Application of Bedside Real-Time Ultrasound in Intensive Care

2021 ◽  
Vol 10 (06) ◽  
pp. 660-665
Author(s):  
婷 王
Keyword(s):  
Intensive Care ◽  
Real Time

scholarly journals Characterisation of Textile Embedded Electrodes for Use in a Neonatal Smart Mattress Electrocardiography System

Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 999
Author(s):  
Henry Dore ◽  
Rodrigo Aviles-Espinosa ◽  
Zhenhua Luo ◽  
Oana Anton ◽  
Heike Rabe ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Heart Rate ◽  
Intensive Care ◽  
High Resolution ◽  
Neonatal Intensive Care Unit ◽  
Real Time ◽  
Neonatal Intensive Care ◽  
Delivery Room ◽  
Proof Of Concept ◽  
Heart Rate Monitoring

Heart rate monitoring is the predominant quantitative health indicator of a newborn in the delivery room. A rapid and accurate heart rate measurement is vital during the first minutes after birth. Clinical recommendations suggest that electrocardiogram (ECG) monitoring should be widely adopted in the neonatal intensive care unit to reduce infant mortality and improve long term health outcomes in births that require intervention. Novel non-contact electrocardiogram sensors can reduce the time from birth to heart rate reading as well as providing unobtrusive and continuous monitoring during intervention. In this work we report the design and development of a solution to provide high resolution, real time electrocardiogram data to the clinicians within the delivery room using non-contact electric potential sensors embedded in a neonatal intensive care unit mattress. A real-time high-resolution electrocardiogram acquisition solution based on a low power embedded system was developed and textile embedded electrodes were fabricated and characterised. Proof of concept tests were carried out on simulated and human cardiac signals, producing electrocardiograms suitable for the calculation of heart rate having an accuracy within ±1 beat per minute using a test ECG signal, ECG recordings from a human volunteer with a correlation coefficient of ~ 87% proved accurate beat to beat morphology reproduction of the waveform without morphological alterations and a time from application to heart rate display below 6 s. This provides evidence that flexible non-contact textile-based electrodes can be embedded in wearable devices for assisting births through heart rate monitoring and serves as a proof of concept for a complete neonate electrocardiogram monitoring system.

scholarly journals PMC12 ASSESSMENT OF THE WORKLOAD REAL TIME DEDICATED TO EACH PATIENT IN INTENSIVE CARE UNITS (ICU): PRELIMINARY RESULTS OF THE CRRÉA STUDY

2010 ◽  
Vol 13 (7) ◽  
pp. A330-A331
Author(s):  
B Garrigues ◽  
JY Lefrant ◽  
C Pribil ◽  
J Bazin ◽  
F Maurel
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Intensive Care Units ◽  
Preliminary Results

scholarly journals Pakistan Registry of Intensive CarE (PRICE): Expanding a lower middle-income, clinician-designed critical care registry in South Asia

2018 ◽  
Vol 20 (3) ◽  
pp. 190-195 ◽  
Author(s):  
M Hashmi ◽  
A Beane ◽  
A Taqi ◽  
MI Memon ◽  
P Athapattu ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Real Time ◽  
National Registry ◽  
Service Improvement ◽  
Intensive Care Society ◽  
Middle Income ◽  
Resource Limited ◽  
Care Systems ◽  
And Training

Introduction In resource-limited settings – with inequalities in access to and outcomes for trauma, surgical and critical care – intensive care registries are uncommon. Aim The Pakistan Society of Critical Care Medicine, Intensive Care Society (UK) and the Network for Improving Critical Care Systems and Training (NICST) aim to implement a clinician-led real-time national intensive care registry in Pakistan: the Pakistan Registry of Intensive CarE (PRICE). Method This was adapted from a successful clinician co-designed national registry in Sri Lanka; ICU information has been linked to real-time dashboards, providing clinicians and administrators individual patient and service delivery activity respectively. Output Commenced in August 2017, five ICU’s (three administrative regions – 104 beds) were recruited and have reported over 1100 critical care admissions to PRICE. Impact and future PRICE is being rolled out nationally in Pakistan and will provide continuous granular healthcare information necessary to empower clinicians to drive setting-specific priorities for service improvement and research.

Surface imaging for real‐time patient respiratory function assessment in intensive care

2020 ◽  
Author(s):  
Souha Nazir ◽  
Victoire Pateau ◽  
Julien Bert ◽  
Jean‐François Clement ◽  
Hadi Fayad ◽  
...  
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Respiratory Function ◽  
Surface Imaging ◽  
Function Assessment

scholarly journals Implementation of a Formal Debriefing Program After Pediatric Rapid Response Team Activations

2018 ◽  
Vol 10 (2) ◽  
pp. 203-208 ◽  
Author(s):  
Linda Aponte-Patel ◽  
Arash Salavitabar ◽  
Pamela Fazzio ◽  
Andrew S. Geneslaw ◽  
Pamela Good ◽  
...  
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Health Professionals ◽  
Tertiary Care ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Staff Attitudes ◽  
Learning Opportunity ◽  
Respiratory Therapists ◽  
Response Team

ABSTRACT Background  Debriefing after pediatric rapid response team activations (RRT-As) in a tertiary care children's hospital was identified to occur only sporadically. The lack of routine debriefing after RRT-As was identified as a missed learning opportunity. Objective  We implemented a formal debriefing program and assessed staff attitudes toward and experiences with debriefing after pediatric RRT-As. Methods  Real-time feedback for pediatrics residents captured clinical and debriefing data for each RRT-A from July 2014 to June 2016. The debriefing on physiology, team communication, and anticipation of clinical deterioration was introduced in July 2015. To assess debriefing perceptions, residents, intensive care fellows, nurses, and respiratory therapists participated in anonymous preintervention and postintervention surveys. We also developed a workshop to teach residents how to lead debriefing. Results  Debriefing after RRT-As increased from 26% preintervention to 46% postintervention (P < .0001). A total of 43 of 76 pediatrics residents (57%) attended at least 1 of 4 debriefing workshops. Both preintervention and postintervention, more than 80% (70 of 78 preintervention and 54 of 65 postintervention) of health professionals surveyed strongly agreed or agreed that there was a benefit to debriefing after RRT-As. Postintervention, 65% (26 of 40) of respondents strongly agreed or agreed that debriefing improved their understanding of the RRT-A process. The rate of debriefing was sustained at 46% (6 months after the end of the study period). Conclusions  Debriefing frequency after pediatric RRT-As significantly increased with the introduction of a formal debriefing program. A majority of health professionals and trainees reported this practice was a valuable experience.

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