A simple bedside method for transvenous intracardiac pacing

1965 ◽  
Vol 70 (1) ◽  
pp. 35-39 ◽  
Author(s):  
John T. Kimball ◽  
Thomas Killip
Keyword(s):  
Bedside Method ◽  
Simple Bedside

Direct Two-Minute Unassisted Breathing Evaluation (DTUBE) is an Attractive Alternative to Longer Spontaneous Breathing Trials: A Prospective Observational Study

2017 ◽  
Vol 83 (3) ◽  
pp. 308-313 ◽  
Author(s):  
Matthew B. Bloom ◽  
Jonathan Lu ◽  
Tri Tran ◽  
Marko Bukur ◽  
Rex Chung ◽  
...  
Keyword(s):  
Spontaneous Breathing ◽  
Spontaneous Breathing Trial ◽  
Surgical Intensive Care Unit ◽  
Attractive Alternative ◽  
Surgical Intensive Care ◽  
Minute Period ◽  
Spontaneous Breathing Trials ◽  
Bedside Method ◽  
Simple Bedside ◽  
Successful Extubation

We sought to identify a simple bedside method to predict successful extubation outcomes that might be used during rounds. We hypothesized that a direct 2-minute unassisted breathing evaluation (DTUBE) could replace a longer spontaneous breathing trial (SBT). Data were pro-spectively collected on all patients endotracheally intubated for >48 hours nearing extubation in a tertiary center's mixed trauma/surgical intensive care unit from August 2012 to August 2013. The SBT was performed for at least 30 minutes at 40 per cent FiO2, PEEP 5, and PS 8. DTUBE was performed by physically disconnecting the intubated patient from the ventilator circuit for a 2-minute period of direct observation on room air. Successful extubation was defined freedom from ventilator for greater than 72 hours. Both SBTand DTUBE were performed 128 times, resulting in 90 extubations. The DTUBE correctly predicted success in 75/79 (94.9%) extubations versus 82/89 (92.1%) via SBT. No adverse effects were directly attributed to the DTUBE. The DTUBE is a rapid method of evaluating patients for extubation with prediction accuracy similar to the SBT.

Measuring Intra-Abdominal Pressure outside the ICU: Validation of a Simple Bedside Method

2008 ◽  
Vol 74 (9) ◽  
pp. 806-808 ◽  
Author(s):  
Michael L. Cheatham ◽  
Jessica Fowler
Keyword(s):  
Electronic Monitoring ◽  
Screening Method ◽  
Cost Effective ◽  
Rapid Screening ◽  
Abdominal Pressure ◽  
Surgical Ward ◽  
Abdominal Hypertension ◽  
Reproducible Method ◽  
Bedside Method ◽  
Simple Bedside

Intra-abdominal pressure measurement is essential to the diagnosis of patients with intra-abdominal hypertension or abdominal compartment syndrome. The most common method for measuring intra-abdominal pressure (IAP) is the intravesicular or “bladder” technique, which requires electronic monitoring technology not available on the typical surgical ward. Herein we describe and validate a simple, rapid screening method for bedside IAP measurement using the patient's indwelling urinary catheter and a readily available intravenous tubing extension. Validation of this technique across the clinically important IAP diagnostic spectrum demonstrated acceptable bias (1.6 mm Hg; 95% confidence interval 1.4–1.8) with limits of agreement of 0.36 to 2.8. This demonstrates good agreement between the two IAP methods and validates the bedside technique as a simple, cost-effective, and reproducible method for screening IAP measurements outside of the critical care setting.

scholarly journals Accuracy of Transthoracic Lung Ultrasound for Diagnosing Anesthesia-induced Atelectasis in Children

