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Comparison of different monitors for measurement of nociception during general anaesthesia: a network meta-analysis of randomised controlled trials.
Br J Anaesth
November 2024
Department of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands.
Article Synopsis
- A systematic search and network meta-analysis was conducted to compare various nociception monitors during general anesthesia, focusing on their effectiveness in managing opioid consumption.
- The study aggregated data from 38 randomized controlled trials involving 3,412 patients, evaluating the impact of five different nociception monitoring techniques.
- Results indicated that the Pupillometry monitor was particularly effective, showing a significant reduction in intraoperative opioid use compared to standard care and another monitor, SPI.
Association Between Finger Plethysmographic Features and Impedance-Based Thoracic Fluid Content Measurement in a Lower Body Negative Pressure Model of Hemorrhagic Shock.
Mil Med
November 2024
Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Introduction: Timely identification of the need for lifesaving intervention in battlefield conditions may be improved through automated monitoring of the injured warfighter. Technologies that combine maximal noninvasive insight with minimal equipment footprint give the greatest opportunity for deployment at scale with inexperienced providers in forward areas. Finger photoplethysmography (PPG) signatures are associated with impending hemorrhagic shock but may be insufficient alone.
View Article and Find Full Text PDFAssessment of fluid responsiveness using pulse pressure variation, stroke volume variation, plethysmographic variability index, central venous pressure, and inferior vena cava variation in patients undergoing mechanical ventilation: a systematic review and meta-analysis.
Crit Care
August 2024
Department of Intensive Care, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Importance: Maneuvers assessing fluid responsiveness before an intravascular volume expansion may limit useless fluid administration, which in turn may improve outcomes.
Objective: To describe maneuvers for assessing fluid responsiveness in mechanically ventilated patients.
Registration: The protocol was registered at PROSPERO: CRD42019146781.
Association between the Serum Soluble Urokinase Plasminogen Activator Receptor and Peripheral Arterial Stiffness According to the Cardio-Ankle Vascular Index in Patients Undergoing Kidney Transplantation.
Rev Cardiovasc Med
June 2024
School of Medicine, Tzu Chi University, 97004 Hualien, Taiwan.
Background: High soluble urokinase plasminogen activator receptor (suPAR) levels are correlated with cardiovascular (CV) disease. Arterial stiffness is associated with aging-related vascular diseases and is an independent risk factor for CV morbidity and mortality. It can be measured by the cardio-ankle vascular index (CAVI).
View Article and Find Full Text PDFFeasibility of dynamic chest radiography to calculate lung volumes in adult people with cystic fibrosis: a pilot study.
BMJ Open Respir Res
May 2023
Department of Respiratory Medicine, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
Introduction: Dynamic chest radiography (DCR) is a novel, low-dose, real-time digital imaging system where software identifies moving thoracic structures and can automatically calculate lung areas. In an observational, prospective, non-controlled, single-centre pilot study, we compared it with whole-body plethysmography (WBP) in the measurement of lung volume subdivisions in people with cystic fibrosis (pwCF).
Methods: Lung volume subdivisions were estimated by DCR using projected lung area (PLA) during deep inspiration, tidal breathing and full expiration, and compared with same-day WBP in 20 adult pwCF attending routine review.
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