Intravenous (IV) medication administration processes have been considered as high-risk steps, because accidents during IV administration can lead to serious adverse effects, which can deteriorate the therapeutic effect or threaten the patient's life. In this study, we propose a multi-modal infusion pump (IP) monitoring technique, which can detect mismatches between the IP setting and actual infusion state and between the IP setting and doctor's prescription in real time using a thin membrane potentiometer and convolutional-neural-network-based deep learning technique. During performance evaluation, the percentage errors between the reference infusion rate (IR) and average estimated IR were in the range of 0.50-2.55%, while those between the average actual IR and average estimated IR were in the range of 0.22-2.90%. In addition, the training, validation, and test accuracies of the implemented deep learning model after training were 98.3%, 97.7%, and 98.5%, respectively. The training and validation losses were 0.33 and 0.36, respectively. According to these experimental results, the proposed technique could provide improved protection functions to IV-administration patients.
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http://dx.doi.org/10.1177/0954411920960260 | DOI Listing |
Front Oncol
October 2024
Department of Medical Ultrasound, Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
J Surg Oncol
October 2024
Department of Surgical Oncology, University of Utah, Salt Lake City, Utah, USA.
Peritoneal carcinomatosis carries a grim survival prognosis with complications ranging from the physical to the psychological. Cytoreductive surgery and infusion of heated intraperitoneal chemotherapy have evolved to become a commonly used treatment option in the multi-modal management of peritoneal carcinomatosis. Here, we examine the origins of surgery over a century ago as a potential cure for peritoneal carcinomatosis and how it has evolved with our knowledge of the disease to its present state.
View Article and Find Full Text PDFIEEE J Biomed Health Inform
September 2024
Ultrasound image super-resolution (SR) aims to transform low-resolution images into high-resolution ones, thereby restoring intricate details crucial for improved diagnostic accuracy. However, prevailing methods relying solely on image modality guidance and pixel-wise loss functions struggle to capture the distinct characteristics of medical images, such as unique texture patterns and specific colors harboring critical diagnostic information. To overcome these challenges, this paper introduces the Multi-Modal Regularized Coarse-to-fine Transformer (M2Trans) for Ultrasound Image SR.
View Article and Find Full Text PDFA A Pract
July 2024
From the Department of Anesthesiology, Montefiore Medical Center, Bronx, New York.
Peripheral nerve blocks are typically avoided for high-speed tibial plateau fractures due to their ability to mask the paresthesias and pain associated with the feared complication of acute compartment syndrome (ACS). We present a case in which sciatic nerve and adductor canal catheters were placed utilizing low-volume infusions allowing for neurovascular assessment. These catheters served as a valuable portion of the multi-modal pain regimen in this patient with a Schatzker VI tibial plateau fracture.
View Article and Find Full Text PDFFront Vet Sci
July 2024
Department of Equine Clinical Sciences, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Neston, United Kingdom.
Background: Wound infusion catheters (WICs) have been used in humans and some veterinary species for post-operative local anesthetic administration following a variety of surgical procedures, aiming to reduce post-operative analgesia requirements and improve patient comfort. Benefit in reduction in pain, post-operative analgesia requirements and length of hospital stay are well documented in humans, but use of WICs may not have been widely adopted in veterinary species due to the concern of increased complications, such as dehiscence or surgical site infection (SSI), creating a barrier to their use. This study aimed to evaluate the use of WICs in horses undergoing standing partial ostectomy surgeries, document complications and investigate if the incidence of SSI was equivalent between those horses that did and did not have a WIC.
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