Unanticipated Profound Paralysis and Sugammadex Dosing Implications After Videoscopic Thoracic Surgery

A bedridden patient with empyema presented for thoracoscopic decortication. During the procedure, despite a post-tetanic count (PTC) of 0 via calibrated quantitative neuromuscular monitoring, persistent diaphragmatic movement impaired operating conditions, so rocuronium was re-dosed. After surgery, the patient had 0 PTC. Sugammadex was titrated to achieve baseline neuromuscular strength, monitoring the effect of each 200-mg dose. Ultimately, 1200 mg was required to achieve baseline strength. We describe monitor troubleshooting, considerations with unexpectedly deep neuromuscular blockade, the importance of routine quantitative neuromuscular monitoring, and one strategy for sugammadex reversal in patients with profound paralysis outside of the standard dosing guidelines.

A Smart System to Ease Occurrence of Bedsores

The occurrence of bedsores in Ghanaian hospitals, elderly homes or care homes is especially high among patients or people who are incapacitated and cannot move or turn on their own, and who happen to remain in a particular posture for a very long time. Patients in coma, those operated on and for that matter in critical state, and patients confined to wheelchairs are primary examples. Constant pressure on some parts of the body leads to the occurrence of pressure sores or ulcers. This paper seeks to implement a Bedsore Easing System (BeSoSys) that integrate several embedded hardware components, a database and software to reduce the occurrence of bedsores. These embedded hardware components include the Bed Device Unit (BDU), the Pocket Device Unit (PDU), a pressure or weight sensor, a temperature sensor, and an inflation-deflation device. The BDU is fitted into the bed of the patient or on the surface of skin contact of the patient. The PDU is assigned to nurses or caretakers to serve as an alarm system for patient repositioning depending on situation. All activities in the Bedsore Easing System are logged into a database for future references. A bedridden patient exerts constant pressure on the bony protrusions of the body, and this causes bedsores. It was found out during the research that in Ghana, the nurses or caretakers used to turn and massage patients at some random time intervals as a way of preventing bedsores. This traditional way of turning and massaging patients is not only tedious but also ineffective. This paper seeks to provide easy, better, and effective solution to ease bedsores. The BeSoSys intends to prevent the occurrence of bedsores hence the alleviation of bedsore complications

Motion Analysis and Tactile-Based Impedance Control of the Chest Holder of a Piggyback Patient Transfer Robot

Patient transfer, such as carrying a bedridden patient from a bed to a pedestal pan or a wheelchair and back, is one of the most physically challenging tasks in nursing care facilities. To reduce the intensity of physical labor on nurses or caregivers, a piggyback transfer robot has been developed by imitating the motion when a person holds another person on his/her back. As the chest holder supports most of the weight of the care-receiver during transfer, a human-robot dynamic model was built to analyze the influences of the motion of the chest holder on comfort. Simulations and experiments were conducted, and the results demonstrated that the rotational motion of the chest holder is the key factor affecting comfort. A tactile-based impedance control law was developed to adjust the rotational motion. Subjective evaluations of ten healthy subjects showed that adjusting the rotational motion of the chest holder is a useful way to achieve a comfortable transfer.

Green Communications: Techniques and Challenges

Virtual Brain Model is one of the interesting research works. In this paper we have developed a model to ensure security for E-Will using IOT and also monitor the Patient Health using Sweat Sensor. The Brain Activity of the patient is monitored using EEG electrodes and the collected data are stored in the cloud platform with the help of IOT Module. The E-Will will be uploaded in cloud Platform in presence of Notary. Hence, The Brain Activity of the patient will be monitored accurately and once the electrodes senses there is no brain activity, Then the device wait for certain time delay and confirms there is no brain activity. Therefore, after the confirmation the E-Will will be sent to the authorized person through mail or a message. The patient health is Monitored with the help of Sweat Sensor. When the bedridden patient has any heart related abnormalities the person starts to sweat initially, indication with this temperature and pulse rate is monitored if any abnormalities found the information is sent to the doctor immediately via GSM Module. This ensures that the patients can be taken much care and the life of the patient can be saved without any delay.

Virtual Brain: Model Based Framework for Dependable EEG Sensing and Actuation In Intelligent Brain IoT System

Virtual Brain Model is one of the interesting research works. In this paper we have developed a model to ensure security for E-Will using IOT and also monitor the Patient Health using Sweat Sensor. The Brain Activity of the patient is monitored using EEG electrodes and the collected data are stored in the cloud platform with the help of IOT Module. The E-Will will be uploaded in cloud Platform in presence of Notary. Hence, The Brain Activity of the patient will be monitored accurately and once the electrodes senses there is no brain activity, Then the device wait for certain time delay and confirms there is no brain activity. Therefore, after the confirmation the E-Will will be sent to the authorized person through mail or a message. The patient health is Monitored with the help of Sweat Sensor. When the bedridden patient has any heart related abnormalities the person starts to sweat initially, indication with this temperature and pulse rate is monitored if any abnormalities found the information is sent to the doctor immediately via GSM Module. This ensures that the patients can be taken much care and the life of the patient can be saved without any delay.

A New Methodology for Use by a Single Caregiver to Bathe Bedridden Elderly Persons Using Advanced Mechatronic Systems

In the framework of this paper, we aimed to propose a methodology for giving baths to elderly, bedridden persons, when this task is performed by a single caregiver. Usually, two caregivers are required for nursing a bedridden patient, especially when certain important tasks are needed (e.g., bathing the patient), but this is not always possible. The entire study considers the primary user’s perspective—the caregiver—who is responsible for a wide range of tasks; thus, suffering physical and psychological exhaustion over time. A physical prototype has been developed for allowing caregivers to perform tests in a life-like environment, by means of the device and the methodology. This technology, therefore, will represent an important contribution to the quality of life of caregivers. Considering an increase in the share of the elderly population and the related problems that arise in daily care, this project intends to be beneficial contemporarily. The presented methodology has been successfully tested and validated.

The Development of Bedridden Assisting Support Equipment (Base) To Reduce the Risk of Musculoskeletal Disorders among Nurses or Patient Handlers

This paper aims to identify the risk of work-related musculoskeletal disorders (WMSDs) among nurses or patient handlers and to develop the assisted equipment in order to reduce the risk. The survey questionnaires have been distributed to the nurses in two medical centers in Klang Valley. The results indicated that they are exposed to the risk of WMSDs and one of the tasks contributed to the risk is changing bedridden patient diapers. Based on the interview conducted, there is no equipment available that could be used to assist in diapers changing process, and all the participants agreed on the idea to develop the Bedridden Assisting Support Equipment (BASE). The BASE has been designed and developed with the combination of the mechanical element, counterbalance systems, and ergonomic tools. The BASE is successfully performed its intended function in reducing the physical effort of nurses or patient handlers to change patient’s diapers which indirectly could reduce the risk of WMSDs. In addition, the BASE proved its effectiveness as only one person required when changing the diapers using BASE