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, 08 Feb 2012 18:41:24 +0100 http://www.medworm.com/index.php?rid=5649470&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7540461614705460%2F In conclusion, PICCs are equivalent to CVCs when measuring static and dynamic pressure in vitro and CVP in ICU patients. Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-012-9337-1Authors Heath E. Latham, Division of Pulmonary and Critical Care Medicine, The University of Kansas Medical Center, 3901 Rainbow Blvd, MS 3007, Kansas City, KS 66160, USAScott T. Rawson, Division of Pulmonary and Critical Care Medicine, The University of Kansas Medical Center, 3901 Rainbow Blvd, MS 3007, Kansas City, KS 66160, USATimothy T. Dwyer, Division of Pulmonary and Critical Care Medicine, The University of Kansas Medical Center, 3901 Rainbow Blvd, MS 3007, Kansas City, KS 66160, USAChirag C. Patel, Division of Pulmonary and Critical Care Medicine, The University of Kansas Medical Center, 390... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5649470 Mon, 30 Jan 2012 16:07:40 +0100 5649470 http://www.medworm.com/index.php?rid=5649471&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx710p1u2888860g5%2F This study aimed to compare two non-invasive technologies for the estimation of regional venous saturation (reflectance plethysmography and near infrared spectroscopy [NIRS]), using venous blood gas analysis as gold standard. Forty patients undergoing cardiac surgery were recruited in two groups. In the first group a reflectance pulse oximeter probe was placed on the skin overlying the internal jugular vein. In the second group, a Somanetics INVOS oximeter patch was placed on the skin overlying the internal jugular vein and overlying the ipsilateral cerebral hemisphere. Central venous catheters were placed in all patients. Oxygen saturation estimates from both groups were compared with measured saturation from venous blood. Twenty patients participated in each group. Data were analy... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5649471 Mon, 30 Jan 2012 16:07:39 +0100 5649471 http://www.medworm.com/index.php?rid=5620990&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F508821841h641g66%2F Abstract  The Tensys TL-200® noninvasive beat-to-beat blood pressure (BP) monitor displays continuous radial artery waveform as well as systolic, mean and diastolic BP from a pressure sensor directly over the radial artery at the wrist. It locates the site of maximal radial pulse signal, determines mean BP from maximal pulse waveform amplitude at optimal artery compression and then derives systolic and diastolic BP. We performed a cross-sectional study of TL-200 BP comparisons with contralateral invasive radial artery (A-Line) BP values in 19 subjects during an average 2.5 h of general anesthesia for a wide range of surgical procedures. Two hundred and fifty random sample pairs/patient resulted in 4,747 systolic, mean and diastolic BP pairs for analysis. A-Line BP ran... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5620990 Thu, 19 Jan 2012 07:01:01 +0100 5620990 http://www.medworm.com/index.php?rid=5620991&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F575vj31643882872%2F Abstract  The decision to administer blood products is complex and multifactorial. Accurate assessment of the concentration of hemoglobin [Hgb] is a key component of this evaluation. Recently a noninvasive method of continuously measuring hemoglobin (SpHb) has become available with multi-wavelength Pulse CO-Oximetry. The accuracy of this device is well documented, but the trending ability of this monitor has not been previously described. Twenty patients undergoing major thoracic and lumbar spine surgery were recruited. All patients received radial arterial lines. On the contralateral index finger, a R1 25 sensor (Rev E) was applied and connected to a Radical-7 Pulse CO-Oximeter (both Masimo Corp, Irvine, CA). Blood samples were drawn intermittently at the anesthesia provid... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5620991 Tue, 17 Jan 2012 07:10:44 +0100 5620991 http://www.medworm.com/index.php?rid=5583615&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft3141624w133890q%2F Abstract  Bioreactance is a novel non-invasive method for cardiac output measurement that involves the analysis of blood flow-dependent changes in the phase shifts of electrical currents applied across the chest. The present study (1) compared resting and exercise cardiac outputs determined by bioreactance and bioimpedance methods and those estimated from measured oxygen consumption, (2) determined the relationship between cardiac output and oxygen consumption, and (3) assessed the agreement between the bioreactance and bioimpedance methods. Twelve healthy subjects (aged 30 ± 4 years) performed graded cardiopulmonary exercise test on a recumbent cycle ergometer on two occasions, 1 week apart. Cardiac output was monitored at rest, at 30, 50, 70, 90, 150&... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5583615 Tue, 10 Jan 2012 16:49:21 +0100 5583615 http://www.medworm.com/index.php?rid=5583616&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8725489j1284j866%2F Conclusions These data indicate that RRoxi represents a viable technology for the measurement of respiratory rate of healthy individuals. Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9332-yAuthors Paul S. Addison, Advanced Research Group, Covidien Respiratory and Monitoring Solutions, Technopole Centre, Edinburgh, EH26 0PJ UKJames N. Watson, Advanced Research Group, Covidien Respiratory and Monitoring Solutions, Technopole Centre, Edinburgh, EH26 0PJ UKMichael L. Mestek, Covidien Respiratory and Monitoring Solutions, Boulder, CO, USARoger S. Mecca, Department of Anesthesiology, University of California, Irvine, USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Computin... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5583616 Mon, 09 Jan 2012 19:34:28 +0100 5583616 http://www.medworm.com/index.php?rid=5572865&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj4u20142030k937x%2F Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s10877-011-9329-6Authors Keith A. Batchelder, Department of Research and Development, Covidien, Respiratory and Monitoring Solutions, 6135 Gunbarrel Ave., Boulder, CO 80301, USAPaul D. Mannheimer, Department of Research and Development, Covidien, Respiratory and Monitoring Solutions, 6135 Gunbarrel Ave., Boulder, CO 80301, USARoger S. Mecca, Department of Anesthesiology, University of California, Irvine, CA, USAJoseph M. Ojile, Clayton Sleep Institute, Maplewood, MO, 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=5572865 Wed, 04 Jan 2012 07:00:28 +0100 5572865 http://www.medworm.com/index.php?rid=5561486&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk78m3nn64169g263%2F This article reviews the possible complications associated with the ETT cuff, and the landmark development made in that field. The article challenges the present paradigm of cuff use and reviews the current clinical practice in that area. Content Type Journal ArticlePages 1-8DOI 10.1007/s10877-011-9333-xAuthors Shai Efrati, Research and Development Unit, Assaf Harofeh Medical Center, 70300 Zerifin, IsraelIsrael Deutsch, Research and Development Unit, Assaf Harofeh Medical Center, 70300 Zerifin, IsraelGabriel M. Gurman, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Negev 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=5561486 Mon, 02 Jan 2012 16:46:28 +0100 5561486 http://www.medworm.com/index.php?rid=5561487&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl2r1675747g106x8%2F Abstract  The authors evaluated an analyser for the determination of propofol concentrations in whole blood. The Pelorus 1000 (Sphere Medical) measures propofol concentrations in around 5 min without the requirement for sample preparation. The performance of the analyser was characterised with respect to linearity, precision in control solutions and whole blood and method comparison to an HPLC based reference method. In addition, the effects of substances considered to potentially affect the assay method were investigated. The analyser was found to be linear up to 12 μg/ml (R 2 = 0.9993), with a lower limit of quantification of 0.75 μg/ml. Total within device imprecision in control solutions was 0.11 μg/ml at 5.32 μg/ml and 0.17 �... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5561487 Sat, 31 Dec 2011 16:48:17 +0100 5561487 http://www.medworm.com/index.php?rid=5561488&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk68745115r268241%2F Abstract  The aim of this validation study was to assess the reliability of gas exchange measurement with indirect calorimetry among subjects who undergo non-invasive ventilation (NIV). Oxygen consumption (VO2) and carbon dioxide production (VCO2) were measured in twelve healthy volunteers. Respiratory quotient (RQ) and resting energy expenditure (REE) were then calculated from the measured VO2 and VCO2 values. During the measurement period the subjects were breathing spontaneously and ventilated using NIV. Two different sampling air flow values 40 and 80 l/min were used. The gas leakage from the measurement setup was assessed with a separate capnograph. The mean weight of the subjects was 93 kg. Their mean body mass index was 29 (range 22–40) kg/m2. There wa... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5561488 Fri, 30 Dec 2011 07:09:10 +0100 5561488 http://www.medworm.com/index.php?rid=5545306&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd45p234136j06883%2F This study investigated with the same recordings whether heart period oscillations or spectral heart rate variability measures could function as estimators of breathing frequency. Continuous 270 s cardiovascular recordings were obtained from 22 healthy adult volunteers in the supine and upright postures. Breathing was recorded simultaneously. Breathing frequency and heart period oscillation frequency were calculated manually, while heart rate variability spectral maximums were obtained using heart rate variability software. These estimates were compared to the breathing frequency using the Bland–Altman agreement procedure. Estimates were required to be <±10% (95% levels of agreement). The 95% levels of agreement measures for the heart period oscillation frequency (supine: ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5545306 Sat, 24 Dec 2011 16:42:26 +0100 5545306 http://www.medworm.com/index.php?rid=5545307&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7jl5v52359637um7%2F Conclusions  Intraoperative neurophysiological monitoring should be used for neuromuscular scoliosis cases with paraparesis if proximal function, such as the rectus femoris muscle, exists. Content Type Journal ArticlePages 1-4DOI 10.1007/s10877-011-9325-xAuthors Zhengyong Chen, 2025 Morse Ave, Neurology 2G, Sacramento, CA 95825, USAJoel Lerman, Department of Orthopaedics, Shriners Hospitals for Children-Northern California, 2425 Stockton Blvd, Sacramento, CA 95817, 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=5545307 Wed, 21 Dec 2011 20:05:40 +0100 5545307 http://www.medworm.com/index.php?rid=5545308&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm62711612744x07g%2F Conclusions  The classification result indicates the possibility of non-invasively classifying CSA and OSA events based on shorter segments of ECG signals. Content Type Journal ArticlePages 1-11DOI 10.1007/s10877-011-9323-zAuthors Jayavardhana Gubbi, Department of Electrical and Electronic Engineering, University of Melbourne, Melbourne, VIC 3010, AustraliaAhsan Khandoker, Department of Electrical and Electronic Engineering, University of Melbourne, Melbourne, VIC 3010, AustraliaMarimuthu Palaniswami, Department of Electrical and Electronic Engineering, University of Melbourne, Melbourne, VIC 3010, 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=5545308 Wed, 21 Dec 2011 20:05:39 +0100 5545308 http://www.medworm.com/index.php?rid=5538891&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh15074006p2t8212%2F Abstract  A method of administering continuous positive airway pressure via a new airway device to prevent upper airway obstruction and preserve spontaneous respiration under total intravenous anesthesia has been adapted for children undergoing deep sedation for MRI studies. Presented herein is a retrospective study of 45 pediatric patients, ages 5 months to 7 years, who underwent an MRI study under general anesthesia using a modified nasal vestibule airway (NVA®), a pressure-sealing nasal cannula that can be used in conjunction with an anesthesia circuit to deliver nasal-CPAP during anesthesia. After inhalation induction of anesthesia with sevoflurane, an intravenous infusion of propofol was used to maintain anesthesia. A NVA®, downsized to fit the nasal vestibu... