PO2 and PCO2 Measurements for the Prevention and Early Detection of Anastomotic Leakage

2008 ◽  
Author(s):  
D. Tanase ◽  
K. Tang ◽  
P. J. French ◽  
N. Komen ◽  
G. Kleinrensink ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Colorectal Surgery ◽  
Early Detection ◽  
Abdominal Surgery ◽  
Anastomotic Leakage ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Leakage Detection ◽  
Prevention And Early Detection

Anastomotic leakage is the main, yet unsolved reason for mortality in abdominal surgery. Every year patients die because of anastomotic leakage after surgery. In the case of colorectal surgery, statistics show an incidence rate of 10–13% and a mortality rate of 32%. The aim of this work is to reduce the complications by improving the feedback to the surgeon during the operation and to minimise the fatalities by developing an early warning system. Currently, there are no peroperative methods to avoid anastomotic leakage or any validated early postoperative parameters for leakage detection. Therefore, an objective aid to detect leakage during surgery and recovery is of utmost importance.

scholarly journals IMPLEMENTATION OF EARLY WARNING SYSTEM IN NURSING WARD: A LITERATURE REVIEW

2021 ◽  
Vol 10 (1) ◽  
pp. 126-134
Author(s):  
Meli Diana ◽  
Dimas Hadi Prayoga ◽  
Dini Prastyo Wijayanti
Keyword(s):  
Early Detection ◽  
Early Warning ◽  
Scoring System ◽  
Early Warning System ◽  
Sudden Cardiac Arrest ◽  
Warning System ◽  
High Rate ◽  
Early Warning Score ◽  
Score System ◽  
Emergency Detection

Background: Hospital service is a process that involves all elements in the hospital including nurses and inpatient rooms or nursing wards. Different inpatient conditions will be treated in separated wards, by the same token patients with unstable conditions are admitted in intensive care units, this procedure aims to reduce the mortality incidence due to sudden cardiac arrest, therefore early detection of patients’ clinical deterioration using the early warning score system performed by the nurse in the nursing wards is required. Objective: This review study is a summary of the early warning system implementation in the nursing wards. Design: The data was obtained from international journal providers Proquest and Ebsco databases. The author accessed unair.remotexs.co website. Review Methods: Narative Review. Results: Early warning score is an effective intervention for emergency detection in patients. Conclusion: Early detection clinical emergency or known as the Early Warning Score System (EWSS) is the application of a scoring system for early detection of patient's condition before a worsening situation occurs. The implementation of this scoring system is necessary due to the high rate of deterioration of patient conditions that requiring immediate management to prevent profound deterioration and its subsequent adverse effect Keywords : Early warning system;nurse care;literatur;review

scholarly journals Early Warning System triggers in Intensive Care Unit after receiving Intrathecal Morphine: A Retrospective Analysis.

2021 ◽  
Author(s):  
James Richard Skelly Skelly ◽  
Wouter R Jonker
Keyword(s):  
Abdominal Surgery ◽  
Early Warning ◽  
Postoperative Care ◽  
Early Warning System ◽  
Intrathecal Morphine ◽  
Arterial Oxygen Saturation ◽  
Warning System ◽  
Arterial Oxygen ◽  
Apache Ii Score ◽  
Icu Admission

Abstract BackgroundNeuraxial analgesia, including intrathecal morphine(ITM) administration, provides excellent analgesia in the post-abdominal surgery setting. As a corollary, such patients are commonly admitted to HDU/ICU for post-operative monitoring, and as such, bed availability can curtail its use. Reluctance to ward based postoperative care for this cohort is evident. Ward based postoperative care could benefit post-operative analgesic management.MethodsWe reviewed post-operative vital signs constituting the Irish National Early Warning System (INEWS), for general surgical patients admitted to our ICU after ITM administration, as would be undertaken at ward level. Data analysis for a period between January 2015 and August 2018. Inclusion criteria included: abdominal surgery; preoperative ITM and ICU admission post-operatively. Data for the initial 24 hours of ICU admission were obtained, including: AVPU score; respiratory rate(RR); fraction inspired oxygen(FiO2); arterial oxygen saturation(SpO2); heart rate(HR); systolic blood pressure(sBP). Additional measurements include recorded: ITM dose, age, weight, ASA grade, APACHE II Score, visual analogue pain scale scores, analgesic requirements.ResultsThirty patients were included. The ITM dose was 548.3±28.2mcg(mean±SD). Mean maximum constituent INEWS Scores were: 1.7±0.2(RR); 1.5±0.2(SpO2); 1.6±0.3(AVPU); 1.1±0.2(HR); 2.0±0.2(sBP) giving a mean maximum total INEWS score of 4.9±0.3. Four subjects scored ≥7. No patient had INEWS de-escalated for supplemental oxygen and as such the addition of 3 NEWS points for oxygen supplementation would be applied to 96.7% (n=29) of patients. ConclusionsThe current study demonstrates that patients receiving these doses of ITM can exhibit high INEWS scores which would trigger escalation as outlined by the INEWS scoring system if located on a level 1 ward.