2014 ◽  
Vol 120 (6) ◽  
pp. 1370-1379 ◽  
Author(s):  
Cecilia M. Acosta ◽  
Gustavo A. Maidana ◽  
Daniel Jacovitti ◽  
Agustín Belaunzarán ◽  
Silvana Cereceda ◽  
...  
Keyword(s):  
Physical Status Classification ◽  
Linear Probe ◽  
Status Classification ◽  
Magnetic Resonance Imaging Mri ◽  
American Society ◽  
Bedside Method ◽  
Lung Mri ◽  
Level Of Agreement ◽  
Simple Bedside ◽  
Good Agreement

Abstract Background: The aim of this study was to test the accuracy of lung sonography (LUS) to diagnose anesthesia-induced atelectasis in children undergoing magnetic resonance imaging (MRI). Methods: Fifteen children with American Society of Anesthesiology’s physical status classification I and aged 1 to 7 yr old were studied. Sevoflurane anesthesia was performed with the patients breathing spontaneously during the study period. After taking the reference lung MRI images, LUS was carried out using a linear probe of 6 to 12 MHz. Atelectasis was documented in MRI and LUS segmenting the chest into 12 similar anatomical regions. Images were analyzed by four blinded radiologists, two for LUS and two for MRI. The level of agreement for the diagnosis of atelectasis among observers was tested using the κ reliability index. Results: Fourteen patients developed atelectasis mainly in the most dependent parts of the lungs. LUS showed 88% of sensitivity (95% CI, 74 to 96%), 89% of specificity (95% CI, 83 to 94%), and 88% of accuracy (95% CI, 83 to 92%) for the diagnosis of atelectasis taking MRI as reference. The agreement between the two radiologists for diagnosing atelectasis by MRI was very good (κ, 0.87; 95% CI, 0.72 to 1; P < 0.0001) as was the agreement between the two radiologists for detecting atelectasis by LUS (κ, 0.90; 95% CI, 0.75 to 1; P < 0.0001). MRI and LUS also showed good agreement when data from the four radiologists were pooled and examined together (κ, 0.75; 95% CI, 0.69 to 0.81; P < 0.0001). Conclusion: LUS is an accurate, safe, and simple bedside method for diagnosing anesthesia-induced atelectasis in children.

scholarly journals Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Changqing Zhong ◽  
Shanjun Mao ◽  
Jieli Guang ◽  
Yi Zhang
Keyword(s):  
Success Rate ◽  
Research Group ◽  
Pacemaker Implantation ◽  
Control Group ◽  
Pacing Threshold ◽  
X Ray ◽  
Electrode Displacement ◽  
Temporary Pacemaker ◽  
Bedside Method ◽  
Simple Bedside

AbstractThe purpose of the research was to evaluate the safety and effectiveness of the X-ray-free improved simple bedside method for emergency temporary pacemaker implantation as well as the practicability of the method in primary hospitals. Patients [including those suffering from sick sinus syndrome and third-degree and advanced atrioventricular blockage (AVB)] who needed emergency temporary pacemaker implantation from July 2017 to August 2020 in Hunan Provincial People’s Hospital were selected. They were stochastically divided into a research group (95 cases) treated with the improved simple bedside method and a control group (95 cases) with X-ray guidance. The ordinary bipolar electrodes were used in both groups. On this condition, the operation duration, the first-attempt success rate of electrodes, pacing threshold, success rate of the operation, the rate of electrode displacement, and complications in the two groups were separately calculated. The comparison results of the research group with the control group are shown as follows: operation time [(18 ± 5.91) min vs. (43 ± 2.99) min, P < 0.05], the first-attempt success rate of the electrode (97% vs. 98%, P > 0.05), pacing threshold [(0.97 ± 0.35) vs. (0.97 ± 0.32) V, P > 0.05], success rate of the operation (98.9% vs. 100%, P > 0.05), the rate of electrode displacement (8.4% vs. 7.3%, P > 0.05) and complications (3.2% vs. 2.1%, P > 0.05). The emergency temporary pacemaker implantation based on the improved simple bedside method is as safe and effective as the surgical method under X-ray guidance, and the operation is simpler and easier to learn and requires a shorter operating time, therefore, it is more suitable for use in emergency and primary hospitals.

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