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5538891 Tue, 20 Dec 2011 16:45:50 +0100 5538891 http://www.medworm.com/index.php?rid=5516117&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv14w22011m107g14%2F Abstract  Anesthesiology is a stressful medical profession. While anesthesia in particular has become safer for the patient in the last decades, anesthesiology as a profession represents a medical field in which the professionals are permanently tense. The various reasons for this situation include the fact that anesthesiology is a team profession that requires perfect cooperation with other specialists. It also entails great responsibility for the patient’s life, the daily use of “blind” invasive techniques, and last but not least the production pressure that characterizes the activity in the operating room. There are various methods to quantify professional stress and this article emphasizes the place of measurement of salivary cortisol in order to identify those st... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5516117 Fri, 16 Dec 2011 16:56:35 +0100 5516117 http://www.medworm.com/index.php?rid=5442547&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2224423254241m7v%2F Conclusions  The real-time SPD algorithm was able to detect episodes of RRiA in sleep lab patients with a high degree of sensitivity and specificity. Content Type Journal ArticlePages 411-418DOI 10.1007/s10877-011-9321-1Authors Keith A. Batchelder, Department of Research and Development, Covidien, Respiratory and Monitoring Solutions, 6135 Gunbarrel Ave., Boulder, CO 80301, USAPaul D. Mannheimer, Department of Research and Development, Covidien, Respiratory and Monitoring Solutions, 6135 Gunbarrel Ave., Boulder, CO 80301, USARoger S. Mecca, Department of Anesthesiology, University of California, Irvine, USAJoseph M. Ojile, Clayton Sleep Institute, Maplewood, MO, USA Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5442547 Sat, 19 Nov 2011 16:51:50 +0100 5442547 http://www.medworm.com/index.php?rid=5442548&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh408437p32q63517%2F Abstract  ‘Standard’ or ‘extracellular’ base excess (SBE) is a modified calculation using one-third the normal hemoglobin concentration. It is a ‘CO2-invariant’ expression of meta- bolic acid–base status integrated across interstitial, plasma and erythrocytic compartments (IPE). SBE also integrates conflicting physical chemical influences on metabolic acid–base status. Until recently attempts to quantify individual contributions to SBE, for example the plasma strong ion gap, failed to span the ‘CO2-stable’ IPE dimension. The first breakthrough was from Anstey, who determined the con- centration of unmeasured charged species referenced to the IPE domain using Wooten’s physical chemical version of the Van Slyke equation. In this issue Drs Wolf and DeLand... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5442548 Sat, 19 Nov 2011 16:51:48 +0100 5442548 http://www.medworm.com/index.php?rid=5409820&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc3r1m49j41418l20%2F Conclusion  The Cardio QP™ seems to be capable of detecting slight changes in cardiac output. Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9322-0Authors Thilo Fleck, Department of Congenital Heart Disease/Paediatric Cardiology, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, GermanyStephan Schubert, Department of Congenital Heart Disease/Paediatric Cardiology, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, GermanyBrigitte Stiller, Department of Congenital Heart Defects and Paediatric Cardiology, Centre for Paediatrics, University Medical Centre Freiburg, Mathildenstrasse 1, 79106 Freiburg, GermanyMatthias Redlin, Department of Anaesthesiology, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Ger... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5409820 Fri, 11 Nov 2011 16:44:30 +0100 5409820 http://www.medworm.com/index.php?rid=5409821&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb1h50777717350tl%2F Abstract  We have developed a computer-model-based approach to quantitatively diagnose the causes of metabolic acid–base disorders in critically-ill patients. We use an interstitial-plasma-erythrocyte (IPE) model that is sufficiently detailed to accurately calculate steady-state changes from normal in fluid volumes and electrolyte concentrations in a given patient due to a number of causes of acid–base disorders. Normal fluid volumes for each patient are determined from their sex, height and weight using regression equations derived from measured data in humans. The model inputs (electrolyte masses and volumes) are altered to simulate the laboratory chemistry of each critically-ill patient. In this process, the model calculates changes in body-fluid volumes, osmolality ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5409821 Fri, 11 Nov 2011 16:44:29 +0100 5409821 http://www.medworm.com/index.php?rid=5409823&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flx670j4820624210%2F Conclusions  The SNAP™ II monitor demonstrates a consistently positive bias during cardiopulmonary bypass under isoflurane anesthesia compared with the BIS Vista. Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-011-9313-1Authors Kinjal M. Patel, Northwestern University, Feinberg School of Medicine, 251 E. Huron St. Feinberg 5-704, Chicago, IL 60611, USASaadia S. Sherwani, Northwestern University, Feinberg School of Medicine, 251 E. Huron St. Feinberg 5-704, Chicago, IL 60611, USAPaul C. Fitzgerald, Northwestern University, Feinberg School of Medicine, 251 E. Huron St. Feinberg 5-704, Chicago, IL 60611, USARobert J. McCarthy, Northwestern University, Feinberg School of Medicine, 251 E. Huron St. Feinberg 5-704, Chicago, IL 60611, USA Journal Journal of... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5409823 Thu, 10 Nov 2011 16:53:44 +0100 5409823 http://www.medworm.com/index.php?rid=5409822&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv01514n27hx50234%2F Conclusion   When using specific combinations of syringes, LMA sizes and inflation pressures, these data demonstrate an efficient, practical and easy method to achieve an initial equilibrium recoil LMA cuff pressure that is less than, or very near to, the recommended upper safe limit of 44 mm Hg. Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-011-9319-8Authors Mark J. Rice, Department of Anesthesiology, University of Florida College of Medicine, PO Box 100254, Gainesville, FL 32610-0254, USANikolaus L. Gravenstein, Department of Orthopaedics, University of Florida College of Medicine, Gainesville, FL, USASorin J. Brull, Department of Anesthesiology, Mayo Clinic, Jacksonville, FL, USATimothy E. Morey, Department of Anesthesiology, University of Florida C... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5409822 Thu, 10 Nov 2011 16:53:44 +0100 5409822 http://www.medworm.com/index.php?rid=5389106&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw506742871g2kr65%2F Conclusion  The pulse oximeter waveform contains a complex mixture of the effect of cardiac, venous, autonomic, and respiratory systems on the central and peripheral circulation. The occurrence of autonomic modulation needs to be taken into account when studying signals that have their origins from central sites (e.g. ear and forehead). Content Type Journal ArticlePages 1-10DOI 10.1007/s10877-011-9317-xAuthors Aymen A. Alian, Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06520-8051, USANicholas J. Galante, Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06520-8051, USANina S. Stachenfeld, Laboratory (N.S.S.), Yale School of Public He... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5389106 Sat, 05 Nov 2011 17:11:12 +0100 5389106 http://www.medworm.com/index.php?rid=5389107&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm1041278678lju25%2F Conclusions  The CO2 rebreathing method for FRC measurement provides acceptable accuracy and precision during stable ventilation compared to the gold standards of body plethysmography and nitrogen washout. The results based on periods of stable ventilation best approximate the performance of the system in the likely areas of application during controlled mechanical ventilation. Further study of the CO2 rebreathing method is needed to evaluate accuracy in a larger group of controlled mechanical ventilation patients, including patients with respiratory insufficiency and significant lung injury. Content Type Journal ArticlePages 1-8DOI 10.1007/s10877-011-9318-9Authors Lara Brewer, University of Utah Health Sciences Center, 30 N. 1900 E., Rm. 3C444, Salt Lake City, UT ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5389107 Sat, 05 Nov 2011 17:11:11 +0100 5389107 http://www.medworm.com/index.php?rid=5389108&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa11v3631wk73jv71%2F Conclusion  PPG waveform parameters may prove to be sensitive and specific as early indicators of blood loss. These PPG changes were observed before profound decreases in arterial blood pressure. The relative sparing of central cutaneous blood flow is consistent with the increased parasympathetic innervation of central structures. Content Type Journal ArticlePages 1-9DOI 10.1007/s10877-011-9316-yAuthors Aymen A. Alian, Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06520-8051, USANicholas J. Galante, Department of Anesthesiology, Yale University School of Medicine, 333 Cedar Street, P.O. Box 208051, New Haven, CT 06520-8051, USANina S. Stachenfeld, John B. Pierce Laboratory (N.S.S.) Yale School of Pu... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5389108 Thu, 03 Nov 2011 16:56:18 +0100 5389108 http://www.medworm.com/index.php?rid=5362974&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq78l7652p19q511w%2F Abstract  Aim of this prospective randomized study was to determine the influence of the electrode surface area and sampling time on the accuracy of the number of fluctuations in skin conductance per second to distinguish different states of acute pain. These methodological issues have been previously suggested as an explanation for contradictory data related to the accuracy of the skin conductance monitor. A total of 541 pain ratings on a numeric rating scale (0–10) were obtained from 120 adult postoperative patients. The number of fluctuations in skin conductance per second was recorded using two different electrode types (surface area 254 vs. 474 mm2) and sampling times (7.5 vs. 30 s). A longer sampling time did result in higher values for the number of fluctu... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5362974 Sat, 29 Oct 2011 05:49:25 +0100 5362974 http://www.medworm.com/index.php?rid=5362975&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0567852wx0u63063%2F Conclusion  The diagnostic alarm system FLMS demonstrated that evidence-based expert diagnostic systems can diagnose hypovolaemia, with a substantial degree of accuracy, in anaesthetized patients and could be useful in delivering decision support to anaesthetists. Content Type Journal ArticlePages 339-347DOI 10.1007/s10877-011-9315-zAuthors Mirza Mansoor Baig, School of Engineering, Auckland University of Technology, Private Bag 92006, Auckland, 1142 New ZealandHamid GholamHosseini, School of Engineering, Auckland University of Technology, Private Bag 92006, Auckland, 1142 New ZealandAbbas Kouzani, School of Engineering, Deakin University, Geelong, VIC 3217, AustraliaMichael J. Harrison, Department of Anaesthesia, Wellington Regional Hospital, Wellington, New Zealand ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5362975 Fri, 28 Oct 2011 06:06:03 +0100 5362975 http://www.medworm.com/index.php?rid=5337465&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk515670812k651r3%2F Conclusion  During general anesthesia in adults, both TtcPCO2 and StcPCO2 were not interchangeable with PaCO2, but only TtcPCO2 had good positive correlation with PaCO2. Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-011-9311-3Authors Tomoki Nishiyama, Department of Anesthesiology and Critical Care, Higashi Omiya General Hospital, 5-18 Higashi Omiya Minuma-ku, Saitama-shi, Saitama, 337-0051 JapanYumiko Kohno, Department of Anesthesiology and Critical Care, Higashi Omiya General Hospital, 5-18 Higashi Omiya Minuma-ku, Saitama-shi, Saitama, 337-0051 JapanKeiko Koishi, Department of Anesthesiology and Critical Care, Higashi Omiya General Hospital, 5-18 Higashi Omiya Minuma-ku, Saitama-shi, Saitama, 337-0051 Japan Journal Journal of Clinical Monitoring and ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5337465 Tue, 18 Oct 2011 16:00:27 +0100 5337465 http://www.medworm.com/index.php?rid=5337466&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3g511534h3hw5562%2F Conclusion  Recording of aEEG without access to the raw EEG data is not a reliable diagnostic tool for the identification of epileptic seizures in the hands of nonexpert ICU physicians. Content Type Journal ArticlePages 1-9DOI 10.1007/s10877-011-9312-2Authors Rainer Nitzschke, Center of Anesthesiology and Intensive Care Medicine, Department of Anesthesiology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyJakob Müller, Center of Anesthesiology and Intensive Care Medicine, Department of Anesthesiology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, GermanyRia Engelhardt, Center of Anesthesiology and Intensive Care Medicine, Department of Anesthesiology, University Hospital Hamburg-Eppendorf, Martinistrasse 52,... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5337466 Tue, 18 Oct 2011 16:00:26 +0100 5337466 http://www.medworm.com/index.php?rid=5324766&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk788w363457652q3%2F Conclusions  Nexfin continuous beat-to-beat pulse contour analysis is an appropriate method for noninvasive assessment of CO during exercise. Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9310-4Authors Sebastiaan A. Bartels, Department of Intensive Care, Erasmus MC, University Medical Center Rotterdam, ‘s-Gravendijkwal 230, 3015 CE Rotterdam, The NetherlandsWim J. Stok, Laboratory for Clinical Cardiovascular Physiology, Heart Failure Research Center, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The NetherlandsRick Bezemer, Department of Intensive Care, Erasmus MC, University Medical Center Rotterdam, ‘s-Gravendijkwal 230, 3015 CE Rotterdam, The NetherlandsRemco J. Boksem, Department of Respiratory Medicine, Academ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5324766 Fri, 14 Oct 2011 15:44:46 +0100 5324766 http://www.medworm.com/index.php?rid=5286875&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr7852350g0022428%2F Conclusions  The target plasma propofol concentrations required to produce unconsciousness and loss of response to painful stimuli in Indian patients have been estimated. Also, the relations between target plasma concentration and objective measures of different levels of anaesthesia have been established. Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-011-9309-xAuthors Goverdhan D. Puri, Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012 IndiaPreethy J. Mathew, Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012 IndiaJ. Sethu Madhavan, Department of Anaesthesia and Intensive Ca... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5286875 Sat, 01 Oct 2011 06:45:45 +0100 5286875 http://www.medworm.com/index.php?rid=5286876&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm0l02w732121k554%2F Conclusion  By applying automatic data-driven feature extraction and classification to short EEG records, it is possible to construct subject-independent computational models that can detect subtle post clamp changes possibly caused by small perturbations in cerebral blood flow. These subtle changes are missed by visual inspection of the EEG and by other quantitative EEG techniques such as r-sBSI and r-tBSI. Within our subject group, the intricate post-clamp EEG signatures were predominantly anterior, bilateral, and had a strong delta rhythm presence. Content Type Journal ArticlePages 1-14DOI 10.1007/s10877-011-9308-yAuthors Meenakshi Mishra, Department of Computer Science and Electrical Engineering, School of Computing and Engineering, University of Missouri at Ka... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5286876 Fri, 30 Sep 2011 06:31:34 +0100 5286876 http://www.medworm.com/index.php?rid=5286877&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd3v371851248t822%2F Conclusion  Frequency spectra of breathing sounds recorded from a face-frame, reliably identified the inspiratory and expiratory phases of breathing. This technique may have various applications for respiratory monitoring and analysis. Content Type Journal ArticlePages 1-10DOI 10.1007/s10877-011-9307-zAuthors Hisham Alshaer, Sleep Research Laboratory, Toronto Rehabilitation Institute, 550 University Avenue, Toronto, ON M5G 2A2, CanadaGeoffrey R. Fernie, Toronto Rehabilitation Institute, 12029, 550 University Avenue, Toronto, ON M5G 2A2, CanadaT. Douglas Bradley, The Centre for Sleep Medicine and Circadian Biology, University of Toronto, Toronto, ON, Canada 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=5286877 Thu, 29 Sep 2011 06:06:09 +0100 5286877 http://www.medworm.com/index.php?rid=5275044&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2373336057334j51%2F Conclusion  The evaluation of a new fiber optic sensor on anaesthetized patients undergoing laparotomy demonstrated that good quality PPG signals and SpO2 estimates can be obtained from splanchnic organs. Such a sensor may provide a useful tool for the intraoperative assessment of splanchnic perfusion. Content Type Journal ArticlePages 245-255DOI 10.1007/s10877-011-9302-4Authors Michelle Hickey, School of Engineering and Mathematical Sciences, City University London, Northampton Square, London, EC1V 0HB UKNeal Samuels, Anaesthetic Laboratory and Department, St. Bartholomew’s Hospital, Barts and The London NHS Trust, London, EC1A 7BE UKNilesh Randive, Anaesthetic Laboratory and Department, St. Bartholomew’s Hospital, Barts and The London NHS Trust, London, EC1A 7B... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5275044 Wed, 28 Sep 2011 05:45:57 +0100 5275044 http://www.medworm.com/index.php?rid=5262040&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvq8106n62465k677%2F Conclusions  The effect of transient hemodynamic changes on venous return induced by passive leg raising can be directly measured in intensive care patients using inspiratory-hold procedures. This technique makes quantification of PLR feasible and could be used clinically to assess fluid responsiveness. Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9303-3Authors Geoffray Keller, Hospices Civils de Lyon, Groupement Hospitalier Est, Department of Anesthesiology and Intensive Care, Louis Pradel Hospital and Claude Bernard Lyon 1 University, Lyon, FranceOlivier Desebbe, Hospices Civils de Lyon, Groupement Hospitalier Est, Department of Anesthesiology and Intensive Care, Louis Pradel Hospital, Lyon, FranceMarlène Benard, Hospices Civils de Lyon, Groupement ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5262040 Sat, 24 Sep 2011 05:46:55 +0100 5262040 http://www.medworm.com/index.php?rid=5251667&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F43vv88v037233ph1%2F Conclusion  StO2 derived parameters during a VOT are impacted by GA induction. These parameters may have potential for microcirculation assessment in patients undergoing surgery. Content Type Journal ArticlePages 1-8DOI 10.1007/s10877-011-9301-5Authors Celine Bernet, Hospices Civils de Lyon, Department of Anesthesiology and Intensive Care, Louis Pradel Hospital, Claude Bernard Lyon 1 University, INSERM ERI 22, Lyon, FranceOlivier Desebbe, Hospices Civils de Lyon, Department of Anesthesiology and Intensive Care, Louis Pradel Hospital, Claude Bernard Lyon 1 University, INSERM ERI 22, Lyon, FranceSebastien Bordon, Hospices Civils de Lyon, Department of Anesthesiology and Intensive Care, Louis Pradel Hospital, Claude Bernard Lyon 1 University, INSERM ERI 22, Lyon, FranceC... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5251667 Fri, 23 Sep 2011 05:46:45 +0100 5251667 http://www.medworm.com/index.php?rid=5251666&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc05l2j13601v06p2%2F Conclusions  Metabolic alkalemia occurred more frequently than metabolic acidemia and occurred mainly preoperatively and postoperatively, while acidemia occurred mainly during surgery and in the PACU. Content Type Journal ArticlePages 1-8DOI 10.1007/s10877-011-9299-8Authors Mona Boaz, Epidemiology and Research Unit, The Edith Wolfson Medical Center, Holon, IsraelArkady Iskhakov, Departments of Surgery B, The Edith Wolfson Medical Center, Holon, IsraelAlexander Tsivian, Departments of Urology, The Edith Wolfson Medical Center, Holon, IsraelMordechai Shimonov, Departments of Surgery A, The Edith Wolfson Medical Center, Holon, IsraelHaim Berkenstadt, Department of Anesthesiology, The Chaim Sheba Medical Center, Tel Hashomer, Sackler Medical School, Tel Aviv University, ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5251666 Fri, 23 Sep 2011 05:46:45 +0100 5251666 http://www.medworm.com/index.php?rid=5251668&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb75x039q232628n7%2F Conclusions  A pediatric pharmacodynamic model of propofol-induced tidal volume depression was developed. Models derived from 3 different approaches were shown to be consistent with each other; however, the individual pharmacodynamic parameters exhibited significant inter-individual variability without strong dependence on age and body weight. This would suggest the desirability of adapting the pharmacodynamic model to each subject in real time. Content Type Journal ArticlePages 1-10DOI 10.1007/s10877-011-9306-0Authors Jin-Oh Hahn, Department of Mechanical Engineering, University of Alberta, Edmonton, AB, CanadaSara Khosravi, Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, CanadaMaryam Dosani, Department of Anesthesi... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5251668 Fri, 23 Sep 2011 05:46:44 +0100 5251668 http://www.medworm.com/index.php?rid=5251669&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F35727142t2201756%2F We describe in this report, a significant reduction in PAP in a patient with Marfan’s syndrome scheduled to under-go aortic valve replacement. The possible mechanisms of decrease in pulmonary artery pressure in the described case are, decrease in the venous return to the heart, decrease in the systemic vascular resistance, decrease in the right ventric-ular function and finally, improvement in myocardial contraction secondary to all the above. The possibility of Marfan’s syndrome contributing to the decrease in PAP appears remote. The authors present this case to generate discussion about the possible mechanisms involved in thoracic epidural anesthesia producing beneficial effects in patients with secondary pulmonary hypertension. Thoracic epidural anesthesia appears to decrease ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5251669 Fri, 23 Sep 2011 05:46:43 +0100 5251669 http://www.medworm.com/index.php?rid=5251670&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj15w55841lr704q6%2F Conclusion  Intraparenchymal pressure monitoring provides equivalent, statistically similar pressure measurements when compared to intraventricular monitors in all care and clinical settings. This is particularly valuable when uninterrupted cerebrospinal fluid drainage is desirable. Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-011-9300-6Authors John Vender, Department of Neurosurgery, Medical College of Georgia, BI 3088, 1120 15th St, 30912 Augusta, GeorgiaJennifer Waller, Department of Biostatistics, Medical College of Georgia, BI 3088, 1120 15th St, 30912 Augusta, GeorgiaKrishnan Dhandapani, Department of Neurosurgery, Medical College of Georgia, BI 3088, 1120 15th St, 30912 Augusta, GeorgiaDennis McDonnell, Department of Neurosurgery, Medical College of... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5251670 Thu, 22 Sep 2011 05:54:00 +0100 5251670 http://www.medworm.com/index.php?rid=5239299&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4815676227473140%2F Conclusions  The present study in cardiac surgical patients suggests that cardioplegia associated to CPB has no significant impact on the occurrence of LP, irrespective of surgery performed. Content Type Journal ArticlePages 1-6DOI 10.1007/s10877-011-9305-1Authors N. Schütz, Division of Cardiology, Department of Internal Medicine, Geneva University Hospitals, Geneva, SwitzerlandJ. -A. Romand, Division of Intensive Care, Department of APSI, Médecin Adjoint Agrégé, Geneva University Hospitals, Intensive Care Unit, Rue Micheli-du-Crest 24, 1205 Geneva, SwitzerlandN. D. Yanez, Department of Biostatistics, University of Washington, Seattle, WA, USAM. M. Treggiari, Department of Anaesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA,... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5239299 Mon, 19 Sep 2011 15:40:35 +0100 5239299 http://www.medworm.com/index.php?rid=5239300&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F922n081094172135%2F Conclusion  This study showed a significant increase in the PVI and a negative correlation between the changes in PVI and PI before and after the skin incision. The PVI can be calculated from the variations in the PI caused not by mechanical ventilation, but rather by fluctuations in vasomotor tone. When using the PVI as an indicator for fluid responsiveness, it is crucial to pay attention to fluctuations in vasomotor tone induced by nociceptive stimuli. Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9298-9Authors Masaharu Takeyama, Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520 JapanAkira Matsunaga, Department of Anesthesiology and Cr... