Introduction: Laerdal Learning Application (LLEAP)-compatible simulation manikins lack some specific functions that can be useful in anesthesia simulation scenarios. Our objective was to develop a software-based anesthesia workstation with a pharmacokinetic model for inhaled anesthetics for this simulation platform.
Methods: A Windows Presentation Foundation application that emulates an Aespire anesthesia workstation was created. The Gas Man simulator (Med Man Simulations) was used as a reference for the pharmacokinetic model. A concordance analysis was made between the results obtained by our model and the reference, in open and semiclosed circuit, in both 70- and 140-kg patients.
Results: The mean of the differences between the compartments was less than 0.01 vol% in all circumstances. The percentile rank P2.5 to P97.5 was less than 0.5 vol% in all compartments, except for the open circuit compartment.
Conclusions: No significant differences were found between both pharmacokinetic models. We consider that our software-based anesthesia workstation can be useful for simulating mechanical ventilation and halogenated administration in different scenarios.
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http://dx.doi.org/10.1097/SIH.0000000000000464 | DOI Listing |
Animals (Basel)
December 2024
College of Animal Science and Technology, Hebei Agricultural University, Baoding 071000, China.
Prolactin (PRL) plays a key role in the growth and ovulation of animal follicles, but its impact on follicular recruitment in ewes remains uncertain. In this study, a total of sixteen healthy ewes (Hu sheep, aged 2-3 years, with continuous reproduction and housed separately), matched for parity and weight (52.98 ± 0.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
December 2024
Department of Speech-Language Sciences, All India Institute of Speech & Hearing, Mysore, India.
The aim of the present study was three folds; (i) to correlate clinical case history with objective findings of a client presented with sternal discomfort along with odynophagia; (ii) to evaluate the cause for retrosternal discomfort using Functional Esophagoscopy (FE); and (iii) to reaffirm the Cook's (2008) algorithm for clinical diagnosis of esophageal dysphagia in single sitting using Transnasal Esophagoscopy (TNE). A 72 years old male (named 'G') visited a tertiary health care hospital with a complaint of imbalance for past 2 months. Also, had a complaint of pain while swallowing for the past 15 days along with left arm weakness (for past 2 days) and got admitted for treatment.
View Article and Find Full Text PDFFront Immunol
November 2024
Department of General Surgery (Hepatopancreatobiliary surgery), The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Pancreatic cancer (PC) is a very aggressive digestive system tumor, known for its high mortality rate, low cure rate, low survival rate and poor prognosis. In particular, pancreatic ductal adenocarcinoma (PADC), which accounts for more than 90% of PC cases, has an overall 5-year survival rate of only 5%, which is an extremely critical situation. Early detection and effective treatment of PC is extremely difficult, which leads many patients to despair.
View Article and Find Full Text PDFBiomed Tech (Berl)
October 2024
Department of Anaesthesiology, Medical Faculty, University Hospital RWTH Aachen, Aachen, Germany.
Objectives: Discussion of a telemedical supervision system for anesthesiology in the operating room using the interoperable communication protocol SDC. Validation of a first conceptual demonstrator and highlight of strengths and weaknesses.
Methods: The system includes relevant medical devices, a central anesthesia workstation (AN-WS), and a remote supervision workstation (SV-WS) and the concept uses the interoperability standard ISO/IEEE 11073 SDC.
Am J Infect Control
September 2024
Doctorate of Nursing Practice Program, Duke University School of Nursing, Durham, NC.
Background: Hand hygiene and double-gloving practices during induction of general anesthesia can decrease transmission of bacteria to patients and subsequent health care-associated infections; however, compliance to these practices is low.
Methods: A pre- and postimplementation quality improvement design was used with Plan-Do-Study-Act cycles. Several implementation strategies were used to improve hand hygiene and double-glove compliance among anesthesia providers, including printed educational materials, video, in-person, and virtual meetings, visual reminders, audit, and feedback, and improved access to hand sanitizer dispensers in the anesthesia workstation.
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