the target range. Content Type Journal ArticleCategor... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2723726 Fri, 21 Aug 2009 10:53:41 +0100 2723726 http://www.medworm.com/index.php?rid=2697618&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fyru834565121xrqj%2F Conclusions  In the Intensive Care Unit, the performance of one device, the Oscar 2, surpassed the others and fulfilled the AAMI protocol criteria for mean pressure measurement. This device is suitable for prehospital validation. Content Type Journal ArticleDOI 10.1007/s10877-009-9195-7Authors Sandy Muecke, Flinders University Department of Critical Care Medicine Adelaide SA 5042 AustraliaAndrew Bersten, Flinders University Department of Critical Care Medicine Adelaide SA 5042 AustraliaJohn Plummer, Flinders Medical Centre Pain Management Unit Adelaide SA 5042 Australia Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2697618 Wed, 12 Aug 2009 05:54:50 +0100 2697618 http://www.medworm.com/index.php?rid=2686275&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq20k8958778l85t0%2F Conclusions  Our novel electronic alerting system incorporates both age-adjusted MAC and intravenous anesthesia, and triggers with a higher frequency in cases of awareness. These data suggest the potential for our system to alert clinicians to insufficient anesthesia. Content Type Journal ArticleDOI 10.1007/s10877-009-9193-9Authors George A. Mashour, University of Michigan Medical School Division of Neuroanesthesiology, Department of Anesthesiology 1H247 UH/Box 5048 1500 East Medical Center Drive Ann Arbor MI 48109-5048 USARoy K. Esaki, University of Michigan Medical School Division of Neuroanesthesiology, Department of Anesthesiology 1H247 UH/Box 5048 1500 East Medical Center Drive Ann Arbor MI 48109-5048 USAJohn C. Vandervest, University of Michigan Medical School Div... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2686275 Sun, 09 Aug 2009 07:19:26 +0100 2686275 http://www.medworm.com/index.php?rid=2643039&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm3mt7497j207624g%2F Conclusions  This study is important because it shows for the first time that the SPV does not change significantly in the prone position, and may therefore continue to be used as an indicator of the volume status. It also would appear to indicate that our methods for protecting the chest and abdomen in the prone position are effective. Content Type Journal ArticleDOI 10.1007/s10877-009-9194-8Authors Roger Marks, University of Miami Department of Anesthesiology Miami FL USARichard Silverman, University of Miami Department of Anesthesiology Miami FL USARaul Fernandez, University of Miami Department of Anesthesiology Miami FL USAKeith A. Candiotti, University of Miami Department of Anesthesiology Miami FL USAEugene Fu, University of Miami Department of Anesthesiology Mia... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2643039 Sat, 25 Jul 2009 04:33:30 +0100 2643039 http://www.medworm.com/index.php?rid=2643038&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw61k5705n20v5507%2F Conclusion  Charted vital signs reflect in large the raw data as reported by bedside monitors. Poor signal quality could partially explain the existence of cases of large discrepancies. Content Type Journal ArticleDOI 10.1007/s10877-009-9192-xAuthors Monica Sapo, University of California Neuroinformatics Service and Support, Department of Neurosurgery, David Geffen School of Medicine Los Angeles CA USAShaozhi Wu, University of California Neural Systems and Dynamics Lab, Department of Neurosurgery, David Geffen School of Medicine NPI 18-240 Los Angeles CA 90095 USAShadnaz Asgari, University of California Neural Systems and Dynamics Lab, Department of Neurosurgery, David Geffen School of Medicine NPI 18-240 Los Angeles CA 90095 USANorma McNair, Ronald Reagan UCLA Medical ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2643038 Sat, 25 Jul 2009 04:33:30 +0100 2643038 http://www.medworm.com/index.php?rid=2632248&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjr10575302863328%2F Conclusions  Continuous monitoring of central and peripheral temperature may be a helpful tool in both ambulatory and admitted patients and may offer new approaches in clinical thermometry. Content Type Journal ArticleDOI 10.1007/s10877-009-9184-xAuthors Manuel Varela, Hospital de Mostoles Servicio de Medicina Interna c/Rio Jucar s/n Mostoles, Madrid 28935 SpainDavid Cuesta, Universidad Politécnica de Valencia Instituto Tecnológico de Informática Campus de Alcoi Alcoi SpainJuan Antonio Madrid, Universidad de Murcia Cronolab, Facultad de Biología Murcia SpainJuan Churruca, Hospital de Mostoles Servicio de Medicina Interna c/Rio Jucar s/n Mostoles, Madrid 28935 SpainPau Miro, Universidad Politécnica de Valencia Instituto Tecnológico de Informática Campus de Alcoi A... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2632248 Tue, 21 Jul 2009 00:04:13 +0100 2632248 http://www.medworm.com/index.php?rid=2603977&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp06527u25u18756h%2F Conclusions   MEB accurately measures cardiac output in patients with moderate to severe clinical heart failure and accurately measures regional arterial limb flow in patients with peripheral arterial disease. Content Type Journal ArticleDOI 10.1007/s10877-009-9189-5Authors Alfred W. H. Stanley, Kemp-Carraway Heart Institute Birmingham AL USAJeffery W. Herald, Cardiovascular Consultants of Alabama Birmingham AL USAConstantine L. Athanasuleas, Kemp-Carraway Heart Institute Birmingham AL USASaji C. Jacob, Cardiovascular Consultants of Alabama Birmingham AL USAAlfred A. Bartolucci, University of Alabama Department of Biostatistics Birmingham AL USAAlexander N. Tsoglin, DST Delta Segments Technology, Inc. Birmingham AL USA Journal Journal of Clinical Monitoring and C... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2603977 Tue, 14 Jul 2009 10:05:29 +0100 2603977 http://www.medworm.com/index.php?rid=2599727&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb87878p6650g48j1%2F Conclusions  This study demonstrates that a low dose (0.1 mg/kg) of etomidate increases the com- pound muscle action potential (CMAP) amplitude for tcEMEP and tcMMEP in the monkey whereas higher doses decrease the amplitude. Epidural recordings demonstrate a marked increase in the number of I waves consistent with a cortical effect similar to the postulated effect that results in amplification of the cortical SSEP. This suggests the amplitude loss in the hypothenar muscles may be due to depression of the spinal cord by etomidate. The CMAP response amplification at low doses was greater in tcMMEP than tcEMEP and the depression at higher doses was more with the tcMMEP technique consistent with the greater dependence of the tcMMEP technique on synaptic activation. C... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2599727 Mon, 13 Jul 2009 06:13:06 +0100 2599727 http://www.medworm.com/index.php?rid=2565256&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb72560025pv244w8%2F Conclusion. The major source of EEG noise in tSEP recordings is the mixed frequency activity of the slow waves of bursts that occur during propofol anesthesia. Spindles also have frequency components that increase noise levels, but these are less important, as the number of spindles is fewer. The fastest way to obtain reliable tSEPs is by averaging selectively during suppressions. Content Type Journal ArticleDOI 10.1007/s10877-009-9188-6Authors Atte Joutsen, Tampere University of Technology Department of Biomedical Engineering P.O. Box 692 33101 Tampere FinlandPasi Puumala, Oulu University Hospital Department of Anesthesiology Oulu FinlandLeo-Pekka Lyytikäinen, University of Tampere Department of Physiology Tampere FinlandOlli Pajulo, Tampere University Hospital Department of Surge... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2565256 Tue, 30 Jun 2009 15:52:02 +0100 2565256 http://www.medworm.com/index.php?rid=2491300&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa21r5850u506g744%2F Conclusions  The data collected and analyzed in this study supports the addition of a visual cue to future physiological monitors. The graphic representation and the context relevant information that it transmits appears to aid clinicians. While the results indicate that enhanced visualization of context relevant information can lead to a significant improvement in event recognition and identification, further evaluation in clinical settings is required. Content Type Journal ArticleDOI 10.1007/s10877-009-9186-8Authors Jacqueline M. Tappan, Massachusetts Institute of Technology Engineering Systems Division Cambridge MA USAJeremy Daniels, British Columbia Children’s Hospital Department of Pediatric Anesthesia 1L7 – 4480 Oak St. Vancouver BC V6H 3V4 CanadaBrad Slavin... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2491300 Mon, 22 Jun 2009 06:38:21 +0100 2491300 http://www.medworm.com/index.php?rid=2491301&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk270qg7r75606q2u%2F Conclusion  These results demonstrate that our MEI monitor is unaffected by the frequency of the periodic myocardial electrical activity that generates the HR. Content Type Journal ArticleDOI 10.1007/s10877-009-9185-9Authors Roger Dzwonczyk, The Ohio State University Department of Anesthesiology Doan Hall, Room N411, 410 West 10th Avenue Columbus OH 43210-1228 USACarlos del Rio, The Ohio State University Department of Anesthesiology Doan Hall, Room N411, 410 West 10th Avenue Columbus OH 43210-1228 USAThomas D. McSweeney, The Ohio State University Department of Anesthesiology Doan Hall, Room N411, 410 West 10th Avenue Columbus OH 43210-1228 USAXiaoli Zhang, The Ohio State University Center for Biostatistics 2012 Kenny Road Columbus OH 43221-3502 USAMichael B. Howie, The ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2491301 Sat, 20 Jun 2009 06:05:28 +0100 2491301 http://www.medworm.com/index.php?rid=2491302&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2565v8g6021n06w2%2F Abstract  Techniques for the measurement of cardiac output from soluble gas uptake by the lungs include the rebreathing method using nitrous oxide. The accuracy of this␣technique is well accepted, but its repeatability of measurement (precision) has not been well documented. We assessed the repeatability of measurements of pulmonary blood flow by the Innocor, a device employing the nitrous oxide rebreathing method. Successive paired measurements of pulmonary blood flow were made separated by a 5 min interval by the nitrous oxide rebreathing method, in 8 patients pre- or post cardiac surgery, and in 8 healthy volunteers. The standard deviation of the difference between first and second measurements was 0.84 l/min in the cardiac surgery group, and 1.25 l/min i... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2491302 Fri, 19 Jun 2009 06:32:01 +0100 2491302 http://www.medworm.com/index.php?rid=2480016&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft002462t34324p65%2F Conclusion. CLADS performed well in patients undergoing pheochromocytoma surgeries which represent one of the few clinically extreme situations. Content Type Journal ArticleDOI 10.1007/s10877-009-9181-0Authors Harihar V. Hegde, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 Department of Anaesthesia and Intensive Care Chandigarh 160012 IndiaG. D. Puri, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 Department of Anaesthesia and Intensive Care Chandigarh 160012 IndiaBhupesh Kumar, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12 Department of Anaesthesia and Intensive Care Chandigarh 160012 IndiaArunanshu Behera, Postgraduate Institute of Medical Education and Research Department of Surgery Chandig... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2480016 Thu, 11 Jun 2009 14:12:00 +0100 2480016 http://www.medworm.com/index.php?rid=2480017&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj456117587921233%2F Conclusions. The Functional Approxi- mation based on a Levenberg-Marquardt Algorithm showed less bias and dispersion compared to the traditional Fowler’s method when calculating VDaw and S III. Content Type Journal ArticleDOI 10.1007/s10877-009-9182-zAuthors Gerardo Tusman, Hospital Privado de Comunidad Department of Anesthesiology Mar del Plata ArgentinaAdriana Scandurra, University of Mar del Plata Bioengineering Laboratory, Electronic Department Mar del Plata ArgentinaStephan H. Böhm, CSEM Centre Suisse d’Electronique et de Microtechnique SA Research Centre for Nanomedicine Landquart SwitzerlandFernando Suarez-Sipmann, CIBERES Department of Critical Care Medicine, Fundación Jiménez Díaz-UTE Madrid SpainFernando Clara, University of Mar del Plata Bioengineering Laboratory,... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2480017 Thu, 11 Jun 2009 14:11:59 +0100 2480017 http://www.medworm.com/index.php?rid=3098261&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm35p707qj3478121%2F Abstract  Heat and moisture exchangers (HME) are commonly used during general anaesthesia and intensive care of patients on mechanical ventilators. Some of the HME manufacturers provide HMEs with a Luer lock fitting for connecting side stream CO2 monitoring line, Luer lock cap, and a non-threaded cap mount. However, HMEs from different manufacturers and HMEs meant for use in children and for adults from the same manufacturer vary in the presence/absence of non-threaded cap mount. This can create confusion to the clinicians and can result in inadvertent connection of the CO2 monitoring line to the non-threaded cap mount resulting in blocked CO2 monitoring line and leak in the circuit. We caution all the anaesthesiologists and intensivists regarding this possibility while using... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098261 Sun, 07 Jun 2009 08:54:44 +0100 3098261 http://www.medworm.com/index.php?rid=2465714&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm35p707qj3478121%2F Abstract  Heat and moisture exchangers (HME) are commonly used during general anaesthesia and intensive care of patients on mechanical ventilators. Some of the HME manufacturers provide HMEs with a Luer lock fitting for connecting side stream CO2 monitoring line, Luer lock cap, and a non-threaded cap mount. However, HMEs from different manufacturers and HMEs meant for use in children and for adults from the same manufacturer vary in the presence/absence of non-threaded cap mount. This can create confusion to the clinicians and can result in inadvertent connection of the CO2 monitoring line to the non-threaded cap mount resulting in blocked CO2 monitoring line and leak in the circuit. We caution all the anaesthesiologists and intensivists regarding this possibility while using... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2465714 Sun, 07 Jun 2009 08:54:44 +0100 2465714 http://www.medworm.com/index.php?rid=2437858&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb52h8k422nn38t08%2F Content Type Journal ArticleDOI 10.1007/s10877-009-9180-1Authors David Wax, Mount Sinai School of Medicine New York NY USASteven Neustein, Mount Sinai School of Medicine New York NY USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2437858 Tue, 26 May 2009 06:00:47 +0100 2437858 http://www.medworm.com/index.php?rid=2393139&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6571627286u15125%2F Abstract  The authors prospectively compared three techniques of continuous cardiac index measurements. They were, invasive Continuous Cardiac Index using thermodilution flow-directed Swan-Ganz pulmonary artery catheters, semi invasive Flotrac™—arterial pressure derived cardiac index and the non invasive cardiac index measurement—body impedance plethsmography. The cardiac index measurements were made simultaneously in the postoperative period in 20 patients who underwent elective uncomplicated off pump coronary artery bypass graft. The values were collected once in 5 min over a period of 30–40 min. A set of 140 values were obtained from the cohorts in our study. Inter-changeability of the values of cardiac index was analysed using Bland-Altman and mountain ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2393139 Sat, 02 May 2009 05:48:00 +0100 2393139 http://www.medworm.com/index.php?rid=3098262&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F15823215p003vp05%2F Abstract  In anesthesia and critical care, invasive arterial blood pressure monitoring is the gold standard against which other methods of monitoring are compared. In this assessment of the Philips MP90 monitor, the objective was to determine whether or not oscillometric measurements were within the accuracy standards set by the Association for the Advancement of Medical Instrumentation (AAMI) and the British Hypertension Society (BHS). Three hundred and one invasive and noninvasive paired measurements were obtained from eleven adult patients on the neurosurgical service at Stanford University Medical Center. Bland–Altman plots were created to assess agreement between the two measurement systems. Paired correlation analysis, bias and precision calculations were performed.... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098262 Sat, 25 Apr 2009 07:15:09 +0100 3098262 http://www.medworm.com/index.php?rid=2371348&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F15823215p003vp05%2F Abstract  In anesthesia and critical care, invasive arterial blood pressure monitoring is the gold standard against which other methods of monitoring are compared. In this assessment of the Philips MP90 monitor, the objective was to determine whether or not oscillometric measurements were within the accuracy standards set by the Association for the Advancement of Medical Instrumentation (AAMI) and the British Hypertension Society (BHS). Three hundred and one invasive and noninvasive paired measurements were obtained from eleven adult patients on the neurosurgical service at Stanford University Medical Center. Bland–Altman plots were created to assess agreement between the two measurement systems. Paired correlation analysis, bias and precision calculations were performed.... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2371348 Sat, 25 Apr 2009 07:15:09 +0100 2371348 http://www.medworm.com/index.php?rid=2367751&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F03un825574035u85%2F Conclusions  These differences in sensitivity to HAL are consistent with other studies with intravenous anesthesia and are consistent with the known difference in the physiological mechanisms by which magnetic and electrical stimulation activates the motor cortex. Content Type Journal ArticleDOI 10.1007/s10877-009-9177-9Authors Tod Sloan, University of Colorado at Denver Department of Anesthesiology Academic Office 1 12631 East 17th Ave P. O. Box 6511 Aurora CO 80045 USAJ. Rogers, The University of Texas Health Science Center at San Antonio San Antonio TX USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2367751 Fri, 24 Apr 2009 07:19:15 +0100 2367751 http://www.medworm.com/index.php?rid=2334488&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh711t011304pp7r2%2F Conclusions. The communication of information on physiological parameters by tactile displays was easy to learn and accurate for both prototypes. The DTD was easier to learn and affected less by distraction. Further evaluation is required in a clinical setting with expert users to determine the clinical applicability of these prototypes. Content Type Journal ArticleDOI 10.1007/s10877-009-9175-yAuthors Pierre Barralon, The University of British Columbia Department of Electrical and Computer Engineering Vancouver BC CanadaGuy Dumont, The University of British Columbia Department of Electrical and Computer Engineering Vancouver BC CanadaStephan K. W. Schwarz, The University of British Columbia Department of Anesthesiology, Pharmacology & Therapeutics Vancouver BC CanadaWilliam Magruder... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2334488 Fri, 10 Apr 2009 05:53:39 +0100 2334488 http://www.medworm.com/index.php?rid=2334489&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu2568171g5377175%2F Abstract  Capnography waveforms and capnometry are useful perioperative monitoring tools. The paramagnetic oxygen analyzers incorporated in many clinical monitoring systems estimate oxygen concentration in the breathing circuit during various phases of ventilation. The oxygen concentration is plotted as a real-time waveform and displayed as an oxygraph. However, the clinical utility of oxygraphy is under evaluated. We are reporting four different clinical scenarios in neurosurgical patients, wherein the information yielded by oxygraphy were either not available on the capnograph or were revealed in a more promising way on the oxygraph than on the capnograph. A real-time oxygraphy waveform has four phases similar to a capnograph, although displayed in a reverse manner. Oxygr... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2334489 Wed, 08 Apr 2009 08:12:33 +0100 2334489 http://www.medworm.com/index.php?rid=2288927&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm578821761525xv7%2F Conclusion  This preliminary study suggests that the collective responses of PPG amplitude and PTT can be used to objectively quantify the sympathetic reactivity to cold stress in health as well as to detect the deficits of vascular reactivity in diabetes. Further studies would substantiate the simple PPG technique in quantifying the neuronal and vascular dysfunction. Content Type Journal ArticleDOI 10.1007/s10877-009-9174-zAuthors Ashok K. Jaryal, All India Institute of Medical Sciences (AIIMS) Department of Physiology New Delhi 110 608 IndiaNandakumar Selvaraj, Indian Institute of Technology Delhi Centre for Biomedical Engineering New Delhi 110 016 IndiaJayashree Santhosh, Indian Institute of Technology Delhi Computer Services Centre Hauz Khas New Delhi 110 016 India... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2288927 Tue, 24 Mar 2009 07:00:35 +0100 2288927 http://www.medworm.com/index.php?rid=2288930&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw40718617gv46028%2F Conclusions  This study demonstrated the improved perfor- mance of the NICO monitor with updated software. The performance of the NICO monitor with ver. 4.2 or later software is similar to CCO. However, the cardiac output measurement did not fulfill the criteria of interchangeability to the cardiac output measurement by bolus thermodilution. Updates to ver. 5.0 attenuated the effects of rebreathing introduced by the NICO monitor without compromising the accuracy of the cardiac output measurement. Content Type Journal ArticleDOI 10.1007/s10877-009-9172-1Authors Yoshifumi Kotake, Toho University Department of Anesthesiology 6-11-1, Ohmori-Nishi, Ohta Tokyo 143-8541 JapanTakashige Yamada, Keio University Department of Anesthesiology, School of Medicine Tokyo JapanHiromas... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2288930 Fri, 20 Mar 2009 12:11:40 +0100 2288930 http://www.medworm.com/index.php?rid=2288929&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm863m8x2t7043r53%2F Conclusions  Within a wide limit of agreement between the volunteer and bench study, flow-through and sidestream capnometry performed equally well during bench testing and in non-intubated, sedated patients. Content Type Journal ArticleDOI 10.1007/s10877-009-9171-2Authors Derek J. Sakata, University of Utah Department of Anesthesiology 30 North 1900 East, 3C444 SOM Salt Lake City UT 84132 USAIsao Matsubara, Nihon Kohden Corporation Tokyo JapanNishant A. Gopalakrishnan, University of Utah Department of Anesthesiology 30 North 1900 East, 3C444 SOM Salt Lake City UT 84132 USADwayne R. Westenskow, University of Utah Department of Anesthesiology 30 North 1900 East, 3C444 SOM Salt Lake City UT 84132 USAJulia L. White, University of Utah Department of Anesthesiology 30 North 1... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2288929 Fri, 20 Mar 2009 12:11:40 +0100 2288929 http://www.medworm.com/index.php?rid=3098263&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx348644547361411%2F Conclusion  EEG spectrum analysis with ANN was found successful in identifying the changes due to brain swelling as well as the effect of pretreatment of p-CPA in focal brain injury condition. Thus, the training and testing of ANN with EEG power spectra can be used as an effective diagnostic tool for early prediction and monitoring of brain injury as well as the effects of drugs in this condition. Content Type Journal ArticleDOI 10.1007/s10877-009-9173-0Authors Rakesh Kumar Sinha, Birla Institute of Technology Department of Biomedical Instrumentation Mesra, Ranchi Jharkhand 835215 IndiaYogender Aggarwal, Birla Institute of Technology Department of Biomedical Instrumentation Mesra, Ranchi Jharkhand 835215 India Journal Journal of Clinical Monitoring and Computing... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098263 Fri, 20 Mar 2009 11:44:34 +0100 3098263 http://www.medworm.com/index.php?rid=2491303&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx348644547361411%2F Conclusion  EEG spectrum analysis with ANN was found successful in identifying the changes due to brain swelling as well as the effect of pretreatment of p-CPA in focal brain injury condition. Thus, the training and testing of ANN with EEG power spectra can be used as an effective diagnostic tool for early prediction and monitoring of brain injury as well as the effects of drugs in this condition. Content Type Journal ArticleDOI 10.1007/s10877-009-9173-0Authors Rakesh Kumar Sinha, Birla Institute of Technology Department of Biomedical Instrumentation Mesra, Ranchi Jharkhand 835215 IndiaYogender Aggarwal, Birla Institute of Technology Department of Biomedical Instrumentation Mesra, Ranchi Jharkhand 835215 India Journal Journal of Clinical Monitoring and Computing... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2491303 Fri, 20 Mar 2009 11:44:34 +0100 2491303 http://www.medworm.com/index.php?rid=2288932&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx348644547361411%2F Conclusion  EEG spectrum analysis with ANN was found successful in identifying the changes due to brain swelling as well as the effect of pretreatment of p-CPA in focal brain injury condition. Thus, the training and testing of ANN with EEG power spectra can be used as an effective diagnostic tool for early prediction and monitoring of brain injury as well as the effects of drugs in this condition. Content Type Journal ArticleDOI 10.1007/s10877-009-9173-0Authors Rakesh Kumar Sinha, Birla Institute of Technology Department of Biomedical Instrumentation Mesra, Ranchi Jharkhand 835215 IndiaYogender Aggarwal, Birla Institute of Technology Department of Biomedical Instrumentation Mesra, Ranchi Jharkhand 835215 India Journal Journal of Clinical Monitoring and Computing... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2288932 Fri, 20 Mar 2009 11:44:34 +0100 2288932 http://www.medworm.com/index.php?rid=3098264&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu435287v10m0341v%2F Conclusions. Knowledge of these risk factors should increase the anesthesiologist’s attention to decide for the necessity to employ prophylactic or therapeutic techniques or drugs to prevent the neonate from any risk resulting of hypotension of the mother. Content Type Journal ArticleDOI 10.1007/s10877-009-9168-xAuthors F. Brenck, Universitätsklinikum Gießen und Marburg GmbH Department of Anesthesiology, Intensive Care Medicine, Pain Therapy Standort Gießen, Rudolf-Buchheim-Straße 7 35392 Gießen GermanyB. Hartmann, Universitätsklinikum Gießen und Marburg GmbH Department of Anesthesiology, Intensive Care Medicine, Pain Therapy Standort Gießen, Rudolf-Buchheim-Straße 7 35392 Gießen GermanyC. Katzer, Universitätsklinikum Gießen und Marburg GmbH Department of Anesthesiology... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098264 Wed, 11 Mar 2009 11:28:44 +0100 3098264 http://www.medworm.com/index.php?rid=2264522&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu435287v10m0341v%2F Conclusions. Knowledge of these risk factors should increase the anesthesiologist’s attention to decide for the necessity to employ prophylactic or therapeutic techniques or drugs to prevent the neonate from any risk resulting of hypotension of the mother. Content Type Journal ArticleDOI 10.1007/s10877-009-9168-xAuthors F. Brenck, Universitätsklinikum Gießen und Marburg GmbH Department of Anesthesiology, Intensive Care Medicine, Pain Therapy Standort Gießen, Rudolf-Buchheim-Straße 7 35392 Gießen GermanyB. Hartmann, Universitätsklinikum Gießen und Marburg GmbH Department of Anesthesiology, Intensive Care Medicine, Pain Therapy Standort Gießen, Rudolf-Buchheim-Straße 7 35392 Gießen GermanyC. Katzer, Universitätsklinikum Gießen und Marburg GmbH Department of Anesthesiology... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2264522 Wed, 11 Mar 2009 11:28:44 +0100 2264522 http://www.medworm.com/index.php?rid=2248692&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp85g102068717243%2F Conclusions. A computerized system for mechanical ventilation is evaluated for treatment of infants. The results of the study show that the system has good potential for use in neonatal ventilatory care. Further refinements can be made in the system for very low-birth-weight infants. Content Type Journal ArticleDOI 10.1007/s10877-009-9170-3Authors Fleur T. Tehrani, California State University, Fullerton 800 N. State College Boulevard Fullerton CA 92831 USASoraya Abbasi, University of Pennsylvania School of Medicine Philadelphia PA USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2248692 Thu, 05 Mar 2009 15:13:37 +0100 2248692 http://www.medworm.com/index.php?rid=2231499&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm66k551765301174%2F Abstract  Awareness during general anaesthesia is a rare but significant problem that can be frightening to the patients. We suggest that newer generation monitors should include this facility to provide a low alarm limit to MAC settings so as to improve the quality of patient care. Also we suggest that a “near empty” alarm be incorporated into vaporizers which can warn the anaesthesiologist prior to development of possible light plane of anaesthesia. We hope that adopting these two features can help enhance patient safety and can further aid in quality assurance. Content Type Journal ArticleDOI 10.1007/s10877-009-9169-9Authors Goneppanavar Umesh, Kasturba Medical College Department of Anaesthesiology Manipal 576 104 Karnataka IndiaKaur Jasvinder, Kasturba Medical Co... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2231499 Sun, 01 Mar 2009 09:15:59 +0100 2231499 http://www.medworm.com/index.php?rid=2186847&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe1182680238t14v3%2F Abstract  The availability of transcutaneous monitors has provided a means of non invasive assessment of CO2 tension and a trend of the ventilation status commonly in infants and neonates. The authors describe two cases of hypercapnia diagnosed early in adults by the non invasive transcutaneous measurement of carbon dioxide (tcpCO2) using TINA TCM4 in postoperative cardiac surgical patients who were mechanically ventilated. Curiously, this increase in tcpCO2 levels was associated with a false increase in the tcpO2 values though no changes in the ventilatory parameters to increase oxygenation were made. The probable mechanism of the increase in tcpO2 levels with hypercarbia is discussed. Content Type Journal ArticleDOI 10.1007/s10877-009-9164-1Authors Murali Chakravarthy, ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2186847 Fri, 13 Feb 2009 08:28:46 +0100 2186847 http://www.medworm.com/index.php?rid=3098265&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F256276x276145264%2F Conclusion. The results provide insight on mutation from the viewpoint based on random mechanism. Content Type Journal ArticleDOI 10.1007/s10877-009-9162-3Authors Shaomin Yan, Guangxi Academy of Sciences 98 Daling Road Nanning Guangxi Province 530007 ChinaGuang Wu, Computational Mutation Project, DreamSciTech Consulting 301, Building 12, Nanyou A-zone, Jiannan Road Shenzhen Guangdong Province 518054 China Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 23 Journal Issue Volume 23, Number 1 / February, 2009 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3098265 Wed, 11 Feb 2009 07:07:00 +0100 3098265 http://www.medworm.com/index.php?rid=2181631&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F256276x276145264%2F Conclusion. The results provide insight on mutation from the viewpoint based on random mechanism. Content Type Journal ArticleDOI 10.1007/s10877-009-9162-3Authors Shaomin Yan, Guangxi Academy of Sciences 98 Daling Road Nanning Guangxi Province 530007 ChinaGuang Wu, Computational Mutation Project, DreamSciTech Consulting 301, Building 12, Nanyou A-zone, Jiannan Road Shenzhen Guangdong Province 518054 China Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2181631 Wed, 11 Feb 2009 07:07:00 +0100 2181631 http://www.medworm.com/index.php?rid=2181630&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F22vjw304kw7h27t4%2F Conclusion  Bioimpedance plethysmography is a useful noninvasive technique for monitoring and detailed analysis of the rapidly changing systemic haemodynamics during a craniotomy. The device could be useful for investigating important haemodynamic changes in specific neurosurgical settings. Content Type Journal ArticleDOI 10.1007/s10877-009-9166-zAuthors Zulfiqar Ali, All India Institute of Medical Sciences (AIIMS) Department of Neuroanaesthesia New Delhi 110 029 IndiaG. S. Umamaheswara Rao, National Institute of Mental Health and Neurosciences (NIMHANS) Department of Neuroanaesthesia Bangalore 560 029 IndiaA. Jaganath, Madras Institute of Orthopaedics and Traumatology Chennai 600 089 India Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-261... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2181630 Wed, 11 Feb 2009 07:07:00 +0100 2181630 http://www.medworm.com/index.php?rid=2172079&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvk562774h62u7136%2F Conclusions  The hybrid median filter combines the structural and temporal information from two or more sensors and generates a robust estimate of heart rate without requiring strict assumptions about the signal’s characteristics. This method is intuitive, computationally simple, and the performance can be easily adjusted. These considerable benefits make this method highly suitable for clinical use. Content Type Journal ArticleDOI 10.1007/s10877-009-9163-2Authors Ping Yang, The University of British Columbia Department of Electrical and Computer Engineering 2332 Main Mall Vancouver BC V6T 1Z4 CanadaGuy A. Dumont, The University of British Columbia Department of Electrical and Computer Engineering 2332 Main Mall Vancouver BC V6T 1Z4 CanadaJ. Mark Ansermino, The Univ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2172079 Sat, 07 Feb 2009 09:59:56 +0100 2172079 http://www.medworm.com/index.php?rid=2172081&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk96v32n40045540g%2F Conclusions. The method of combined head and eye motion appears to give accurate, repeatable measurements. Case studies of whiplash subjects indicated deficits in head eye co-ordination. The method could be useful in further clinical research into eye and head movement in those with neck disorders. Content Type Journal ArticleDOI 10.1007/s10877-009-9160-5Authors Helena Grip, University Hospital of Umeå Department of Biomedical Engineering and Informatics Umeå 90185 SwedenGwendolen Jull, The University of Queensland The Whiplash Research Unit, Division of Physiotherapy Brisbane 4072 AustraliaJulia Treleaven, The University of Queensland The Whiplash Research Unit, Division of Physiotherapy Brisbane 4072 Australia Journal Journal of Clinical Monitoring and ComputingOnline ISS... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2172081 Sat, 07 Feb 2009 09:59:53 +0100 2172081 http://www.medworm.com/index.php?rid=2172080&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu04001q1l5874501%2F Content Type Journal ArticleDOI 10.1007/s10877-009-9165-0Authors Jonathan V. Roth, Albert Einstein Medical Center Department of Anesthesiology 5501 Old York Road Philadelphia PA 19141 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2172080 Sat, 07 Feb 2009 09:59:53 +0100 2172080 http://www.medworm.com/index.php?rid=2159905&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F32lk72mr7524v670%2F Conclusions  The triple product minute volume times RC times Cpat describes anaesthetic losses through the reflector. It can easily be calculated as long as the 10 ml reflection capacity is not exceeded and thus RC is constant. Increased minute ventilation necessitates increasing the IR to keep Cpat constant. When using large VT and high Cpat “spill over” occurs. This effect offers some protection against an inadvertent overdose. Content Type Journal ArticleDOI 10.1007/s10877-008-9158-4Authors Andreas Meiser, Ruhr-Universität Bochum Klinik für Anaesthesiologie, St. Josef-Hospital Gudrunstr. 56 44791 Bochum GermanyMartin Bellgardt, Ruhr-Universität Bochum Klinik für Anaesthesiologie, St. Josef-Hospital Gudrunstr. 56 44791 Bochum GermanyJavier Belda, Hospital... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2159905 Tue, 03 Feb 2009 07:11:46 +0100 2159905 http://www.medworm.com/index.php?rid=2134306&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F21r8q33111161u35%2F Abstract  Automated physiologic alarms are available in most commercial physiologic monitors. However, due to the variability of data coming from the physiologic sensors describing the state of patients, false positive alarms frequently occur. Each alarm requires review and documentation, which consumes clinicians’ time, may reduce patient safety through ‹alert fatigue’ and makes automated physician paging infeasible. To address these issues a computerized architecture based on simple reactive intelligent agent technology has been developed and implemented in a live critical care unit to facilitate the investigation of deterministic algorithms for the improvement of the sensitivity and specificity of physiologic alarms. The initial proposed algorithm uses a combin... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2134306 Sat, 24 Jan 2009 12:24:14 +0100 2134306 http://www.medworm.com/index.php?rid=2134305&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa186715515x142v5%2F Abstract  A method was tested which permits continuous monitoring from a breathing system of the rate of uptake of multiple gas species, such as occurs in patients during inhalational anaesthesia. The method is an indirect calorimetry technique which uses fresh gas rotameters for control, regulation and measurement of the gas flows into the system, with continuous sampling of mixed exhaust gas, and frequent automated recalibration to maintain accuracy. Its accuracy was tested in 16 patients undergoing pre-cardiopulmonary bypass coronary artery surgery, breathing mixtures of oxygen/air and sevoflurane with/without nitrous oxide, by comparison with the reverse Fick method. Overall mean bias [95% confidence interval (CI)] of rate of uptake was 17.9 [7.3 to 28.5] ml m... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2134305 Sat, 24 Jan 2009 12:24:14 +0100 2134305 http://www.medworm.com/index.php?rid=2086510&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F28597j171807h701%2F Abstract  This paper presents in vitro investigation of an implantable cardiac pacemaker exposed to low frequency magnetic fields. The method used in this study is based on the interaction by inductive coupling through the loop formed by the pacemaker and its loads and the surrounding medium. This interaction results in an induced electromotive force between the terminals of the pacemaker, which can potentially disturb its operation. The studied frequencies are 50/60 Hz and 10/25 kHz. The experimental tests were carried out on several cardiac pacemakers, single chamber, and dual chamber. The results show a window effect of the detection circuits of cardiac pacemakers for the four studied frequencies. The modelling of the test bed requires studying the effects of the in... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2086510 Tue, 06 Jan 2009 16:11:36 +0100 2086510 http://www.medworm.com/index.php?rid=2072900&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx92t1246415r240m%2F Conclusions  The results of the study suggest that the FVP can serve as an alternative to respiratory bands in the differential diagnosis of sleep disordered breathing, and in the recognition of patients appropriate for bilevel continuous positive airway pressure devices. Content Type Journal ArticleDOI 10.1007/s10877-008-9154-8Authors Djordje Popovic, University of Southern California Los Angeles CA USAChristopher King, Walter Reed Army Medical Center Washington DC USAMelanie Guerrero, Walter Reed Army Medical Center Washington DC USADaniel J. Levendowski, Advanced Brain Monitoring, Inc 2237 Faraday Avenue, Suite 100 Carlsbad CA 92008 USADelmer Henninger, Complete Sleep Solutions, Inc Murrieta CA USAPhilip R. Westbrook, Advanced Brain Monitoring, Inc 2237 Faraday Aven... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2072900 Wed, 31 Dec 2008 10:00:38 +0100 2072900 http://www.medworm.com/index.php?rid=2072901&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh171273mjv716443%2F Abstract  Acute hepatic failure (ALF) is an uncommon disease characterized by a rapid deterioration of the hepatic function with severe derangements of the mental status in previously healthy subjects due to massive hepatocytes necrosis. Neurological impairment, due to intracranial hypertension and cerebral ischemia, is a key factor because it is a main criterion to decide when to proceed to liver transplantation, which is only treatment for these patients. Therefore, neurological monitoring holds an essential role in the clinical management of ALF patients but it needs to be performed at the point-of-care in the majority of the cases as such critically ill patients cannot be moved away from the ICU because they frequently need continuous hemodynamic, ventilatory and renal ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2072901 Sun, 28 Dec 2008 07:03:01 +0100 2072901 http://www.medworm.com/index.php?rid=2039125&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F05n37215l6146767%2F We describe mainstream time-capnograph as an aid to recognize leak around the endotracheal tube and its utility to determine appropriate endotracheal tube size in small children. Content Type Journal ArticleDOI 10.1007/s10877-008-9155-7Authors Praveen Kumar Neema, Sree Chitra Tirunal Institute for Medical Sciences and Technology Department of Anaesthesia Trivandrum 695011 Kerala IndiaAveek Jayant, Sree Chitra Tirunal Institute for Medical Sciences and Technology Department of Anaesthesia Trivandrum 695011 Kerala IndiaManikandan Sethuraman, Sree Chitra Tirunal Institute for Medical Sciences and Technology Department of Anaesthesia Trivandrum 695011 Kerala IndiaRamesh C. Rathod, Sree Chitra Tirunal Institute for Medical Sciences and Technology Department of Anaesthesia Trivandrum 69501... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2039125 Sun, 14 Dec 2008 08:53:09 +0100 2039125 http://www.medworm.com/index.php?rid=2039126&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5406083287806871%2F Conclusions  Coherent averaging-based indices permit independent quantification and differentiation of repetitive components of ventricular dyssynchrony from non-recurrent mechanical non-uniformities, which seem associated with HF and conduction disturbances. These indices identified HF patients with high accuracy, and were able to describe the reversal of dyssynchrony caused by BIV and to predict the acute hemodynamic improvement. Content Type Journal ArticleDOI 10.1007/s10877-008-9153-9Authors Giovanni B. Perego, Istituto Auxologico Italiano Ospedale S. Luca, Via Spagnoletto 3 20149 Milan ItalySergio Valsecchi, Medtronic Italia Rome ItalyFederica Censi, Italian National Institute of Health Department of Technologies and Health Rome ItalyJan J. Schreuder, San Raffael... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=2039126 Fri, 12 Dec 2008 09:26:04 +0100 2039126 http://www.medworm.com/index.php?rid=1989482&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9864522848565611%2F The objective of this work is to develop an automated unsupervised artificial system to analyze the clinical outcomes of different levels of heat related illnesses. The Kohonen neural network program written in C++, which has seven normalized values of different clinical symptoms between 0–1 fed to the input layer of the network with 50 Kohonen output neurons, has been presented. The optimized initializing parameters such as neighborhood size and learning rate was set to 50 and 0.7, respectively, to simulate the network for 10 million iterations. The network was found smartly distinguishing all 51 patterns to three different states of heat illnesses. With the advent of these findings, it can be concluded that the Kohonen neural network can be used for automated classification ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1989482 Tue, 25 Nov 2008 06:54:38 +0100 1989482 http://www.medworm.com/index.php?rid=1979545&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn537u5225375m776%2F Conclusions  Automatic control of mechanical ventilation can significantly improve patient care in the ICUs, reduce the mortality and morbidity rates associated with provision of inappropriate ventilatory treatments, and reduce healthcare costs. Development of more effective and robust systems that can have high noise immunity and provide effective treatment to patients automatically in different phases of treatment will likely gain increasing momentum in the years to come. Content Type Journal ArticleDOI 10.1007/s10877-008-9151-yAuthors Fleur T. Tehrani, California State University, Fullerton Department of Electrical Engineering 800 N. State College Boulevard Fullerton CA 92831 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1979545 Thu, 20 Nov 2008 10:18:57 +0100 1979545 http://www.medworm.com/index.php?rid=1967981&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd4878441772p172r%2F Conclusions  Development of more efficient automatic techniques and/or enhancement of the present methods are likely to be pursued to make this technology more compatible with future healthcare requirements. Content Type Journal ArticleDOI 10.1007/s10877-008-9150-zAuthors Fleur T. Tehrani, California State University, Fullerton Department of Electrical Engineering 800 N. State College Boulevard Fullerton CA 92831 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1967981 Sun, 16 Nov 2008 11:39:35 +0100 1967981 http://www.medworm.com/index.php?rid=1963586&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft101254515k341m2%2F Conclusion  It is at least a necessary condition for the application of the Stewart–Hamilton equation, that core body temperature is kept constant in a thermo- regulatory steady state. Content Type Journal ArticleDOI 10.1007/s10877-008-9149-5Authors Wolfgang Schramm, Division of General Anesthesia and Intensive Care, Medical University of Vienna Waehringer Guertel 18-20/9 i 1090 Vienna Austria Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1963586 Fri, 14 Nov 2008 08:26:11 +0100 1963586 http://www.medworm.com/index.php?rid=1959443&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft10251066m136515%2F Conclusion  A comprehensive data set of normalized values expressed as 95% confidence interval and mean ± SD in different age groups and different gender was possible for cardiac parameters using TEB. Content Type Journal ArticleDOI 10.1007/s10877-008-9148-6Authors Talakad N. Sathyaprabha, NIMHANS Bangalore IndiaCauchy Pradhan, NIMHANS Bangalore IndiaG. Rashmi, NIMHANS Bangalore IndiaKandavel Thennarasu, NIMHANS Bangalore IndiaTrichur R. Raju, NIMHANS Bangalore India Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1959443 Thu, 13 Nov 2008 16:03:27 +0100 1959443 http://www.medworm.com/index.php?rid=1954815&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn5526t8330436w7n%2F Abstract  By regarding the circulation from the perspective of the venous return, continuous therapeutic control of the mean arterial blood pressure, cardiac output and tissue oxygen flow can be seen to be the consequence of a series of equations based on conventionally measured variables. This approach permits a graphical solution to circulation guidance, open or closed loop control and goal directed therapy of broad general applicability. Content Type Journal ArticleDOI 10.1007/s10877-008-9147-7Authors William Geoffrey Parkin, Applied Physiology Pty Ltd Sydney AustraliaMark Stephen Leaning, Applied Physiology Pty Ltd Sydney Australia Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitori... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1954815 Tue, 11 Nov 2008 08:03:59 +0100 1954815 http://www.medworm.com/index.php?rid=1944873&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F76536j53r6j73489%2F Conclusion  Conventional doppler measurements give higher readings for systolic blood pressure but there is no significant difference when calculating ABPI. A normal digital ABPI excludes significant vascular disease and a low digital ABPI indicates disease. If no blood pressure is recordable a doppler should be used to confirm the true result. Automated oscillometric BP monitors may be used to accurately measure ABPI in non-diabetics in the community without teaching clinicians to use a doppler, thus removing observer error. This may be of particular use in the community to exclude significant arterial disease in venous ulcer patients and assess general cardiovascular risk. Content Type Journal ArticleDOI 10.1007/s10877-008-9146-8Authors Euan MacDonald, Arrowe Park... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1944873 Thu, 06 Nov 2008 07:19:14 +0100 1944873 http://www.medworm.com/index.php?rid=1911011&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn68ln642vm724134%2F Abstract  The aim was, to identify an estimate of left ventricular contractility derived from the aortic pressure wave without load changing manoeuvres. For this purpose, left ventricular contractility was assessed with several aortic pressure wave form derived parameters and was compared to standard parameters of left ventricular contractility (conductance technique) in an experimental study. Measurements were taken during baseline, after β-stimulation and after injection of a β-antagonist. The initial and the secondary tangent, the area under the aortic pressure, and the stroke volume were correlated with the endsystolic elastance, a mainly load independent measure of left ventricular contractility: The initial tangent of the aortic pressure increase correlated signifi... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1911011 Sat, 25 Oct 2008 08:41:01 +0100 1911011 http://www.medworm.com/index.php?rid=1905163&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe4k88qt8q1074706%2F Conclusions  The new method of Fick assessed emergent CO as reliably as the thermodilution, regardless of whether it was low or high. The use of Scvo2 allows for prompt bedside calculation for most emergency patients. Content Type Journal ArticleDOI 10.1007/s10877-008-9143-yAuthors Avi A. Weinbroum, Tel-Aviv University Department of Anesthesiology and Critical Care, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine Tel-Aviv IsraelPhilippe Biderman, Tel-Aviv University Department of Anesthesiology and Critical Care, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine Tel-Aviv IsraelDror Soffer, Tel-Aviv University Division of Surgery and Surgical Intensive Care Unit, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine Tel-Aviv Isr... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1905163 Thu, 23 Oct 2008 06:29:17 +0100 1905163 http://www.medworm.com/index.php?rid=1894145&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F75r3u4x5622p626u%2F Conclusion  In thoracic surgical patients, TDM can be used to detect and correct low flow conditions and to guide hemodynamic support during the intraoperative period. Content Type Journal ArticleDOI 10.1007/s10877-008-9144-xAuthors John Diaper, University Hospital of Geneva Department of Anesthesiology, Pharmacology and Intensive Care, rue Micheli-du-Crest Geneva CH-1211 SwitzerlandChristoph Ellenberger, University Hospital of Geneva Department of Anesthesiology, Pharmacology and Intensive Care, rue Micheli-du-Crest Geneva CH-1211 SwitzerlandYann Villiger, University Hospital of Geneva Department of Anesthesiology, Pharmacology and Intensive Care, rue Micheli-du-Crest Geneva CH-1211 SwitzerlandJohn Robert, University Hospital of Geneva Department of Surgery, rue Michel... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1894145 Sun, 19 Oct 2008 10:12:46 +0100 1894145 http://www.medworm.com/index.php?rid=1875564&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu7htk5x600170884%2F Conclusions  Spectral analysis of finger PPGV may provide valuable information in addition to vital sign measurements in characterizing a hypovolaemic response. Given the limitations of the current blood loss model, further studies are required to assess the usefulness of finger PPGV for early haemorrhage detection in the clinical setting. Content Type Journal ArticleDOI 10.1007/s10877-008-9140-1Authors Paul M. Middleton, Prince of Wales Hospital Emergency Department Sydney NSW 2031 AustraliaGregory S. H. Chan, University of New South Wales Biomedical Systems Laboratory, School of Electrical Engineering and Telecommunications Sydney NSW 2052 AustraliaEmma O’Lone, Prince of Wales Hospital Intensive Care Unit Sydney NSW 2031 AustraliaElizabeth Steel, Prince of Wales Ho... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1875564 Sat, 11 Oct 2008 11:20:52 +0100 1875564 http://www.medworm.com/index.php?rid=1867869&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg6263054um85g112%2F Conclusions  PPV and SPV measured during SIMV fitted with the findings in controlled MV. Dynamic indexes could be accurately monitored in patients breathing with assisted respiratory assistance adding an imposed large enough SIMV breath. Content Type Journal ArticleDOI 10.1007/s10877-008-9142-zAuthors Matteo Zaniboni, Università degli Studi Istituto di Anestesiologia e Rianimazione Polo San Paolo, via Di Rudinì, 8 I-20142 Milan ItalyPaolo Formenti, Università degli Studi Istituto di Anestesiologia e Rianimazione Polo San Paolo, via Di Rudinì, 8 I-20142 Milan ItalyMichele Umbrello, Università degli Studi Istituto di Anestesiologia e Rianimazione Polo San Paolo, via Di Rudinì, 8 I-20142 Milan ItalyAndrea Galimberti, Università degli Studi Istituto di Anestesiologia... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1867869 Wed, 08 Oct 2008 12:09:16 +0100 1867869 http://www.medworm.com/index.php?rid=1867870&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6p363811n6777k2w%2F Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s10877-008-9141-0Authors Fleur T. Tehrani, California State University Department of Electrical Engineering Fullerton, 800 N. State College Boulevard Fullerton CA 92831 USAJames H. Roum, University of California, Irvine The Hospitalist Program 101 The City Drive South Orange CA 92868 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1867870 Wed, 08 Oct 2008 10:52:01 +0100 1867870 http://www.medworm.com/index.php?rid=1774975&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F374r38l787428w58%2F Conclusions  The built relationship paves the way for modeling of this type relationship for better clinical monitoring, diagnosis, prognosis and treatment. Content Type Journal ArticleDOI 10.1007/s10877-008-9139-7Authors Shaomin Yan, Guangxi Academy of Sciences 98 Daling Road Nanning Guangxi 530007 ChinaGuang Wu, DreamSciTech Consulting Computational Mutation Project 301, Building 12, Nanyou A-zone, Jiannan Road Shenzhen Guangdong 518054 China Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1774975 Fri, 05 Sep 2008 17:46:15 +0100 1774975 http://www.medworm.com/index.php?rid=1763455&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fqh313350v05v2526%2F Content Type Journal ArticleDOI 10.1007/s10877-008-9138-8Authors Josef X. Brunner, CSEM Landquart Schulstrasse 1 7302 Landquart SwitzerlandGiorgio A. Iotti, Fondazione IRCCS Policlinico “San Matteo” Anestesia e Rianimazione 2 V.le Golgi 19 27100 Pavia Italy Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1763455 Wed, 03 Sep 2008 12:52:51 +0100 1763455 http://www.medworm.com/index.php?rid=1729173&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F77jh22w51470t815%2F This study was undertaken to determine the potential of PTT to differentiate responses during upper airway obstruction in the paediatric population. This preliminary study included 11 children (10 male; aged 7.5 ± 3.8 year) recruited to investigate PTT trend during single and recurrent OE. PTT measurements were evaluated against the corresponding PSG results pre-scored by two blinded obsercvers. A total of 110 valid OE (47 single and 63 recurrent) were observed during these PSG studies. There were distinct PTT responses observed for these two types of OE with respect to those of tidal breathing (P < 0.05). For the tidal breathing events, the mean absolute standard deviation (SD) and maximal percentage (%) decrease (MAX) were 7.71 ms and 3.88% respectively. For the ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1729173 Thu, 21 Aug 2008 11:52:17 +0100 1729173 http://www.medworm.com/index.php?rid=1713514&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe24x563470365801%2F Conclusion  In adults, the NP readings closely match the core temperature readings obtained by ES and thus can be used as a reliable surrogate measure of core temperature. This technique may be useful and advantageous in various situations, particularly when other methods of core temperature monitoring are not available or reliable. Content Type Journal ArticleDOI 10.1007/s10877-008-9134-zAuthors Jonathan V. Roth, Albert Einstein Medical Center Department of Anesthesiology 5501 Old York Road Philadelphia PA 19141 USALeonard E. Braitman, Albert Einstein Medical Center Office for Research and Technology Development 5501 Old York Road Philadelphia PA 19141 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Jou... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1713514 Fri, 15 Aug 2008 07:09:23 +0100 1713514 http://www.medworm.com/index.php?rid=1713515&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw059378770p87727%2F We report on two cases to illustrate the usefulness of monitoring transcranial electric motor evoked potentials recorded from tibialis anterior muscle to identify emerging peroneal nerve compression secondary to lateral decubitus positioning. Content Type Journal ArticleDOI 10.1007/s10877-008-9136-xAuthors Vidya M. Bhalodia, Surgical Monitoring Associates 900 Old Marple Road Springfield PA 19064 USAAnthony K. Sestokas, Surgical Monitoring Associates 900 Old Marple Road Springfield PA 19064 USAPatrick R. Tomak, Connecticut Neurosurgery Wallingford CT USADaniel M. Schwartz, Surgical Monitoring Associates 900 Old Marple Road Springfield PA 19064 USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitori... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1713515 Fri, 15 Aug 2008 07:09:22 +0100 1713515 http://www.medworm.com/index.php?rid=1691478&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6674600105764703%2F Summary  A computerized monitoring system utilizing touch screen input has been developed and tested at our university. Logical extensions of this technology include the development of a portable input device and the packaging of the physical system. Further extensions of this technology include, as necessary, the introduction of other monitoring modalities, such as respiratory and evoked potential data acquisition and analysis. Content Type Journal ArticleDOI 10.1007/BF02915545Authors P. H. King, Vanderbilt University Dept. of Anesthesiology T-4216 Med. Center North 37232-2125 Nashville TN USAB. E. Smith, Vanderbilt University Dept. of Anesthesiology T-4216 Med. Center North 37232-2125 Nashville TN USA Journal Journal of Clinical Monitoring and ComputingOnline ISS... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691478 Thu, 07 Aug 2008 10:08:09 +0100 1691478 http://www.medworm.com/index.php?rid=1691480&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm24146r00028gg18%2F Abstract  A scoring system intended to assess mortality risk and permit surveillance, evaluation and comparison of medical care was developed in our Surgical Intensive Care Unit. Five simple clinical components were identified and assigned scores according to their statistically validated relationship to mortality and the summation of the component scores resulted in a daily System Outcome Score (SOS). Cluster analysis was used to divide the creation data set of 2,777 patients into suitable groupings of scores to predict mortality and the clustering was confirmed for reproducibility with a validation set of an additional 2,860 patients. Two patient care surveillance techniques were then developed. The first involved the definition of three unfavourable SOS patterns evolv... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691480 Thu, 07 Aug 2008 10:08:08 +0100 1691480 http://www.medworm.com/index.php?rid=1691479&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw8233366455w2665%2F Abstract  The aim of the present study was to assess the perceived utility of a computerised information system in an intensive care unit (ICU). Questionnaires were devised in which ICU staff indicated the ease or difficulty of obtaining and recording information (a) under the previous manual system, (b) soon after the introduction of the computerised system and (c) two months after computerisation. Results indicated the system was well received immediately and this favourable attitude persisted unchanged after two months experience. The questionnaire method also served to pinpoint some particular interface problems which are to be remedied in future versions of the system. Content Type Journal ArticleDOI 10.1007/BF02915543Authors K. J. Gilhooly, Aberdeen University Dep... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691479 Thu, 07 Aug 2008 10:08:08 +0100 1691479 http://www.medworm.com/index.php?rid=1691482&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F544151m60xul2356%2F Content Type Journal ArticleDOI 10.1007/BF02915542Authors John R. Colvin, Glasgow Royal Infirmary University Dept. of Anaesthesia 8-16 Alexandra Parade G31 2ER Glasgow ScotlandSofia Chaudhri, Glasgow Royal Infirmary University Dept. of Anaesthesia 8-16 Alexandra Parade G31 2ER Glasgow ScotlandGavin N. C. Kenny, Glasgow Royal Infirmary University Dept. of Anaesthesia 8-16 Alexandra Parade G31 2ER Glasgow Scotland Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 8 Journal Issue Volume 8, Number 2 / June, 1991 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691482 Thu, 07 Aug 2008 10:08:07 +0100 1691482 http://www.medworm.com/index.php?rid=1691481&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd0115213m64pu64l%2F Content Type Journal ArticleDOI 10.1007/BF02915540Authors M. Michael Shabot, Cedars-Sinai Medical Center The Department of Surgery Los Angeles California USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 8 Journal Issue Volume 8, Number 2 / June, 1991 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691481 Thu, 07 Aug 2008 10:08:07 +0100 1691481 http://www.medworm.com/index.php?rid=1691484&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl4q5337011112023%2F Content Type Journal ArticleDOI 10.1007/BF02915546Authors David T. Seitman, Hahneman Univ. Hospital Broad and Vine Streets 19102 Philadelphia PA USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 8 Journal Issue Volume 8, Number 2 / June, 1991 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691484 Thu, 07 Aug 2008 10:08:04 +0100 1691484 http://www.medworm.com/index.php?rid=1691483&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvu60vg7726m5l613%2F Abstract  The proposed method aims at improved ventilatory care with reduced morbidity. It combines two important aspects of mechanical ventilation: gas exchange and lung mechanics. A single criterion was selected as optimization index of lung trauma: peak respiratory power (PRP) defined as the maximum product of pressure times flow during inspiration. Arterial blood gases reflect gas exchange and constitute the constraints of the problem. The constraints as well as the optimization index are expressed as linear functions of the input variables (frequency of breathing, tidal volume, and positive end expiratory pressure). A linear programming approach can therefore be used to determine the values of input variables that minimize PRP and at the same time keep arterial blood g... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691483 Thu, 07 Aug 2008 10:08:04 +0100 1691483 http://www.medworm.com/index.php?rid=1691486&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F41768w828207n435%2F Abstract  Computer generated discharge summaries are gaining in popularity. A simple and flexible method for generating neonatal summaries using commercially available software is described. Content Type Journal ArticleDOI 10.1007/BF02915547Authors J. Roper, Newham General Hospital Glen Rd. E13 London UK Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 8 Journal Issue Volume 8, Number 2 / June, 1991 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691486 Thu, 07 Aug 2008 10:08:03 +0100 1691486 http://www.medworm.com/index.php?rid=1691485&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc88pwt38wt734593%2F Content Type Journal ArticleDOI 10.1007/BF02915548Authors Bradley E SmithDarel G. Hess Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 8 Journal Issue Volume 8, Number 2 / June, 1991 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691485 Thu, 07 Aug 2008 10:08:03 +0100 1691485 http://www.medworm.com/index.php?rid=1691487&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ful7nw6077p66x315%2F Conclusion   Despite the presence of quantitative objective neuromuscular monitoring in all operating rooms, and the automatic data recording system, the rate of monitoring neuromuscular blockade was not high enough to rule out the potential risk of residual paralysis at the time of extubation. Content Type Journal ArticleDOI 10.1007/s10877-008-9135-yAuthors Cyrus Motamed, Service d’Anesthésie, Institut Gustave Roussy 39 rue Camille Desmoulins 94805 Villejuif Cedex FranceJean-Louis Bourgain, Service d’Anesthésie, Institut Gustave Roussy 39 rue Camille Desmoulins 94805 Villejuif Cedex France Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691487 Thu, 07 Aug 2008 10:08:02 +0100 1691487 http://www.medworm.com/index.php?rid=1691488&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk4576255v4134v40%2F Conclusion  ITA and ETA produced the same levels of analgesia, without relevant complications. Content Type Journal ArticleDOI 10.1007/s10877-008-9132-1Authors Sebastiano Mercadante, La Maddalena Cancer Center Anesthesia & Intensive Care Unit, Pain Relief & Palliative Care Unit Via San Lorenzo 312 90146 Palermo ItalyPatrizia Villari, La Maddalena Cancer Center Anesthesia & Intensive Care Unit, Pain Relief & Palliative Care Unit Via San Lorenzo 312 90146 Palermo ItalyAlessandra Casuccio, University of Palermo Department of Neuroscience Palermo ItalyAntonio Marrazzo, La Maddalena Cancer Center Department of Oncologic Surgery Palermo Italy Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monito... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1691488 Thu, 07 Aug 2008 10:08:01 +0100 1691488 http://www.medworm.com/index.php?rid=1670929&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9520478244159488%2F Conclusions. In pediatric patients non-invasive measurement of CO and SV with TED and EV is useful for continuous monitoring after heart surgery. Both new methods seem to underestimate cardiac output in terms of absolute values. However, TED shows tolerable bias and precision and may be helpful for continuous CO monitoring in a deeply sedated and ventilated pediatric patient, e.g. in the operating room or intensive care unit. Content Type Journal ArticleDOI 10.1007/s10877-008-9133-0Authors Stephan Schubert, Deutsches Herzzentrum Berlin Department of Congenital Heart Disease/Pediatric Cardiology Augustenburger Platz 1 13353 Berlin GermanyThomas Schmitz, Deutsches Herzzentrum Berlin Department of Congenital Heart Disease/Pediatric Cardiology Augustenburger Platz 1 13353 Berlin German... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1670929 Wed, 30 Jul 2008 08:06:36 +0100 1670929 http://www.medworm.com/index.php?rid=1656984&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe842h143v8613778%2F Content Type Journal ArticleDOI 10.1007/BF02933717 Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 3 / September, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656984 Fri, 25 Jul 2008 16:27:51 +0100 1656984 http://www.medworm.com/index.php?rid=1656983&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn16747542g103403%2F Content Type Journal ArticleDOI 10.1007/BF02933718 Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 3 / September, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656983 Fri, 25 Jul 2008 16:27:51 +0100 1656983 http://www.medworm.com/index.php?rid=1656988&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdp261m726522q124%2F Content Type Journal ArticleDOI 10.1007/BF02933714Authors Dean F. Sittig, LDS Hospital/University of Utah 84143 Salt Lake City Utah USAReed M. Gardner, LDS Hospital/University of Utah 84143 Salt Lake City Utah USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 3 / September, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656988 Fri, 25 Jul 2008 16:27:50 +0100 1656988 http://www.medworm.com/index.php?rid=1656987&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm1244u6uu5316n7j%2F Summary  Evoked potentials are increasingly used for intraoperative monitoring. Their use is based on their ability to detect early changes caused by surgical maneuvers which may result in post operative deficits. However, not all changes are surgically related and any decrease in the non surgical causes of evoked potential changes increases the yield of intraoperative monitoring. In this review I will discuss the anesthetic effects on evoked potentials; these include a general description of the anesthetic effects on evoked potentials followed by the effects of premedication, induction, and maintenance agents. Also, described are the effects of adjunct anesthetic agents and techniques. Changes related to anesthesia are not similar and the knowledge of such differences is e... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656987 Fri, 25 Jul 2008 16:27:50 +0100 1656987 http://www.medworm.com/index.php?rid=1656986&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwh1564273423h721%2F Content Type Journal ArticleDOI 10.1007/BF02933715Authors Zs. Balassy, National Institute of Pulmonology MEDICOR Lab. H-1529 Budapest Hungary Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 3 / September, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656986 Fri, 25 Jul 2008 16:27:50 +0100 1656986 http://www.medworm.com/index.php?rid=1656985&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F63ul130k34223262%2F Summary  A differential oxygen sensor using the paramagnetic principle in a pneumatic bridge configuration has been constructed and tested. The signal being picked up with a differential pressure transducer is generated in a measuring cell with a strong magnetic field being switched on and off with a frequency of 110 Hz. The output signals is a DC-voltage proportional to the O2 concentration difference between the two gases to be measured. A response time of 130 ms has been obtained. A special emphasis on the mechanical design was put to minimize the internal magneto-mechanical noise and to attenuate the external pressure and vibration interference. To eliminate the relatively strong temperature dependence of the paramagnetic effect a compensation circuit was designed as ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656985 Fri, 25 Jul 2008 16:27:50 +0100 1656985 http://www.medworm.com/index.php?rid=1656989&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5712h17607j18622%2F Summary  Somatosensory evoked potentials have been suggested as apossible neurophysiological in of anaesthetic depth. In order to test the usefulness of this technique of monitoring, 8 patients were monitored during balanced anaesthesia. Following induction with a sleep dose of thiopentone, a neuromuscular blocking agent was used and the patients’ lungs ventilated with N2O/O2 (F1O2=0.3). This was supplemented with halothane or fentanyl. Somatosensory evoked potentials were recorded every 10 minutes during surgery, blood pressure and heart rate being recorded at the end of each evoked potential measurement. Induction of anaesthesia was associated with the reduction in SEP amplitude from 4.2±1.04 micro volts to 1.6±0.9 micro volts. There was an increase in latency from 19.... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656989 Fri, 25 Jul 2008 16:27:48 +0100 1656989 http://www.medworm.com/index.php?rid=1656990&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv044787143h64500%2F Summary  Distributed data links are essential requirements for a successful patient data management, system (PDMS). These links funnel clinically needed data into bedside ICU workstations. We have constructed four data links which acquire most of the objective data required for direct patient care. Data from bedside monitors is acquired via a standard HP Signal Distribution Network. Urine volumes and core bladder temperatures are acquired over a link to 20 electronic urimeters. Clinical laboratory data is obtained over an HP General Purpose Data Link (GPDL) to a VAX 11/785 laboratory system. Blood gas data is obtained over a second GPDL link to a DEC 11/23 computer. The ICU staff is notified of incoming lab results with bedside video messages. Combined with automated calcul... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656990 Fri, 25 Jul 2008 16:27:47 +0100 1656990 http://www.medworm.com/index.php?rid=1656992&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc850m47r466p1743%2F Content Type Journal ArticleDOI 10.1007/BF02933708Authors Omar Prakash Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 3 / September, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656992 Fri, 25 Jul 2008 16:27:45 +0100 1656992 http://www.medworm.com/index.php?rid=1656991&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl35q160481p65027%2F Summary  A method of quantifying the integrity of the brain stem auditory evoked responses (BAERs) is applied to specific cases in both the ICU and OR to demonstrate its usefulness as an adjunct to peak latency evaluation. This measure is particularly valuable when peak identification is difficult as a result of poor waveform coherence. Examples are included to demonstrate that this method can also give independent information from peak latency. Content Type Journal ArticleDOI 10.1007/BF02933710Authors Edward Greenblatt, Mount Sinai School of Medicine Department of Neurosurgery 1 Gustave L. Levy Place 10029 New York NY USARosario Zappulla, Mount Sinai School of Medicine Department of Neurosurgery 1 Gustave L. Levy Place 10029 New York NY USASteven Kaye, Mount Sinai School... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656991 Fri, 25 Jul 2008 16:27:45 +0100 1656991 http://www.medworm.com/index.php?rid=1656993&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F455u37xm6162k870%2F Content Type Journal ArticleDOI 10.1007/BF02933709Authors A. Castrén, Helsinki University Central Hospital Helsinki City Health Department SF-00290 Helsinki FinlandS. Grimnes, Rikshospitalet N-0027 Oslo 1 NorwayA. Kari, Kuopio University Central Hospital SF-70210 Kuopio FinlandP. Nikki, Helsinki University Central Hospital SF-00290 Helsinki FinlandG. L. Olsson, St. Görans Hospital Dept. of Pediatric Anesthesia S-11281 Stockholm SwedenH. B. Rasmussen, Rigshospitalet D-2100 Copenhagen East DenmarkE. D. Sivak, Cleveland Clinic Foundation 9500 Euclid Avenue 44106 Cleveland OH USAE. Vauramo, Helsinki City Health Department Siltasanrenkatu 13 SF-00530 Helsinki FinlandB. Zarén, Uppsala Academic Hospital S-75185 Uppsala Sweden Journal Journal of Clinical Monitoring and ComputingOnlin... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1656993 Fri, 25 Jul 2008 16:27:44 +0100 1656993 http://www.medworm.com/index.php?rid=1624951&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy7jlhv9987ngx361%2F Conclusions  Acceptable agreement with thermo- dilution during surgery was found, particularly where the ventilatory change involved an increase in respiratory rate from a lower baseline. This approach has potential to be readily integrated into modern anesthesia delivery platforms, allowing routine non-invasive cardiac output measurement. Content Type Journal ArticleDOI 10.1007/s10877-008-9131-2Authors Philip J. Peyton, Austin Hospital, University of Melbourne Departments of Anaesthesia and Surgery Melborne AustraliaDaniel Thompson, Latrobe University Department of Electronic Engineering Melbourne AustraliaPaul Junor, Latrobe University Department of Electronic Engineering Melbourne Australia Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1624951 Sat, 12 Jul 2008 06:54:35 +0100 1624951 http://www.medworm.com/index.php?rid=1605282&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu76433301q484p55%2F Abstract  The use of automatic noninvasive blood pressure (NIBP) devices has become a common technique to monitor blood pressure intraoperatively. The usual cuff placement for these devices on the upper arm sometimes poses problems. As an alternative, many clinicians place the cuff on the ankle. This practice has not been previously investigated to determine its efficacy. The purpose of our study was to determine whether a noninvasive blood pressure cuff on the arm could be replaced by one on the ankle. We monitored 24 patients intraoperatively with two non-invasive blood pressure cuffs, one on the upper arm and one on the ankle. Systolic, diastolic, and mean pressures were obtained from each cuff placement at intervals of no shorter than 3 minutes. The time necessary to ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605282 Wed, 09 Jul 2008 06:28:36 +0100 1605282 http://www.medworm.com/index.php?rid=1605281&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc714k1x130400828%2F Abstract  Objectives of computerized decision support systems for mechanical ventilation are discussed. Questions considered are: Why is computerized decision support for mechanical ventilation important? What parameter(s) should be optimized? What are the differences between a single attribute and a multiattribute value function used for optimization? How is it possible to achieve optimization in clinical practice with existing ventilators? How does one solve the problem of acquiring measurement of data needed for closed loop control? The possibilities and limitations of three existing decision support systems are discussed. 1) Computerized protocols from LDS Hospital in Salt Lake City, Utah, USA. 2) Optimization Program (OPTPROG) developed jointly at the Institute of Bi... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605281 Wed, 09 Jul 2008 06:28:36 +0100 1605281 http://www.medworm.com/index.php?rid=1605280&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F433u08k7k467l828%2F Content Type Journal ArticleCategory AbstractsDOI 10.1007/BF02915840Authors Bradley E. SmithDarel G. Hess Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 13 Journal Issue Volume 13, Number 3 / August, 1996 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605280 Wed, 09 Jul 2008 06:28:36 +0100 1605280 http://www.medworm.com/index.php?rid=1605284&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb6x2422457g76l71%2F Abstract  Model-driven infusion systems in anaesthesia overcome the difficulties in obtaining on-line measurements of controlled variables. A linear pharmacokinetic model for ketamine was used to achieve target blood concentrations and was implemented using a palmtop PC. Although the use of ketamine for analgesia in total intravenous anaesthesia with propofol has been reported, this is the first such application to spontaneously breathing patients. Preliminary results show this to be a useful system, which may easily be applied to other intravenous anaesthetic agents. Content Type Journal ArticleCategory Preliminary CommunicationDOI 10.1023/A:1016990604121Authors David Glen Mason, University of Sheffield Dept Automatic Control & Systems Engineering Mappin Street S1 3JD S... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605284 Wed, 09 Jul 2008 06:28:35 +0100 1605284 http://www.medworm.com/index.php?rid=1605283&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk38n4142216536ux%2F Abstract  Simulators may be used in training personnel for the situations when consequences of inappropriate action could be dangerous or expensive. Mishaps, and accidents in connection with the use of biomedical instrumentation are frequently a result of technical malfunction and improper use of the equipment. In the medical field, however, use of simulators is not very common. This paper reports our experiences of a development project to design the ‘PatSim’ hands-on simulator for training anaesthesia and intensive care personnel. The simulator consists of a manikin positioned on an operation table or in a typical critical care bed. The manikin, which is controlled by a standard personal computer (PC), can be ventilated by an anaesthesia machine or a ventilator, int... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605283 Wed, 09 Jul 2008 06:28:35 +0100 1605283 http://www.medworm.com/index.php?rid=1605285&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F34213hrp6l804720%2F Content Type Journal ArticleCategory Preliminary CommunicationDOI 10.1023/A:1016974913574Authors T. D. McGhee, Newham General Hospital NHS Trust Information Technology Resource Room Glen Rd., Plaistow E13 8RU London U.K. Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 13 Journal Issue Volume 13, Number 3 / August, 1996 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605285 Wed, 09 Jul 2008 06:28:34 +0100 1605285 http://www.medworm.com/index.php?rid=1605286&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft808h35214724728%2F Abstract  The growing number of patients admitted for outpatient surgery or for same-day admission makes it difficult to obtain thorough pulmonary evaluation. We wanted to evaluate the applicability of pre-operative pulse oximetry and capnography as possible pulmonary screening tools. In this preliminary study, 200 unselected, unmedicated adult patients who were being admitted for surgery were connected to a dual parameter patient monitor (Capnomac Ultima TM , Datex). A standard adult clip-on finger probe was used for pulse oximetric oxygen saturation. Sidestream capnometry documented the end-tidal carbon dioxide and the capnogram which was recorded for further analysis. In these unmedicated patients, the oxygen saturation ranged from 91 to 99% and was found to be 94% or l... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605286 Wed, 09 Jul 2008 06:28:33 +0100 1605286 http://www.medworm.com/index.php?rid=1605287&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj07300053286686x%2F Abstract  This paper describes a microcomputer system for automating the process of data collection, calculation and display of anaerobic capacity tests on an air-braked ergometer. The use of the spreadsheet Excel and associated ‘Dalog’ program represents an advance on current software which estimates the anaerobic capacity from work performed alone. Numerous calculations are required when air-braked, rather than friction-braked ergometers are used. Each 1 s power output collected during an all-out sprint on the ergometer is corrected against the criterion of a dynamic calibration rig and adjusted for differences in barometric pressure, ambient temperature and humidity. The Excel template features a series of macros invoked by buttons imbedded in the spreadsheet. Their ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605287 Wed, 09 Jul 2008 06:28:32 +0100 1605287 http://www.medworm.com/index.php?rid=1605288&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa412728t3298v253%2F Abstract  Invasive blood pressure measurement is used in patients with unstable haemodynamics. The demand of the accuracy of these measurements is high. The reliability of the reproduced signal strongly depends on the measurement system's dynamic characteristic—its resonance frequency and damping factor. These characteristics were examined with the frequency response method, which is valuable for second and higher order systems. Most of the pressure measuring systems in use in clinical practice have low damping factor (0.1–0.2), which causes high overshoot in systolic pressure values (up to 13%), since putting all the measuring components in a chain reduces the dynamic properties of a single component and the resonance frequency drops drastically from over 100 Hz to eve... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605288 Wed, 09 Jul 2008 06:28:31 +0100 1605288 http://www.medworm.com/index.php?rid=1605289&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F46728067180612rk%2F Conclusions  Almost one-fourth of the patients undergoing general surgery and orthopedic procedures under general anesthesia suffered from postoperative discomfort other than pain. Of these, >90% recalled 24 h after surgery having had postoperative discomfort. PACU staff needs to inquire for and attempt reducing such events. Content Type Journal ArticleDOI 10.1007/s10877-008-9130-3Authors Alexander Zegerman, Tel Aviv Sourasky Medical Center Post-Anesthesia Care Unit 6 Weizman St. Tel-Aviv 64239 IsraelTiberiu Ezri, Wolfson Medical Center Department of Anesthesia Holon IsraelAvi A. Weinbroum, Tel Aviv Sourasky Medical Center Post-Anesthesia Care Unit 6 Weizman St. Tel-Aviv 64239 Israel Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-26... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605289 Tue, 08 Jul 2008 08:26:32 +0100 1605289 http://www.medworm.com/index.php?rid=1605290&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu25108546q408416%2F Abstract  Bland-Altman (B–A) analysis has largely replaced the correlation coefficient as the predominant tool for evaluating the interchangeability of two methods of clinical measurement. However, we contend that B–A analysis might lead to erroneous conclusions when the data range is small. We provide an example to illustrate this and explore a possible analysis technique to address this limitation. Content Type Journal ArticleDOI 10.1007/s10877-008-9127-yAuthors David Preiss, University Health Network Department of Anesthesia, Toronto General Hospital 200 Elizabeth Street 7EN-242 Toronto ON Canada M5G 2C4Joseph Fisher, University Health Network Department of Anesthesia, Toronto General Hospital 200 Elizabeth Street 7EN-242 Toronto ON Canada M5G 2C4 Journal Jou... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1605290 Tue, 08 Jul 2008 08:26:30 +0100 1605290 http://www.medworm.com/index.php?rid=1577011&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fhq9r86053l072422%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/BF02919656Authors Lorene S. AvilaM. Michael Shabot Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 2 / June, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577011 Thu, 03 Jul 2008 08:08:34 +0100 1577011 http://www.medworm.com/index.php?rid=1577012&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9262095374g27225%2F Content Type Journal ArticleDOI 10.1007/BF02919655 Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 2 / June, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577012 Thu, 03 Jul 2008 08:08:33 +0100 1577012 http://www.medworm.com/index.php?rid=1577016&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg5677gw1219132k8%2F Summary  Electronic home monitoring has been advocated as a means of preventing sudden infant death syndrome (SIDS). Special emphasis has been placed on apnoea monitoring. The evaluation of the preventive aspect of home monitoring is exceedingly difficult considering the ethical and statistical implications. Major problems arise as the monitoring is done by the parents in a situation different from the one in the intensive care unit. The relative advantages of pulse oximetry and inductance plethysmography are outlined in comparison with other techniques like impedance pneumography, apnoea mattress and apnoea capsule. Content Type Journal ArticleDOI 10.1007/BF02919653Authors Klaus U. Josten, Johanniter-Krankenhaus Department of Anaesthesiology Johanniter-Str. 3-5 D 5300 B... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577016 Thu, 03 Jul 2008 08:08:30 +0100 1577016 http://www.medworm.com/index.php?rid=1577015&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8q5553217n851n41%2F Summary  With the aid of a departmental data base system and registers for inpatients stays mortality and length of stay in a pediatric intensive care unit were studied in 549 stays where the patient was treated with mechanical ventilation. Mortality and length of stay after transfer from the ICU were also studied. The mortality in the unit was 25% overall and increased to 33% after 180 days. Average time on the ventilator was 5.9 days and after transfer from the intensive care unit the patients were hospitalized for an average of 6 days during the following 180 days. Content Type Journal ArticleDOI 10.1007/BF02919649Authors Annette Bejersten, St. Görans Hospital Department of pediatric anaesthesia Box 12500 S-112 81 Stockholm SwedenGunnar L. Olsson, St. Görans Hospita... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577015 Thu, 03 Jul 2008 08:08:30 +0100 1577015 http://www.medworm.com/index.php?rid=1577014&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq85lj37n225w96q2%2F This article discusses why the program was developed, how it was designed, and how well it has met the objectives of the designers. Content Type Journal ArticleDOI 10.1007/BF02919651Authors H. Steele Holley, Northwestern University 363 E. Madison 60126 Elmhurst IL USAFloyd Heller, Rush Presbyterian Medical Center 363 E. Madison 60126 Elmhurst IL USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 2 / June, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577014 Thu, 03 Jul 2008 08:08:30 +0100 1577014 http://www.medworm.com/index.php?rid=1577013&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1m3x121n47705700%2F Abstract  We have studied 20 comatose intensive care patients with head injuries and/or intracranial, haemorrhage in order to compare two different monitoring methods of the central nervous system. The level of unconsciousness was followed on the Glasgow Coma Scale (GCS). EEG was monitored continuously with the compressed spectral array (CSA)-method. CSA findings were classified into six categories according to the frequency content, reactivity and the amount of isoelectricity. The patients were divided into four groups according to the outcome: well-recovered, moderately recovered, poorly recovered and dead. The prognostic value of the data obtained with the GCS method was compared with that obtained by CSA. The CSA and GCS methods give information based on different neu... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577013 Thu, 03 Jul 2008 08:08:30 +0100 1577013 http://www.medworm.com/index.php?rid=1577018&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy0225t0q21584556%2F Abstract  The affective response of subjects to the sounds of commercial and experimental auditory alarm signals was tested using a standard experimental protocol for measuring mood states and changes. Both types of signal evoked affective response. The commercial signals, however evoked more response than the experimental signals, and that response was more negative in affect. A subset of the experimental signals, distinguished by specific acoustic characteristics, evoked particularly low levels of affect. The implications of low-affect alarms for the operating room are discussed. Content Type Journal ArticleDOI 10.1007/BF02919652Authors Lois M. Stanford, University of Alberta Department of Linguistics T6G 2B7 Edmonton Alberta CanadaJ. W. R. McIntyre, University of Albe... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577018 Thu, 03 Jul 2008 08:08:29 +0100 1577018 http://www.medworm.com/index.php?rid=1577017&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0k822p0g5p1217r7%2F Summary  Periodic measurements of urine volume and temperature in critically ill patients are time consuming, unclean procedures. These measurements may be automated with an electronic urimeter (Urotrack Plus 220, C.R. Bard Company, Murray Hill, NJ). This device contains an RS-232 output port which transmits a complete device status report once per second. We interfaced 20 Urotrack Plus urimeters to a single I/O port of a computerized patient data management system (Hewlett-Packard 78709A PDMS, Hewlett-Packard Company, Waltham, MA). This interface required daisy chained controllers for port switching and a communications adapter for flow control. The urimeters have proven to be cost-effective, labor-saving devices. The PDMS interface provides a continuous display of measure... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577017 Thu, 03 Jul 2008 08:08:29 +0100 1577017 http://www.medworm.com/index.php?rid=1577019&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp5t007087142q524%2F Content Type Journal ArticleDOI 10.1007/BF02919648Authors Werner Lütgenau, Dr. Weiss-Research-Centre Berlin W-Germany Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 5 Journal Issue Volume 5, Number 2 / June, 1988 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577019 Thu, 03 Jul 2008 08:08:27 +0100 1577019 http://www.medworm.com/index.php?rid=1577021&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F77239v69km522472%2F Summary  During the first period of a total closed-circuit anaesthesia the unit dose must be injected relatively often and the gas flows have to be adjusted. To help the anaesthetist, especially during this period, an electronic timer was constructed where an acoustic signal indicated the square of time when the unit dose had to be given. The construction of the electronic timer is described here. Content Type Journal ArticleDOI 10.1007/BF02919647Authors Palle Toft, Vejle Hospital and Esbjerg Central Hospital The Department of Anaesthesia and Intensive Care DenmarkMogens Djernes, Vejle Hospital and Esbjerg Central Hospital The Department of Anaesthesia and Intensive Care Denmark Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 138... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577021 Thu, 03 Jul 2008 08:08:25 +0100 1577021 http://www.medworm.com/index.php?rid=1577020&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffk3q331l5168034u%2F Summary  The safe practice of inhalational anesthesia requires control over the amount of volatile anesthetic delivered to the patient. With minimal fresh gas flow this is facilitated by continuous monitoring and recording of the agent's concentration (‘Anestheticography’). Alterations brought about by routine clinical maneuvers become visible. We recorded the course of the inspiratory and expiratory concentration of volatile anesthetic (Isoflurane) by infrared absorption and a trend recorder. Changing the carrier gas composition during high flow from 75% to 25% nitrous oxide in oxygen resulted in a 10% increase of the inspiratory isoflurane concentration. Activating the oxygen bypass or exchanging the soda lime canisters was followed by a prolonged disturbance of con... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577020 Thu, 03 Jul 2008 08:08:25 +0100 1577020 http://www.medworm.com/index.php?rid=1577024&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe1823205573032j3%2F Conclusion  The limits of agreement between DBS and TOF responses were so wide that DBS and TOF can not be used interchangeably. Content Type Journal ArticleDOI 10.1023/A:1016929721934Authors Hans Kirkegaard-Nielsen, Odense University Hospital Department of Anaesthesia and Intensive Care DK-5000 Odense C DenmarkHans S. Helbo-Hansen, Odense University Hospital Department of Anaesthesia and Intensive Care DK-5000 Odense C DenmarkInge K. Severinsen, Odense University Hospital Department of Anaesthesia and Intensive Care DK-5000 Odense C DenmarkPeter Lindholm, Odense University Hospital Department of Anaesthesia and Intensive Care DK-5000 Odense C DenmarkKarsten Bülow, Odense University Hospital Department of Anaesthesia and Intensive Care DK-5000 Odense C Denmark Jo... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577024 Thu, 03 Jul 2008 08:08:24 +0100 1577024 http://www.medworm.com/index.php?rid=1577023&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn84jjm2k05642822%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/BF02919396Authors M. Michael Shabot, Los Angeles California Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Volume 13 Journal Issue Volume 13, Number 4 / November, 1996 (Source: Journal of Clinical Monitoring and Computing) Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577023 Thu, 03 Jul 2008 08:08:24 +0100 1577023 http://www.medworm.com/index.php?rid=1577022&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx84285n3k11v7316%2F Abstract  In critically ill patients haemodynamic parameters are being routinely monitored. All of the fluctuations in blood pressures cannot be visualised since on most monitors the time window is too short and trend curves do not have a sufficient time resolution. Therefore, frequency analysis was applied to an 800-second window. Systemic artery pressure, central venous pressure and pulmonary artery pressure curves of 6 patients were sampled with a frequency of 40 Hz. The signals were transformed into the frequency domain by the Fast Fourier Transform method. Bispectral analysis was applied to determine the origin of higher frequencies. There were three main frequencies present: heart stroke rate, respiratory frequency and a slow frequency (<0.05 Hz), which was equal t... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577022 Thu, 03 Jul 2008 08:08:24 +0100 1577022 http://www.medworm.com/index.php?rid=1577025&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F681m49p526477008%2F Abstract  Safety of closed-loop drug infusion systems is an issue often raised as a matter of concern. As a result, many closed-loop control systems are reported in the literature merely as computer simulation studies and few ever reach the stage of physical realisation and formal clinical evaluation. We address the safety issues involved with such systems by describing the development of a portable closed-loop control system for atracurium-induced muscle relaxation. This is a safety-critical system particularly when applied to brain and eye surgery where movement could have serious deleterious effects. The benefits of closed-loop muscle relaxation in providing stable surgical operating conditions over a wide range of patient sensitivities while infusing the minimum amount ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577025 Thu, 03 Jul 2008 08:08:23 +0100 1577025 http://www.medworm.com/index.php?rid=1577026&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwnr0531833w83013%2F Conclusions. Computer systems can accurately chart physiological data, providing a more flexible record with a minimal risk to data reliability from artifact. Content Type Journal ArticleDOI 10.1023/A:1016967407632Authors Steven Cunningham, University of Edinburgh Department of Child Life and Health 20 Sylvan Place EH9 1UW Edinburgh UKSarah Deere, University of Edinburgh Department of Child Life and Health 20 Sylvan Place EH9 1UW Edinburgh UKRobert A. Elton, University of Edinburgh, Medical School Medical Statistics Unit Teviot Place EH8 9AG Edinburgh UKNeil McIntosh, University of Edinburgh Department of Child Life and Health 20 Sylvan Place EH9 1UW Edinburgh UK Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 Journal Volume Vo... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577026 Thu, 03 Jul 2008 08:08:22 +0100 1577026 http://www.medworm.com/index.php?rid=1577027&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm067110345605247%2F Abstract  The performance of an adaptive model-based controller for the administration of atracurium, mivacurium, rocuronium and vecuronium was compared in 159 adult surgical patients. The degree of neuromuscular block was set to 90% for atracurium, rocuronium and vecuronium and to 95% for mivacurium. Performance was assessed by calculating the median prediction error (bias), median absolute performance error (inaccuracy), divergence, wobble, the mean offset and the mean standard deviation from the setpoint. All indices of controller performance showed minimal deviation of the actual neuromuscular block from the setpoint. Although the controller appeared to be able to control rocuronium induced block at 90% and mivacurium induced block at 95% better than atracurium and vecu... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=1577027 Thu, 03 Jul 2008 08:08:20 +0100 1577027