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5239300 Sat, 17 Sep 2011 17:06:58 +0100 5239300 http://www.medworm.com/index.php?rid=5176225&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6362876j71r0mn42%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10877-011-9295-zAuthors G. R. Mathews, The Electrode Company Ltd., New House, Llangwm, Usk, Monmouthshire, NP15 1HJ UKV. M. Hickson, The Electrode Company Ltd., New House, Llangwm, Usk, Monmouthshire, NP15 1HJ 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=5176225 Sat, 27 Aug 2011 15:48:28 +0100 5176225 http://www.medworm.com/index.php?rid=5171004&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxu112788n43135xr%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10877-011-9296-yAuthors Iljaz Hodzovic, Department of Anaesthetics, Intensive Care and Pain Medicine, Cardiff University, Cardiff, CF14 4XN UKAntony Robert Wilkes, Department of Anaesthetics, Intensive Care and Pain Medicine, Cardiff University, Cardiff, CF14 4XN 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=5171004 Fri, 26 Aug 2011 16:18:27 +0100 5171004 http://www.medworm.com/index.php?rid=5171005&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk71618927l273253%2F Abstract  One means of limiting the need for allogeneic blood transfusions is isovolemic hemodilution where blood is removed in the operating room and replaced with isotonic fluids to maintain euvolemia. Although the delivery of oxygen to the tissues is generally maintained by compensatory physiologic mechanisms, there are limited data evaluating tissue oxygenation in actual clinical practice. The current study evaluates the effects of isovolemic hemodilution on cerebral oxygenation using near-infrared spectroscopy (NIRS). NIRS was monitored and isovolemic hemodilution achieved in 12 pediatric patients who ranged in age from 12 to 16 years. After anesthetic induction, isovolemic hemodilution was carried out by phlebotomy and the collection of blood which was replaced w... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5171005 Thu, 25 Aug 2011 15:52:31 +0100 5171005 http://www.medworm.com/index.php?rid=5163767&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F568t15575xq75183%2F Conclusion  It is conceivable that the assessment of infrasonic emissions will become suitable both as a screening tool and for the continuous monitoring of ICP in an intensive care environment. Content Type Journal ArticlePages 1-8DOI 10.1007/s10877-011-9297-xAuthors Eduard Stettin, Department of Neurosurgery, German Armed Forces Hospital of Ulm, Oberer Eselsberg 40, 89070 Ulm, GermanyKlaus Paulat, Department of Mechatronics and Medical Engineering, University of Applied Sciences, Ulm, GermanyChris Schulz, Department of Neurosurgery, German Armed Forces Hospital of Ulm, Oberer Eselsberg 40, 89070 Ulm, GermanyUlrich Kunz, Department of Neurosurgery, German Armed Forces Hospital of Ulm, Oberer Eselsberg 40, 89070 Ulm, GermanyUwe Max Mauer, Department of Neurosurgery, G... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5163767 Tue, 23 Aug 2011 05:56:43 +0100 5163767 http://www.medworm.com/index.php?rid=5120708&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm44318073414027x%2F Conclusions  During an inspiratory hold pulmonary flow and aortic flow equilibrate. Cardiac output estimates by arterial pulse contour and by a flow probe around the aorta are interchangeable. Therefore, the venous return curve and Pmsf can be estimated accurately by pulse contour methods. Content Type Journal ArticlePages 1-9DOI 10.1007/s10877-011-9294-0Authors Jacinta J. Maas, Department of Intensive Care, H4Q, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The NetherlandsBart F. Geerts, Department of Anesthesiology, Leiden University Medical Center, Leiden, The NetherlandsJos R. C. Jansen, Department of Intensive Care, H4Q, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands Journal Journal of Clinical Monitori... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5120708 Wed, 10 Aug 2011 15:44:04 +0100 5120708 http://www.medworm.com/index.php?rid=5120709&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk448735h1m584428%2F Conclusion  Use of the SEDLine™ monitor’s data to titrate sevoflurane did not improve the time to extubation or change short-term outcome of geriatric surgical patients receiving beta-adrenergic blockers. (ClinicalTrials.gov number, NCT00938782). Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9293-1Authors David R. Drover, Department of Anesthesia, Stanford University, H3580, 300 Pasteur Drive, Stanford, CA 94305-5640, USAClifford Schmiesing, Department of Anesthesia, Stanford University, H3580, 300 Pasteur Drive, Stanford, CA 94305-5640, USAAnthea F. Buchin, Department of Anesthesia, Stanford University, H3580, 300 Pasteur Drive, Stanford, CA 94305-5640, USAH. Rick Ortega, iCAD Inc., Nashua, NH, USAJonathan W. Tanner, University of Pennsylvania Scho... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5120709 Wed, 10 Aug 2011 15:44:02 +0100 5120709 http://www.medworm.com/index.php?rid=5120710&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb143532508x7v876%2F Conclusion  The power of harmonics of pulse wave can be described by an exponential decay function with respect to the order of harmonics in both non-pregnant and pregnant women. The effects of pregnancy on the pulse wave are the reduction in the total power of pulse and the power of higher order harmonics, and the increase in the power of lower order harmonics in the power spectrum of pulse wave. This effect of pregnancy on the pulse wave might be caused by the decrease in vascular resistance during pregnancy, the increase in workload on the heart due to increased demand of the growing fetus, and the aortocaval compression caused by the progressively enlarged gravid uterus and fetus. Content Type Journal ArticlePages 1-9DOI 10.1007/s10877-011-9291-3Authors Yi-Ju ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5120710 Mon, 08 Aug 2011 19:52:09 +0100 5120710 http://www.medworm.com/index.php?rid=5064465&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv08gjn6h630191w5%2F Conclusions  This study demonstrates that changes in the depth of natural NREM sleep are reflected sensitively by changes in the WAVCNS index. Hence, WAVCNS index may serve as an automatic real-time indicator of depth of natural sleep with high temporal resolution, and can possibly be of great use for automated sleep staging in routine/postoperative somnographic studies. Content Type Journal ArticlePages 137-142DOI 10.1007/s10877-011-9290-4Authors Gracee Agrawal, NeuroWave Systems Inc., 2490 Lee Blvd, Suite 300, Cleveland Heights, OH 44118, USAMohammad Modarres, NeuroWave Systems Inc., 2490 Lee Blvd, Suite 300, Cleveland Heights, OH 44118, USATatjana Zikov, NeuroWave Systems Inc., 2490 Lee Blvd, Suite 300, Cleveland Heights, OH 44118, USAStephane Bibian, NeuroWave Sys... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5064465 Thu, 21 Jul 2011 18:05:23 +0100 5064465 http://www.medworm.com/index.php?rid=5010682&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn564g3l48t67431p%2F Conclusions  At least 50% of our survey respondents were currently using, installing, planning to install, or searching for an AIMS. However, the strength of any conclusion is undermined by a low survey response rate and potential bias as respondents using or searching for an AIMS may be more likely to participate. Nonetheless, challenges exist for anesthesiologists considering AIMS adoption including cost. Furthermore, important questions remain regarding payment for anesthesia services and the relationship of AIMS and “meaningful use” as defined by the Centers for Medicare & Medicaid Services. Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9289-xAuthors Terrence L. Trentman, Department of Anesthesiology, Mayo Clinic Arizona, 5777 E Mayo Blvd, Pho... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=5010682 Mon, 04 Jul 2011 16:17:51 +0100 5010682 http://www.medworm.com/index.php?rid=4987093&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk75h530527624160%2F Abstract  Cyanosis was used for a century after dentists began pulling teeth under 100% N2O in 1844 because brief (2 min) severe hypoxia is harmless. Deaths came with curare and potent anesthetic respiratory arrest. Leland Clark’s invention of a polarographic blood oxygen tension electrode (1954) was introduced for transcutaneous PO2 monitoring to adjust PEEP and CPAP PO2 to prevent premature infant blindness from excess O2 (1972). Oximetry for warning military aviators was tried after WW II but not used for routine monitoring until Takuo Aoyagi (1973) discovered an equation to measure SaO2 by the ratio of ratios of red and IR light transmitted through tissue as it changed with arterial pulses. Pulse oximetry (1982) depended on simultaneous technology improvements of ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4987093 Wed, 29 Jun 2011 15:52:12 +0100 4987093 http://www.medworm.com/index.php?rid=4987094&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl435x646g68785q4%2F Conclusion  This study of TCD in acute stroke in Omani population demonstrates a relatively higher burden of intracranial arterial disease. TCD changes are associated with type of stroke and outcome in this population. TCD is a simple and fairly useful method of evaluation in patients with acute stroke. Adopting TCD in evaluation of stroke patients may provide useful information regarding the pathophysiology which could enhance patient management. Content Type Journal ArticlePages 1-8DOI 10.1007/s10877-011-9288-yAuthors Arunodaya R. Gujjar, Departments of Medicine (Neurology), College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, PC 123 Muscat, OmanRanjan William, Radiology and Molecular Imaging, College of Medicine and Health Sciences, Sulta... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4987094 Tue, 28 Jun 2011 15:59:20 +0100 4987094 http://www.medworm.com/index.php?rid=4971269&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp65065l31v156463%2F Conclusions  Non-invasive contin- uous CO and CaO2 monitors are shown in this single case to provide continuous DO2 measurement. The ability to assess DO2 may improve hemodynamic monitoring during goal directed therapies. Content Type Journal ArticlePages 1-7DOI 10.1007/s10877-011-9287-zAuthors Garry M. Steil, Department of Medicine: Medicine Critical Care Program, Children’s Hospital Boston, 330 Longwood Avenue 11 South, Boston, MA 02115, USAOlive S. Eckstein, Department of Medicine: Medicine Critical Care Program, Children’s Hospital Boston, 330 Longwood Avenue 11 South, Boston, MA 02115, USAJulie Caplow, Department of Medicine: Medicine Critical Care Program, Children’s Hospital Boston, 330 Longwood Avenue 11 South, Boston, MA 02115, USAMichael S. D. Agus, Dep... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4971269 Tue, 21 Jun 2011 18:34:16 +0100 4971269 http://www.medworm.com/index.php?rid=4924020&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa5845743x7148g04%2F We describe and explain the influence of a left-to-right shunt on TPTD curve characteristics and EVLW measurements in a young child undergoing a surgical atrial septal defect repair. We suggest that these specific changes in the TPTD curve and the overestimation of EVLW detected by current device, in absence of gas exchange abnormalities, could be indicators of existing circulatory shunts in pediatric patients. Content Type Journal ArticlePages 1-4DOI 10.1007/s10877-011-9281-5Authors Geoffray Keller, Hospices Civils de Lyon, Groupement Hospitalier Est, Department of Anesthesiology and Intensive Care, Louis Pradel Hospital and Claude Bernard Lyon 1 University, INSERM ERI 22, Lyon, FranceOlivier Desebbe, Hospices Civils de Lyon, Groupement Hospitalier Est, Department of Anesthesio... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4924020 Wed, 08 Jun 2011 15:48:44 +0100 4924020 http://www.medworm.com/index.php?rid=4896430&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F214134m551v207vk%2F Abstract  Many cases of malignant hyperthermia triggered by volatile anesthetic agents have been described. However, to our knowledge, there has not been a report describing the precise changes in physiologic data of a human suffering from this process. Here we describe a case of malignant hyperthermia in which monitoring information was frequently and accurately captured by an anesthesia information management system. Content Type Journal ArticlePages 1-3DOI 10.1007/s10877-011-9285-1Authors Michael D. Maile, Department of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USARajesh A. Patel, Department of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USAJames M. Blum, Department of Ane... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4896430 Fri, 03 Jun 2011 05:59:35 +0100 4896430 http://www.medworm.com/index.php?rid=4896431&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw4p38676118135m3%2F Monitoring intra-cardiac shunts correction with transpulmonary thermodilution curve: the best is yet to come! Content Type Journal ArticlePages 1-2DOI 10.1007/s10877-011-9286-0Authors Karim Bendjelid, Intensive Care Service, Geneva University Hospitals, 1211 Geneva 14, Switzerland 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=4896431 Wed, 01 Jun 2011 05:50:27 +0100 4896431 http://www.medworm.com/index.php?rid=4855078&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F15183502v1074576%2F Abstract  Metabolic measurements using indirect calorimetry aid in nutritional assessment and management in intensive care units. They are used during weaning from mechanical ventilator and can calculate work of breathing also. We would like to report a case in which these monitors helped diagnose and manage a child with hypometabolism. Content Type Journal ArticlePages 1-2DOI 10.1007/s10877-011-9282-4Authors Tanvir Samra, Department of Anesthesia and Intensive Care, Dr Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, Connaught Place, New Delhi, 110001 IndiaSandeep Sharma, Department of Anesthesia and Intensive Care, Dr Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, Connaught Place, New Delhi, 110001 IndiaMridula Pawar, Department of Anesthesia and Intensive Care... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4855078 Wed, 18 May 2011 06:15:13 +0100 4855078 http://www.medworm.com/index.php?rid=4855079&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg207u888x5n25063%2F Conclusions  Our findings suggest that the Lightman can detect faulty probes and predict reasonably accurately the direction of the probe’s error. The Lightman may be considered as a useful tool to assess the accuracy of pulse oximeters. The national survey highlighted a wide variation in the testing procedure utilised to evaluate the accuracy of pulse oximeters. Introduction of guidelines regarding the testing procedure would promote a uniform practice. Content Type Journal ArticlePages 1-8DOI 10.1007/s10877-011-9283-3Authors Shuba Dugani, Department of Anaesthetics, Intensive Care and Pain Medicine, Cardiff University, Cardiff, CF14 4XN UKIljaz Hodzovic, Department of Anaesthetics, Intensive Care and Pain Medicine, Cardiff University, Cardiff, CF14 4XN UKSeema S... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4855079 Wed, 18 May 2011 06:15:12 +0100 4855079 http://www.medworm.com/index.php?rid=4749424&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe63771u83264g6p6%2F We report a patient with recurring convulsive seizures involving left side of his body in whom ECG served as a surrogate of electromyography (EMG), showing myogenic artifacts strongly correlated with clonic jerks. The possibility of standard ECG of recording myogenic potentials when clonic seizures occur is something intriguing, being at the same time both disturbing and informative. In such cases standard ECG works as an EMG, although ECG filter, sensitivity and paper speed is different from EMG currently used in neurophysiological laboratory. However, using standard ECG acquisition parameters, muscular activity may be recorded without excessive attenuation of high-frequency myogenic potentials, permitting to indicate the frequency of clonic movements. On the other hand, whenever po... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4749424 Thu, 21 Apr 2011 18:01:09 +0100 4749424 http://www.medworm.com/index.php?rid=4749425&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F620513365p675312%2F Conclusion  Agreement was poor between the BIS index measured by BIS VISTA™ and SE values at critical anesthesia time points in patients undergoing cardiac surgery. RE was a good predictor of arousal after surgical stimulation regardless of the surgical level of muscle relaxation. Index differences most likely resulted from different algorithms for calculating consciousness level. Content Type Journal ArticlePages 1-9DOI 10.1007/s10877-011-9280-6Authors Tadeusz Musialowicz, Department of Anesthesiology, Kuopio University Hospital, P.O. Box 1777, 70211 Kuopio, FinlandPasi Lahtinen, Department of Anesthesiology, Kuopio University Hospital, P.O. Box 1777, 70211 Kuopio, FinlandOtto Pitkänen, Department of Anesthesiology, Kuopio University Hospital, P.O. Box 1777, 7021... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4749425 Thu, 21 Apr 2011 18:01:08 +0100 4749425 http://www.medworm.com/index.php?rid=4710930&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3677277mk53761t3%2F Selected Abstracts Presented at the 21st Meeting of The European Society for Computing and Technology in Anaesthesia and Intensive Care (ESCTAIC) Content Type Journal ArticlePages 1-41DOI 10.1007/s10877-011-9276-2 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=4710930 Sun, 10 Apr 2011 05:52:13 +0100 4710930 http://www.medworm.com/index.php?rid=4687420&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm163u15778u61141%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s10877-011-9278-0Authors Stephen Edward Rees, Center for Model-Based Medical Decision Support Systems, Aalborg University, Niels Jernes vej 14, 4-313, DK-9220 Aalborg East, Denmark 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=4687420 Thu, 31 Mar 2011 16:52:04 +0100 4687420 http://www.medworm.com/index.php?rid=4617416&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6772lx4n565834u6%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s10877-011-9277-1Authors Sumalatha R. Shetty, Department of Anaesthesiology, K S Hegde Medical Academy, Mangalore, KA 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=4617416 Thu, 17 Mar 2011 18:28:34 +0100 4617416 http://www.medworm.com/index.php?rid=4537189&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl2049514v4498j66%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s10877-011-9275-3Authors Rob A. Phillips, School of Medicine, The University of Queensland, Brisbane, QLD AustraliaBrendan E. Smith, School of Biomedical Sciences, Charles Sturt University, Bathurst, NSW 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=4537189 Mon, 28 Feb 2011 17:14:41 +0100 4537189 http://www.medworm.com/index.php?rid=4503301&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9x619124j832p443%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10877-011-9274-4Authors Theodosios Theodosopoulos, Aretaieion Hopsital, Athens, GreeceAnneza Ioannis Yiallourou, Aretaieion Hopsital, Athens, GreeceEmmanouil Stamatakis, Aretaieion Hopsital, Athens, Greece 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=4503301 Thu, 17 Feb 2011 17:04:43 +0100 4503301 http://www.medworm.com/index.php?rid=4496252&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flt27671468024183%2F Arterial oxygenation during one-lung ventilation may not improve within 30 min Content Type Journal ArticlePages 1-2DOI 10.1007/s10877-011-9272-6Authors Seiji Ishikawa, Department of Anesthesiology, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences, Tokyo, Japan 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=4496252 Wed, 16 Feb 2011 06:55:57 +0100 4496252 http://www.medworm.com/index.php?rid=4346188&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk02470k632164k54%2F Abstract  Various pacemakers can now track diverse hemodynamic parameters that are useful in the management of patients with heart failure. Among these indicators, pulmonary fluid status can be monitored. To the best of our knowledge, this is the first case describing an agreement between a simultaneous detection of an increase in lung water by transthoracic impedance monitoring (OptiVolTM (Medtronic, Inc., Minneapolis, MN), and the transpulmonary thermodilution method (PiCCOTM, Pulsion Medical Systems, Munich, Germany) in a patient with acute pulmonary oedema. The present case suggests that transthoracic impedance monitoring could be a useful tool to guide therapy in critically ill patients with implanted devices and lung fluid congestion. Content Type Journal ArticlePa... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4346188 Tue, 11 Jan 2011 18:02:50 +0100 4346188 http://www.medworm.com/index.php?rid=4346189&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj73j600252965j55%2F Abstract  Blood pressure is a basic hemodynamic index often utilized to guide therapeutic interventions, especially in critically ill patients, patients with major vascular surgery or cardiac disorders. Ringing or resonance creates a potential for misdiagnosis and mismanagement. We have a simple solution to the ringing phenomenon. Content Type Journal ArticlePages 1-3DOI 10.1007/s10877-010-9271-zAuthors Sameer Sethi, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, PIN 160012 IndiaVirender Kumar Arya, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, PIN 160012 India Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Cli... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4346189 Mon, 10 Jan 2011 16:14:36 +0100 4346189 http://www.medworm.com/index.php?rid=4323161&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq10k75l313107u52%2F Abstract  Neurophysiologic monitors in the form of transcranial electric motor evoked potentials (tceMEPs) and somatosensory evoked potentials (SSEPs) have become widely used modalities to monitor spinal cord function during major orthopedic spine procedures. In combination with invasive and non-invasive clinical monitoring and an anesthesia information management system (AIMS), we promptly recognized an acute change in hemodynamic and neurophysiologic parameters, managed intraoperative spinal cord contusion, and successfully minimized iatrogenic injury to the spinal cord during corrective spine surgery. Content Type Journal ArticlePages 1-4DOI 10.1007/s10877-010-9268-7Authors A. P. Ambardekar, Department of Anesthesiology and Critical Care Medicine, The Children’s H... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4323161 Wed, 05 Jan 2011 16:50:36 +0100 4323161 http://www.medworm.com/index.php?rid=4319512&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F10h8l2u122452hw7%2F Conclusion. An acute nerve root injury may be detected by TcMEP monitoring. However, if the stimulating voltage is increased after injury, the response may or may not be affected. In complex spine procedures, adjustments to TcMEP stimulating parameters are often needed to maintain reproducible responses. However, if these changes are made during a period where injury might occur, this could mask the changes and lead to a false-negative interpretation. Content Type Journal ArticleDOI 10.1007/s10877-010-9269-6Authors Russ Lyon, Division of Operating Rooms, UCSF Hospitals, San Francisco, CA USAAnthony Gibson, Department of Orthopedic Surgery, UCSF, San Francisco, CA USAShane Burch, Department of Orthopedic Surgery, UCSF, San Francisco, CA USAJeremy Lieberman, Department of Anesthesi... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4319512 Tue, 04 Jan 2011 17:53:18 +0100 4319512 http://www.medworm.com/index.php?rid=4243074&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy47551p56u622213%2F Conclusion  While both BIS and M-Entropy monitors have been successfully used in closed-loop systems, we were unable to obtain a unique LTI model that could capture their dynamic behavior during step-wise changes in cortical activity. The uncertainty in their output during rapid changes in cortical activity impose limitations in the ability of the controller to compensate for rapid changes in patients’ cortical state, and pose additional difficulties in being able to provide mathematically proof for the stability of the overall closed-loop system. Conversely, the NeuroSENSE dynamic behavior can be fully captured by a linear and time invariant transfer function, which makes it better suited for closed-loop applications. Content Type Journal ArticleDOI 10.1007/s1087... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4243074 Mon, 06 Dec 2010 15:07:23 +0100 4243074 http://www.medworm.com/index.php?rid=4206574&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F17431322841p4032%2F Conclusions  Variability in MEP latencies between genders was due to differences in upper extremity length. Adjusting MEP latencies to upper limb length is recommended for more accurate comparison and meaningful interpretation between subjects. Hand dominance and gender do not significantly influence motor thresholds, MEP amplitude, or CMCT. Content Type Journal ArticleDOI 10.1007/s10877-010-9267-8Authors Scott C. Livingston, Department of Rehabilitation Sciences, College of Health Sciences, University of Kentucky, 900 South Limestone, Wethington 204C, Lexington, KY 40536-0200, USAHoward P. Goodkin, Departments of Neurology and Pediatrics, University of Virginia, Charlottesville, VA USAChristopher D. Ingersoll, College of Health Professions, Central Michigan Uni... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4206574 Thu, 25 Nov 2010 20:08:28 +0100 4206574 http://www.medworm.com/index.php?rid=4192903&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1w084743751463j4%2F Content Type Journal ArticleDOI 10.1007/s10877-010-9264-yAuthors Cody Hamilton, Department of Global Clinical Operations, Edwards Lifesciences, Irvine, CA USASteven Lewis, Department of Global Clinical Operations, Edwards Lifesciences, Irvine, CA 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=4192903 Sat, 20 Nov 2010 17:50:52 +0100 4192903 http://www.medworm.com/index.php?rid=4180408&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F927q1l337742303r%2F Conclusions  The numerical analysis computer model helps to delineate the mechanisms underlying how decreased × Q   \sc T resulted in decreased exhaled CO2. The model permitted deconvolution of the effects of simultaneous variables and the interrogation of parameters that would be difficult to measure in actual experiments. Content Type Journal ArticleDOI 10.1007/s10877-010-9263-zAuthors Peter H. Breen, Department of Anesthesiology and Perioperative Care, University of California-Irvine, UCI Medical Center, Building 53, Room 227, 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=4180408 Tue, 16 Nov 2010 19:25:02 +0100 4180408 http://www.medworm.com/index.php?rid=4176589&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa1772015224219w2%2F Conclusions  Provides an alternative method to measure the changes of pulmonary blood flow during OLV. The percent changes of regional pulmonary blood flow decreased immediately after OLV, and decreased by 60% at 30 min OLV. Content Type Journal ArticleDOI 10.1007/s10877-010-9262-0Authors Quan Gong, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, ChinaZhanyun Yang, Department of Anesthesiology, Jilin People’s Hospital, Shandong, ChinaWei Wei, Department of Anesthesiology, West China Hospital, Sichuan University, No 37, Guo-xue-xiang, 610041 Chengdu, Sichuan, People’s Republic of China Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Com... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4176589 Sat, 13 Nov 2010 06:46:43 +0100 4176589 http://www.medworm.com/index.php?rid=4156484&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff23275x3n7r628l2%2F Conclusions. Modulating oxygenation and ventilation in anesthetized patients without vascular disease leads to measurable changes in rSO2. Content Type Journal ArticleDOI 10.1007/s10877-010-9265-xAuthors Paul Picton, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI USAAmy Shanks, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI USAPerma Dorje, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI USAGeorge A. Mashour, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI 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=4156484 Tue, 09 Nov 2010 07:50:46 +0100 4156484 http://www.medworm.com/index.php?rid=4111208&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc453n11216253546%2F Abstract  In the present investigation, the data sets of NCD (Non Communicable Diseases) risk factors, a standard report of Saudi Arabia 2005, in collaboration with WHO (World Health Organisation) were employed. The Oracle Data Miner (ODM) tool was used for the analysis and prediction of data. The data sets for different age groups in case of blood pressure treatment for hypertension for male using different modes had been studied. The age group was in between of 15 and 64 years. Data mining had been an appropriate and sufficiently sensitive method to analyze the outcomes of which mode of treatment is more effective to which age group. The five age group of NCD data had been put into two age groups of young and old denoted as ‘Y’ and ‘O’ respectively. Data mini... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4111208 Wed, 27 Oct 2010 05:49:27 +0100 4111208 http://www.medworm.com/index.php?rid=4111209&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx71520un73453116%2F Abstract  Central venous catheters are commonly used in the management of critically ill patients. Their insertion can be challenging in hemodynamically unstable patients and in those with altered thoracic anatomy. Although ultrasound guided insertion can reduce this problem, this facility may not be available in all locations and in all institutions. Accidental arterial puncture is one of the very serious complications that can occur during central venous catheter insertion. This is usually detected clinically by bright color and projectile/pulsatile flow of the returning blood. However, such means are known to be misleading especially in hypoxic and hemodynamically unstable patients. Other recognized measures used to identify arterial puncture would be blood gas analysis ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=4111209 Sat, 23 Oct 2010 15:47:23 +0100 4111209 http://www.medworm.com/index.php?rid=3917324&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff879w60536j6517t%2F Conclusions  A rapid infusion of 250–500 ml of a crystalloid in nearly healthy subjects who had fasted overnight returned their SVV to within the normal range. In such cases, SVV is a more sensitive predictor of fluid responsiveness than is PVI, and the infusion gradually increased SVI. Content Type Journal ArticleDOI 10.1007/s10877-010-9259-8Authors Zen’ichiro Wajima, Department of Anesthesiology, Shioya Hospital, International University of Health and Welfare, 77 Tomita, Yaita-shi, Tochigi, 329-2145 JapanToshiya Shiga, Department of Anesthesiology, Kaken Hospital, Chiba, JapanKazuyuki Imanaga, Department of Anesthesia, New Tokyo Hospital, Chiba, JapanTetsuo Inoue, Department of Anesthesia, Chiba-Hokusoh Hospital, Nippon Medical School, Chiba, Japan ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3917324 Mon, 30 Aug 2010 05:57:56 +0100 3917324 http://www.medworm.com/index.php?rid=3912447&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2014462385223534%2F Conclusions  Hypovolemia and dobutamine differentially alter Pmsf, Rsys, Rv and Rv/Rsys ratio. The increase in CO during dobutamine infusion was attributed to the combined increased cardiac function and decreased Rv. The decrease in CO with hypovolemia was due to a decreased Pmsf but was partly compensated for by a decrease in Rv tending to preserve venous return and thus CO. Content Type Journal ArticleDOI 10.1007/s10877-010-9258-9Authors Bart F. Geerts, Department of Anesthesiology, Leiden University Medical Center, P-05, Albinusdreef 2, P.O. box 9600, 2300 RC Leiden, The NetherlandsJacinta J. Maas, Department of Intensive Care Medicine, Leiden University Medical Center, Leiden, The NetherlandsLeon P. Aarts, Department of Anesthesiology, Leiden University Medical C... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3912447 Fri, 27 Aug 2010 17:14:52 +0100 3912447 http://www.medworm.com/index.php?rid=3897506&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F075t65112t561741%2F Conclusions  Although different in their concepts, the traditional and modern approaches based on mathematical models can be seen as complementary giving, in principle, the same information about the acid–base status of plasma. Content Type Journal ArticleDOI 10.1007/s10877-010-9250-4Authors S. Matousek, Institute of Pathological Physiology, First Faculty of Medicine, Charles University in Prague, Prague, Czech RepublicJ. Handy, Department of Anaesthetics, Pain Medicine and Intensive Care, Chelsea and Westminster Hospital, London, UKS. E. Rees, Center for Model-Based Medical Decision Support, Institute for Health Science and Technology, Aalborg University, Fredrik Bajers vej 7E, 9220 Aalborg, Denmark Journal Journal of Clinical Monitoring and ComputingOnline ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3897506 Mon, 23 Aug 2010 17:58:33 +0100 3897506 http://www.medworm.com/index.php?rid=3897505&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg584166142073p83%2F Conclusions  Sugammadex does not affect level of anesthesia as determined by BIS or entropy levels. Content Type Journal ArticleDOI 10.1007/s10877-010-9257-xAuthors Hanna Illman, Department of Anesthesiology, Intensive Care, Emergency Care and Pain Medicine, Turku University Hospital, P.O. Box 52, Kiinamyllynkatu 4-8, 20520 Turku, FinlandHeikki Antila, Department of Anesthesiology, Intensive Care, Emergency Care and Pain Medicine, Turku University Hospital, P.O. Box 52, Kiinamyllynkatu 4-8, 20520 Turku, FinlandKlaus T. Olkkola, Department of Anesthesiology, Intensive Care, Emergency Care and Pain Medicine, Turku University Hospital, P.O. Box 52, Kiinamyllynkatu 4-8, 20520 Turku, Finland 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=3897505 Mon, 23 Aug 2010 17:58:33 +0100 3897505 http://www.medworm.com/index.php?rid=3897507&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp263v3k314054412%2F Abstract  The functionality and rate of implementation of Anesthesia Information Management Systems (AIMS) has markedly risen over the past decade. These systems have now become much more than the generic automated record keepers, originally proposed and developed in the 1980s. AIMS have now become complex integrated systems, which have been shown to improve patient care and, in some cases, the financial performance of a department. Although the underlying technology has improved greatly over the past 5 years, the process of selecting and completing an AIMS installation still presents a number of challenges, and must be approached carefully in order to maximize the benefits provided by these systems. Content Type Journal ArticleDOI 10.1007/s10877-010-9256-yAuthors ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3897507 Mon, 23 Aug 2010 17:58:32 +0100 3897507 http://www.medworm.com/index.php?rid=3874227&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg566576245168541%2F Abstract  Ultrasound (US) imaging is an indispensible technique for detection of abdominal stones which are a serious health hazard. Segmentation of stones from abdominal ultrasound images presents a unique challenge because these images contain strong speckle noise and attenuated artifacts. In clinical situations where a large number of stones must be identified, traditional methods such as manual identification become tedious and lack reproducibility too. The necessity of obtaining high reproducibility and the need to increase efficiency motivates the development of automated and fast procedures that segment out stones of all sizes and shapes in medical images by applying image segmentation techniques. In this paper we present and compare two fully automatic and unsupervi... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3874227 Mon, 16 Aug 2010 18:05:11 +0100 3874227 http://www.medworm.com/index.php?rid=3866119&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw40t7xp44232hhhn%2F Conclusions  This fully automatic image recognition system was used successfully to discriminate airway carina and non-carina endotracheal tube positioning. The system had a 100% success rate using a mannequin model and therefore further investigation including live tissue model and human research should follow. Content Type Journal ArticleDOI 10.1007/s10877-010-9253-1Authors Dror Lederman, Department of Radiology, University of Pittsburgh School of Medicine, 3362 Fifth Avenue, Pittsburgh, 15213 PA USAMicha Y. Shamir, Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monit... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3866119 Thu, 12 Aug 2010 18:44:02 +0100 3866119 http://www.medworm.com/index.php?rid=3866120&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07646w1r48721v12%2F Conclusions  We confirmed that light intensity significantly and exponentially decreased with the increased length of the soaked fiber. This phenomena could ideally, clinically be applied to a bleed sensor. Content Type Journal ArticleDOI 10.1007/s10877-010-9255-zAuthors Akihiro Takeuchi, Department of Medical Informatics, School of Allied Health Sciences, Kitasato University, 1-15-1 Kitasato, Minami, Sagamihara, Kanagawa 252-0373, JapanTomohiro Miwa, Graduate School of Medical Sciences, Kitasato University, Sagamihara, JapanMasuo Shirataka, Graduate School of Medical Sciences, Kitasato University, Sagamihara, JapanMinoru Sawada, Junkosha Co., Ltd, Ishibashi, Sakaigawa, Fuefuki, Yamanashi JapanHaruo Imaizumi, Junkosha Co., Ltd, Ishibashi, Sakaigawa, Fuefuki, Yamanashi... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3866120 Mon, 09 Aug 2010 19:37:02 +0100 3866120 http://www.medworm.com/index.php?rid=3818735&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg1p7725j13448472%2F Conclusions  During anesthesia maintained with desflurane or propofol, surgical incision has modest effects on the EEG patterns. It does not cause an increase in high frequency power; the most consistent changes are a loss of EFA amplitude and burst suppression patterns. This effect is not strongly modified by the depth of anesthesia—as estimated by the BIS. Content Type Journal ArticleDOI 10.1007/s10877-010-9251-3Authors James W. Sleigh, Waikato Hospital Department of Anesthesia, Waikato Clinical School of the University of Auckland Hamilton 3206 New ZealandKate Leslie, University of Melbourne Department of Anesthesia and Pain Management, Royal Melbourne Hospital Melbourne AustraliaLogan Voss, Waikato Hospital Department of Anesthesia, Waikato Clinical School of t... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3818735 Mon, 02 Aug 2010 20:06:57 +0100 3818735 http://www.medworm.com/index.php?rid=3810313&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6m3k3739773g3344%2F Conclusions  Parallelized PF’s performance makes their application to complex mathematical models of physiology for the purpose of clinical data interpretation, prediction, and therapy optimization appear promising. JSPE in the described extremely underdetermined scenario nevertheless extracted information of potential clinical relevance from the data in this simulation setting. However, fully satisfactory resolution of this problem when minimal prior knowledge about parameter values is available will require further methodological improvements, which are discussed. Content Type Journal ArticleDOI 10.1007/s10877-010-9252-2Authors Sven Zenker, University of Bonn Medical Center Department of Anaesthesiology and Intensive Care Medicine Sigmund-Freud-Str. 25 53105 Bo... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3810313 Fri, 30 Jul 2010 17:01:58 +0100 3810313 http://www.medworm.com/index.php?rid=3785342&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj227484v34k84520%2F Conclusion  In patients with severe sepsis or septic shock, non invasive recording of Masseter-StO2 was significantly associated with ScvO2 Further studies are required to determine the usefulness of Masseter-StO2 guided management of severe sepsis or septic shock. Content Type Journal ArticleDOI 10.1007/s10877-010-9247-zAuthors Olivier Nardi, University of Versailles Saint Quentin en Yvelines General Intensive Care Unit, Raymond Poincaré Hospital (AP-HP) 104 Boulevard Raymond Poincaré 92380 Garches FranceHélène Gonzalez, University of Versailles Saint Quentin en Yvelines General Intensive Care Unit, Raymond Poincaré Hospital (AP-HP) 104 Boulevard Raymond Poincaré 92380 Garches FranceAbdallah Fayssoil, University of Versailles Saint Quentin en Yvelines General ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3785342 Fri, 23 Jul 2010 12:17:26 +0100 3785342 http://www.medworm.com/index.php?rid=3785343&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr2258u75j53g1712%2F Content Type Journal ArticleDOI 10.1007/s10877-010-9249-xAuthors L. Silvestri, Unit of Anesthesia and Intensive Care Department of Emergency Presidio Ospedaliero, Via Fatebenefratelli 34 34170 Gorizia ItalyH. K. F. van Saene, University of Liverpool School of Clinical Sciences Liverpool UKS. Tomasino, Unit of Anesthesia and Intensive Care Department of Emergency Presidio Ospedaliero Gorizia ItalyN. Taylor, University of Liverpool School of Clinical Sciences Liverpool 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=3785343 Fri, 23 Jul 2010 12:17:25 +0100 3785343 http://www.medworm.com/index.php?rid=3785344&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F123154w70t113366%2F In this study, we compared the SNAP II (Stryker Instruments, Kalamazoo, MI USA) and BIS VISTA (Aspect Medical Systems, Newton, MA USA) monitors’ primary metrics (SI and BIS, respectively) in terms of correlation, agreement and responsiveness to return to preoperative baseline in surgical cases involving general anesthesia. Methods  With institutional approval and written informed consent, 33 patients received general anesthesia with isoflurane while undergoing abdominal surgery. We attached both the SNAP II and BIS VISTA electrodes to each patient. We collected data from each monitor simultaneously and continuously, beginning just prior to induction and ending after extubation. Each monitor’s level-of-consciousness index is a unit less metric that ranges from 0 ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3785344 Fri, 23 Jul 2010 12:17:24 +0100 3785344 http://www.medworm.com/index.php?rid=3778459&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd235m4k6481p96hr%2F Conclusions. This work introduces new algorithms for PPG analysis. Three algorithms (VenSat, VenInstSat, and RespDC) succeed in detecting lower saturation blood. The next step is to confirm the accuracy of the measurement by comparing them to a gold standard (i.e., venous blood gas). Content Type Journal ArticleDOI 10.1007/s10877-010-9248-yAuthors Zachary D. Walton, Yale University School of Medicine Department of Anesthesiology 333 Cedar Street P.O. Box 208051 New Haven CT 06520-8051 USAPanayiotis A. Kyriacou, City University School of Engineering and Mathematical Sciences London UKDavid G. Silverman, Yale University School of Medicine Department of Anesthesiology 333 Cedar Street P.O. Box 208051 New Haven CT 06520-8051 USAKirk H. Shelley, Yale University School of Medicine Depar... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3778459 Mon, 19 Jul 2010 17:49:21 +0100 3778459 http://www.medworm.com/index.php?rid=3778460&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl162606271705t0j%2F Conclusions  The proposed strategy permits to forecast the incidence of the urinary tract nosocomial infections by using repeated measures of prevalence. It is hence possible to estimate the incidence from cross-sectional prevalence data with sufficient accuracy to monitor and estimate the time dynamics of these infections. Content Type Journal ArticleDOI 10.1007/s10877-010-9244-2Authors Francesco Salvarani, University of Pavia Department of Mathematics Pavia ItalyMichele Nichelatti, Service of Biostatistics, Niguarda Cà Granda Hospital Milan ItalyCristina Montomoli, University of Pavia Department of Applied Health Sciences, Section of Medical Statistics and Epidemiology Via Agostino Bassi, 21 27100 Pavia Italy Journal Journal of Clinical Monitoring and Compu... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3778460 Mon, 19 Jul 2010 17:49:14 +0100 3778460 http://www.medworm.com/index.php?rid=3774136&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frg3g82j1116h1055%2F Abstract  Monitoring the oxygenation status of patients with poor peripheral perfusion or ischemic peripheries is challenging in view of unreliable or unrecordable pulse oximeter data. In this article we describe a very simple and innovative technique of using the arterial line for reliable recording of arterial oxygen saturation (SpO2) in such patients. We conclude that the arterial line can be used as an extension of the artery and SpO2 may be reliably measured using the arterial line in such patients as long as the blood in the arterial tubing is pulsatile and a good contact is ensured between the arterial tubing and the sensor of the pulse oximeter. Content Type Journal ArticleDOI 10.1007/s10877-010-9245-1Authors Goneppanavar Umesh, Kasturba Medical College Departme... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3774136 Fri, 16 Jul 2010 07:22:46 +0100 3774136 http://www.medworm.com/index.php?rid=3774137&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr766422324150447%2F Conclusions  Capnography has been proven to be a useful non-invasive perioperative monitor of the physiology and safety of the child. This list of the clinical applications and interpretations of capnography could find use in teaching and simulation in pediatrics. Content Type Journal ArticleDOI 10.1007/s10877-010-9243-3Authors Naveen Eipe, The Ottawa Hospital (TOH) Ottawa ON CanadaDermot R. Doherty, Children’s Hospital of Eastern Ontario (CHEO) Department of Anesthesiology and Intensive 401 Smyth Road Ottawa ON K1H 8L1 Canada 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=3774137 Fri, 16 Jul 2010 07:22:45 +0100 3774137 http://www.medworm.com/index.php?rid=3748158&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc59006n33rt92534%2F Conclusions  Understanding the dif- ferences between FCM and LSCM can assist investigators in planning and design of their research or clinical testing. Researchers and clinicians optimize these technique capa- bilities with the cellular characteristics they wish to measure delineating molecular and cellular events occurring in health and disease. Discovery of mechanisms in cells using FCM and LSCM provide evidence needed to guide future treatment and interventions. Content Type Journal ArticleDOI 10.1007/s10877-010-9242-4Authors William J. Mach, University of Kansas School of Nursing Mail Stop 4043, 3901 Rainbow Blvd. Kansas City KS 66160 USAAmanda R. Thimmesch, University of Kansas School of Nursing Mail Stop 4043, 3901 Rainbow Blvd. Kansas City KS 66160 USAJames ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3748158 Mon, 12 Jul 2010 06:19:47 +0100 3748158 http://www.medworm.com/index.php?rid=3688872&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff1408252p10p37l0%2F Conclusions  The USCOM-1A hemodynamic monitoring technology showed poor correlation and agreement to standard transthoracic echocardiography measures of cardiac function. The utility of USCOM-1A in the management of critically ill patients remains to be determined. Content Type Journal ArticleDOI 10.1007/s10877-010-9240-6Authors H. Bryant Nguyen, Loma Linda University Department of Emergency Medicine, Loma Linda University Medical Center 11234 Anderson Street, Room A108 Loma Linda CA 92354 USADaryl P. Banta, Loma Linda University Division of Pulmonary and Critical Care Medicine, Department of Medicine Loma Linda CA USAGail Stewart, Loma Linda University Division of Pediatric Emergency Medicine Loma Linda CA USATommy Kim, Loma Linda University Division of Pediatric Eme... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3688872 Sun, 20 Jun 2010 23:29:30 +0100 3688872 http://www.medworm.com/index.php?rid=3677933&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F57275560205565l8%2F Discussion  Patient-specific drug sensitivity identifi- cation significantly improved the prediction of future MAP. By predicting and displaying the expected MAP 5 min in the future, the advisory system helped nurses titrate faster, reduced their perceived workload and might improve patient safety. Content Type Journal ArticleDOI 10.1007/s10877-010-9238-0Authors Matthias Görges, University of Utah Department of Anesthesiology 30 N. 1900 E., SOM 3C444 Salt Lake City UT 84132 USADwayne R. Westenskow, University of Utah Department of Anesthesiology 30 N. 1900 E., SOM 3C444 Salt Lake City UT 84132 USAKai Kück, Drägerwerk AG & Co. KGaA, Moislinger Allee 53-55, 23542 Research Lübeck GermanyJoseph A. Orr, University of Utah Department of Anesthesiology 30 N... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3677933 Fri, 18 Jun 2010 10:36:16 +0100 3677933 http://www.medworm.com/index.php?rid=3677932&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm9r8236q2n08213n%2F Abstract  A sidestream gas analyzer samples gases from a sampling port in an adapter placed in a breathing circuit. Kinking of the sampling line of the sidestream capnogram is not an uncommon problem during head and neck surgeries. We have identified the main problem for kinking of the sampling line in head and neck surgeries to be its vertical origin from the connecting point of the breathing circuit. Angled attachment of the sampling line at its connection to the breathing circuit can minimize this problem of kinking significantly as has been shown by our study. Content Type Journal ArticleDOI 10.1007/s10877-010-9237-1Authors Mike Young, University of California Clinical Engineering Oakland CA USAGoneppanavar Umesh, Kasturba Medical College Department of Anaesthesiol... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3677932 Fri, 18 Jun 2010 10:36:16 +0100 3677932 http://www.medworm.com/index.php?rid=3677931&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw88710q866227167%2F Abstract  Here we comment on the paper entitled “A novel laparoscopic pulse oximeter device. An easy, efficient and cost-effective way of detecting arterial structures.” authored by Theodosopoulos et al., and recently published in the April issue of the Journal of Clinical Monitoring and Computing. Content Type Journal ArticleDOI 10.1007/s10877-010-9239-zAuthors S. M. López-Silva, IMM—Instituto de Microelectrónica de Madrid, CNM, CSIC 28760 Madrid SpainM. L. Dotor, IMM—Instituto de Microelectrónica de Madrid, CNM, CSIC 28760 Madrid SpainR. Giannetti, DEA, Universidad Pontificia Comillas de Madrid 28015 Madrid Spain Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring and Co... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3677931 Fri, 18 Jun 2010 10:36:16 +0100 3677931 http://www.medworm.com/index.php?rid=3654125&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk1t641035hr4ku90%2F Content Type Journal ArticleDOI 10.1007/s10877-010-9241-5Authors Phillip D. Levin, Hadassah Hebrew University Medical Center Department of Anesthesiology and Critical Care Medicine POB 12000 91120 Jerusalem IsraelAlexander Avidan, Hadassah Hebrew University Medical Center Department of Anesthesiology and Critical Care Medicine POB 12000 91120 Jerusalem Israel 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=3654125 Wed, 09 Jun 2010 09:12:43 +0100 3654125 http://www.medworm.com/index.php?rid=3650382&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe5k4770l78612424%2F Conclusions  When the Oscar 2 does not indicate a fault has occurred, clinicians may be confident the mean pressure, within acceptable limits, is accurate, even during ambulance motion, administration of high doses of vasopressors and mechanical ventilation. The Oscar 2 appears to be an accurate and rugged out-of-hospital device. Content Type Journal ArticleDOI 10.1007/s10877-010-9236-2Authors Sandy Muecke, Flinders University Department of Critical Care Medicine, Level 3, Flinders Medical Centre Flinders Drive, Bedford Park Adelaide SA 5042 AustraliaAndrew Bersten, Flinders University Department of Critical Care Medicine, Level 3, Flinders Medical Centre Flinders Drive, Bedford Park Adelaide SA 5042 AustraliaJohn Plummer, Flinders Medical Centre Pain Management Unit... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3650382 Mon, 07 Jun 2010 17:11:57 +0100 3650382 http://www.medworm.com/index.php?rid=3571353&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwjn7733687627t41%2F Conclusion  The present search in scientific literature demonstrates that the haemodynamic variable ventricular stroke work, which is used daily by thousands of medical doctors and scientists, was specified in an incorrect manner for 56 years in the majority of scientific papers. A correct unit of measurement, of course, is an imperative condition when comparing scientific papers. The aim of this publication is the elimination of incorrect units of measurement of the ventricular stroke work variable in all future scientific papers. Moreover, the present work facilitates the interpretation of at least some of the studies containing the ventricular stroke work variable published up to now. Content Type Journal ArticleDOI 10.1007/s10877-010-9234-4Authors Wolfgan... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3571353 Sun, 16 May 2010 07:04:31 +0100 3571353 http://www.medworm.com/index.php?rid=3561926&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl05v9441n8600472%2F Conclusion  ΔRDII and ΔPP are related in this setting. Content Type Journal ArticleDOI 10.1007/s10877-010-9235-3Authors Maxime Cannesson, University of California, Irvine Department of Anesthesiology & Perioperative Care, School of Medicine 333 City Boulevard West Side Orange CA 92868-3301 USAGeoffray Keller, Louis Pradel Hospital and Claude Bernard Lyon 1 University, INSERM ERI 22 Hospices Civils de Lyon, Groupement Hospitalier Est, Department of Anesthesiology and Intensive Care Lyon FranceOlivier Desebbe, Louis Pradel Hospital and Claude Bernard Lyon 1 University, INSERM ERI 22 Hospices Civils de Lyon, Groupement Hospitalier Est, Department of Anesthesiology and Intensive Care Lyon FranceJean-Jacques Lehot, Louis Pradel Hospital and Claude Bernard Lyon 1 University,... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3561926 Tue, 11 May 2010 08:12:07 +0100 3561926 http://www.medworm.com/index.php?rid=3561927&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk1g1w62573220705%2F Conclusion  We produced a new skin protec- tive reusable sphygmomanometer cuff. Content Type Journal ArticleDOI 10.1007/s10877-010-9233-5Authors Eri Gi, Sapporo Medical University Department of Anesthesiology, School of Medicine South 1-West 16 Chuo-ku, Sapporo, Hokkaido 060-8543 JapanHiroaki Watanabe, Sapporo Medical University Department of Anesthesiology, School of Medicine South 1-West 16 Chuo-ku, Sapporo, Hokkaido 060-8543 JapanShigekazu Sugino, Sapporo Medical University Department of Anesthesiology, School of Medicine South 1-West 16 Chuo-ku, Sapporo, Hokkaido 060-8543 JapanTada-aki Kawae, Sapporo Medical University Division of Operative Facilities South 1-West 16 Chuo-ku, Sapporo, Hokkaido 060-8543 JapanAkiyoshi Namiki, Sapporo Medical University Department of An... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3561927 Tue, 11 May 2010 08:12:06 +0100 3561927 http://www.medworm.com/index.php?rid=3502259&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl2666hl83gm99897%2F We report an interesting case where a reservoir bag twisted around its own neck and resulted in a tight bag situation. The neck portion of the reservoir bag would be hidden from the view of anesthesiologists in head and neck surgery and hence it is easier to miss early recognition of the twist. We caution all anesthesiologists using the disposable modified Jackson-Rees breathing system to be aware of such an eventuality. We also urge the manufacturer to consider strengthening the neck of the reservoir bag by improving the quality of the material used for its construction. Content Type Journal ArticleDOI 10.1007/s10877-010-9232-6Authors Goneppanavar Umesh, Kasturba Medical College Department of Anaesthesiology Manipal Karnataka 576 104 IndiaKaur Jasvinder, Kasturba Medical Colleg... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3502259 Fri, 23 Apr 2010 07:50:28 +0100 3502259 http://www.medworm.com/index.php?rid=3478414&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvu60431t24j817j1%2F Abstract  In the present review we will describe and discuss the physiological and technological background necessary in understanding the dynamic parameters of fluid responsiveness and how they relate to recent softwares and algorithms’ applications. We will also discuss the potential clinical applications of these parameters in the management of patients under general anesthesia and mechanical ventilation along with the potential improvements in the computational algorithms. Content Type Journal ArticleDOI 10.1007/s10877-010-9229-1Authors Maxime Cannesson, University of California Department of Anesthesiology & Perioperative Care Irvine, 333 City Boulevard West Side Orange CA 92868-3301 USAMateo Aboy, Oregon Institute of Technology Department of Electrical Engineeri... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3478414 Tue, 13 Apr 2010 18:17:59 +0100 3478414 http://www.medworm.com/index.php?rid=3430942&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6x56115p481m34w7%2F Abstract  A general formalism for calculating physiological acid–base balance in multiple compartments is extended to the combined interstitial, plasma, and erythrocyte multicompartment system in humans using the Siggaard-Andersen approximation for interstitial fluid. The resulting equations for total titratable base and strong ion difference reproduce the experimental in vivo carbon dioxide titration curve as well as the experimental strong ion difference value of the interstitial, plasma, and erythrocyte system in normal man. The “Boston rules” for compensation in acute respiratory acidosis and alkalosis are then derived analytically from the model. The Van Slyke equation for the interstitial, plasma, and erythrocyte system is also derived and shown to approximate t... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3430942 Wed, 31 Mar 2010 05:44:26 +0100 3430942 http://www.medworm.com/index.php?rid=3392323&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6w70984020010244%2F Abstract  The limits of agreement originally derived by Bland and Altman (Lancet i:307–310, 1986) are the most commonly used method for investigating statistical agreement between two medical devices. Bland and Altman describe a confidence interval for these limits that should always accompany the limits themselves. However, this interval presumes that the recorded differences between the two devices in question are independent. This is a reasonable assumption when only one measurement is recorded per device per patient. Bland and Altman (StatMethods Med Res 8:135–160, 1999) subsequently derived bounds for the more general case where multiple observations are recorded within each patient. Unfortunately, in practice, the bounds assuming independence are typically reported ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3392323 Sun, 21 Mar 2010 05:49:07 +0100 3392323 http://www.medworm.com/index.php?rid=3386422&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk3863v31w3731673%2F Abstract  End-tidal gas monitoring has become standard of care during inhaled general anaesthesia. We studied the performance of a new side stream gas monitor the ISA multi-gas monitor. The performance was studied at constant low flow of calibration gas and end-tidal anaesthetic measure was studied during routine day case anaesthesia. Pair wise readings of end-tidal halogenated anaesthetic concentration were recorded during low flow anaesthesia. Performance was found to be high; all calibration gas measures were within 0.1 vol% deviation. During routine anaesthesia mean bias was −0.036 vol% and 93 out of 97 pair-wise readings were within the agreement limits as compared to the reference Datex instrument. Content Type Journal ArticleDOI 10.1007/s10877-010-922... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3386422 Thu, 18 Mar 2010 15:25:20 +0100 3386422 http://www.medworm.com/index.php?rid=3376013&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm543848074550118%2F Conclusions  EBPG consensus includes: elevation of the head of the bed, use of daily “sedation vacations” and decontamination of the oropharynx. Technological solutions should aim to use the most comprehensive combination of subglottic suction of secretions, optimization of ETT cuff pressure and ultrathin cuffs. VAP is a type of hospital-acquired pneumonia that develops more than 48 h after endotracheal intubation. Its incidence is estimated to be 9–27%, with a mortality of 25–50% [Am J Respir Crit Care Med 171:388–416 (2005), Am J Med 85:499–506 (1988), Chest 122:2115–2121 (2002), Intensive Care Med 35:9–29 (2009)]. The most important target in VAP handling is its prevention. The aim of this article is to review the pathogenesis, epidemiology and the di... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3376013 Tue, 16 Mar 2010 14:50:01 +0100 3376013 http://www.medworm.com/index.php?rid=3371778&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxj76l17207m6t471%2F Conclusions  This study observed a moderate correlation between TEB and RNEC methods of CO measurement. Further studies are indicated to explore the relative utility of TEB in comparison with RNEC as well as other methods of CO measurement before considering its use in patients with ischemic heart disease. Content Type Journal ArticleDOI 10.1007/s10877-010-9225-5Authors Arunodaya R. Gujjar, National Institute of Mental Health and Neurosciences Bangalore 560029 IndiaK. Muralidhar, Narayana Hrudayalaya Institute of Cardiac Sciences Department of Anaesthesiology Bommasandra Industrial Area Anekal Taluk, Bangalore 560099 IndiaAbhijit Bhandopadhyaya, Narayana Hrudayalaya Institute of Cardiac Sciences Department of Anaesthesiology Bommasandra Industrial Area Anekal Taluk, ... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3371778 Sun, 14 Mar 2010 11:28:42 +0100 3371778 http://www.medworm.com/index.php?rid=3360922&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa3uh1216g66xm80m%2F Conclusions  Oxymetry placed in trachea provides a better monitoring for detecting rapid desaturation than in peripheral. Content Type Journal ArticleDOI 10.1007/s10877-010-9227-3Authors Li Wang, NO. 1 People’s Hospital of Yibin Department of Anesthesiology Yibin Sichuan ChinaWei Wei, Sichuan University Department of Anesthesiology, West China Hospital No 37 Guo-xue-xiang Street 610041 Chengdu Sichuan ChinaMing Gong, Sichuan University School of Physical Science and Technology Chengdu Sichuan ChinaLing Mu, Sichuan University Department of Anesthesiology, West China Hospital No 37 Guo-xue-xiang Street 610041 Chengdu Sichuan China Journal Journal of Clinical Monitoring and ComputingOnline ISSN 1573-2614Print ISSN 1387-1307 (Source: Journal of Clinical Monitoring a... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3360922 Thu, 11 Mar 2010 18:20:38 +0100 3360922 http://www.medworm.com/index.php?rid=3356216&cid=s_33344_21_f&fid=33344&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Faw4p5v02620m2364%2F Abstract  The introduction of laparoscopy has revolutionized surgery. However, these new techniques have brought new problems into the surgical field. Due to the loss of depth and tactile sensation, time- consuming efforts must be made in order to identify normal anatomy and detect any aberrations. Even well experienced surgeons could face difficulties during demanding procedures, such as operations on inflammatory conditions. Therefore, there is still a strong need for developing additional tools to help mapping the anatomy. We designed a laparoscopic pulse oximeter device, which offers an easy, efficient and cost- effective way of using pulse oximetry in combination with a standard laparoscopic clamp in order to identify arterial structures. Content Type Journal Artic... Journal of Clinical Monitoring and Computing journals http://www.medworm.com/rss/comments.php?id=3356216 Wed, 10 Mar 2010 13:21:02 +0100 3356216 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