scholarly journals Utilization of the IoT-based early warning system (EWS) for early detection of floods in Setu District, South Tangerang City

2021 ◽  
Vol 6 (8) ◽  
pp. 1414-1419
Author(s):  
Wahyu Sejati ◽  
Ning Adiasih ◽  
Tjhwa Endang Djuana
Keyword(s):  
Early Detection ◽  
Water Level ◽  
Community Service ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Ultrasonic Sensor ◽  
Detection Tool ◽  
Flood Detection

Cisadane River is the largest river whose overflow often causes flooding in several locations in South Tangerang City. One of them is located in Pesona Serpong Housing, Setu District, South Tangerang City. The Cisadane Environmental Echo Community (GEMALA) is a community that cares about the sustainability of the Cisadane River. This community service aims to improve understanding of river maintenance and socialize the IoT-based Early Warning System (EWS) tool to the GEMALA community as an early flood detection tool. The method used is to use an ultrasonic sensor HC-SR04 which will measure the water level of the river and will send a signal via the Telegram messaging application. At the end of this activity, an IoT-based Early Warning System (EWS) tool was produced that could be utilized by the GEMALA community as an early flood detection tool.

E-Ways (Early Warning System): A Literature Study of Smartphone Application-Based Stroke Early Detection

2020 ◽  
Vol 11 (2) ◽  
pp. 1395
Author(s):  
Muhamad Jauhar ◽  
Lita Heni Kusumawardani ◽  
Anon Rasdiyanah ◽  
I. Gusti Ayu Putu Desy Rohana ◽  
Utami Rachmawati
Keyword(s):  
Early Detection ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Smartphone Application ◽  
Literature Study ◽  
System A

An Early Detection-Warning System to Identify Speed Breakers and Bumpy Roads using Sensors In Smartphones

2017 ◽  
Vol 7 (3) ◽  
pp. 1377
Author(s):  
Vamsee Krishna Kiran M ◽  
Vimalkumar K ◽  
Vinodhini R E ◽  
Archanaa R
Keyword(s):  
Early Detection ◽  
Real Time ◽  
Early Warning ◽  
Early Warning System ◽  
Warning System ◽  
Cost Effective ◽  
Google Maps ◽  
System Cost ◽  
Ground Clearance ◽  
Major Threat

Speed breakers and bumpy roads are a major threat to drivers that questions their safety. The mishap happens because of no sign boards indicating the speed breaker, poor visibility at night and road works that are often carried out with no proper signs of road deviations and also the negligence of the driver. All these factors put the life of the persons in vain causing damage to the vehicle as well as life. Also, bumpy roads have become a problem for cars with less ground clearance. The focus of the paper is on designing an early warning system detecting both speed breaker humps and bad road conditions. The approach used in this paper is a real-time solution and is developed as an android service that runs in the background and relies on Google Maps application in the smartphone. This service will throw an alert giving early warning if the user is approaching the speed breaker or a bumpy road. Apart from just giving an early alert to the user, it also provides the user with an alternative and a better route. The solution proposed in this work is a form of crowdsourcing where users share and get data, therefore making the system cost effective.

A Patient-Centered Early Warning System to Prevent Readmission after Colorectal Surgery: A National Consensus Using the Delphi Method

2013 ◽  
Vol 216 (2) ◽  
pp. 210-216.e6 ◽  
Author(s):  
Linda T. Li ◽  
Whitney L. Mills ◽  
Amanda M. Gutierrez ◽  
Levi I. Herman ◽  
David H. Berger ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Early Warning ◽  
Delphi Method ◽  
Early Warning System ◽  
Warning System ◽  
Patient Centered ◽  
National Consensus

scholarly journals SISTEM PERINGATAN DINI UNTUK KONFLIK SOSIAL DI PERKOTAAN

Sosio Informa ◽  
2006 ◽  
Vol 11 (1) ◽  
Author(s):  
Fathoni Moehtadi
Keyword(s):  
Early Detection ◽  
Early Warning ◽  
Early Warning System ◽  
Social Conflict ◽  
Warning System ◽  
Digital Map ◽  
Stress Signals ◽  
Forewarning System

Kajian Pendahuluan Pembuatan Peta Digital Kota Tangerang ( Early Warning System for Social Conflict in Cities) Studi to make Digital Map in tangerang City - Social conflict not merely happened at areas which initially are true identified as gristle area. Conflicts with different intensity also exist in the areas where there never happened over hundred years. To lessen possibility the happening of various broader social conflict and stress,early detection of social symptoms in society showing stress signals and conflict require to be gone through. This effort will be easier to conduct if there is a societal early warning system. With the existence of forewarning system, hence areas which tend to have crisis symptom and similar stress can be anticipated with certain actions to avoid. This method will be able to prevent broader conflict and stress acending.

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