J Clin Monit Comput - Forty-five degree wrist angulation is optimal for ultrasound guided long axis radial artery cannulation in patients over 60?years old: a randomized study.

Tópicos

{ blood(1257) pressur(1144) flow(957) }
{ group(2977) signific(1463) compar(1072) }
{ time(1939) patient(1703) rate(768) }
{ intervent(3218) particip(2042) group(1664) }
{ chang(1828) time(1643) increas(1301) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ first(2504) two(1366) second(1323) }
{ patient(1821) servic(1111) care(1106) }
{ studi(1119) effect(1106) posit(819) }
{ method(1219) similar(1157) match(930) }
{ analysi(2126) use(1163) compon(1037) }
{ model(3404) distribut(989) bayesian(671) }
{ inform(2794) health(2639) internet(1427) }
{ take(945) account(800) differ(722) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ case(1353) use(1143) diagnosi(1136) }
{ age(1611) year(1155) adult(843) }
{ structur(1116) can(940) graph(676) }
{ data(1737) use(1416) pattern(1282) }
{ studi(2440) review(1878) systemat(933) }
{ problem(2511) optim(1539) algorithm(950) }
{ featur(1941) imag(1645) propos(1176) }
{ perform(999) metric(946) measur(919) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ use(2086) technolog(871) perceiv(783) }
{ health(1844) social(1437) communiti(874) }
{ estim(2440) model(1874) function(577) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Arterial cannulation is a common anaesthetic procedure that might be challenging and time-consuming in elderly patients. To establish an appropriate wrist joint position for arterial cannulation is crucial for ultrasound (US)-guided cannulation success. This study aimed to find out the optimal wrist joint angle for long axis in-plane (LA-IP) US-guided approach in radial artery cannulation in elderly patients. One hundred patients over 60?years old, who were assumed to require an arterial catheter for continuous blood pressure monitoring or frequent blood gas analysis in the intensive care unit or in the operating room were included in this prospective randomized study. Patients were randomized to five groups according to the wrist positions (0?, 15?, 30? 45? and 60? groups) for LA-IP approach for radial artery cannulation. Cannulation time (s), number of attempts, total success rate (%), first attempt success rate were recorded in all patients. Mean radial artery height was increased in 45? group compared to other groups (p?<?0.05). Distance between skin and radial artery in 45? and 60? groups were statistically significantly decreased compared to 0? group (p?<?0.05 for all comparisons). Mean cannulation time of 45? group was statistically decreased compared to other groups (p?<?0.05). Number of attempts and total success rate were similar among groups, whereas first attempt success rate was significantly increased in 45? group compared to other groups (p?<?0.05). Mean arterial height of the first attempt successful group was statistically increased compared to the first attempt failed group (p?<?0.001) and mean cannulation time and mean number of attempts were also negatively correlated with arterial height (p?<?0.001; for all comparisons). The 45? wrist angle increment might be advantageous in US-guided LA-IP radial artery cannulation in elderly patients in view of cannulation time and first attempt success rate.

Resumo Limpo

arteri cannul common anaesthet procedur might challeng timeconsum elder patient establish appropri wrist joint posit arteri cannul crucial ultrasound usguid cannul success studi aim find optim wrist joint angl long axi inplan laip usguid approach radial arteri cannul elder patient one hundr patient year old assum requir arteri cathet continu blood pressur monitor frequent blood gas analysi intens care unit oper room includ prospect random studi patient random five group accord wrist posit group laip approach radial arteri cannul cannul time s number attempt total success rate first attempt success rate record patient mean radial arteri height increas group compar group p distanc skin radial arteri group statist signific decreas compar group p comparison mean cannul time group statist decreas compar group p number attempt total success rate similar among group wherea first attempt success rate signific increas group compar group p mean arteri height first attempt success group statist increas compar first attempt fail group p mean cannul time mean number attempt also negat correl arteri height p comparison wrist angl increment might advantag usguid laip radial arteri cannul elder patient view cannul time first attempt success rate

Resumos Similares

J Clin Monit Comput - The effect of atropine on the bispectral index response to endotracheal intubation during propofol and remifentanil anesthesia. ( 0,869046003124688 )
J Clin Monit Comput - Dead space reduction by Kolobow's endotracheal tube does not justify the waiving of volume monitoring in small, ventilated lungs. ( 0,811102166802205 )
J Clin Monit Comput - Differential effects of propofol and sevoflurane on QT interval during anesthetic induction. ( 0,810208302153253 )
J Clin Monit Comput - Change in auditory evoked potential index and bispectral index during induction of anesthesia with anesthetic drugs. ( 0,775689779089411 )
J Clin Monit Comput - Partitioning the resistances along the vascular tree: effects of dobutamine and hypovolemia in piglets with an intact circulation. ( 0,730911738892986 )
J Clin Monit Comput - Comparison of two devices using near-infrared spectroscopy for the measurement of tissue oxygenation during a vascular occlusion test in healthy volunteers (INVOS? vs. InSpectra?). ( 0,730395292145564 )
Int J Med Robot - Cardiovascular and respiratory effects of the degree of head-down angle during robot-assisted laparoscopic radical prostatectomy. ( 0,723241113414549 )
J Clin Monit Comput - Pleth variability index-directed fluid management in abdominal surgery under combined general and epidural anesthesia. ( 0,72079386399253 )
Med Biol Eng Comput - Time delay correction of the synchrogram for optimized detection of cardiorespiratory coordination. ( 0,714508451149977 )
J Telemed Telecare - Effect of an IT-supported home-based exercise programme on metabolic syndrome in India. ( 0,714028151790439 )
J Clin Monit Comput - Effect of mild hypocapnia on hemodynamic and bispectral index responses to tracheal intubation during propofol anesthesia in children. ( 0,712895533311385 )
J Clin Monit Comput - The impact of induction of general anesthesia and a vascular occlusion test on tissue oxygen saturation derived parameters in high-risk surgical patients. ( 0,71112322818225 )
J Clin Monit Comput - Variations of the analgesia nociception index during general anaesthesia for laparoscopic abdominal surgery. ( 0,708632130076417 )
J Clin Monit Comput - Reference values for volumetric capnography-derived non-invasive parameters in healthy individuals. ( 0,70828803068046 )
BMC Med Inform Decis Mak - Home based telemedicine intervention for patients with uncontrolled hypertension--a real life non-randomized study. ( 0,698517182806033 )
J Clin Monit Comput - A knowledge- and model-based system for automated weaning from mechanical ventilation: technical description and first clinical application. ( 0,697173056345245 )
J Clin Monit Comput - The changes of pulmonary blood flow in non-ventilated lung during one lung ventilation. ( 0,691781994842686 )
J Clin Monit Comput - Continuous measurement of cardiac output with the electrical velocimetry method in patients under spinal anesthesia for cesarean delivery. ( 0,688192344395199 )
Med Biol Eng Comput - Application of multiscale entropy in arterial waveform contour analysis in healthy and diabetic subjects. ( 0,688179885162031 )
J Clin Monit Comput - The effects of cardiac output and pulmonary arterial hypertension on volumetric capnography derived-variables during normoxia and hypoxia. ( 0,684681129938603 )
Comput Math Methods Med - Effects of first-time overnight CPAP therapy for increasing the complexity of the patient's physiological system. ( 0,684526989476182 )
J Clin Monit Comput - A comparison of the incidence of hypercapnea in non-obese and morbidly obese peri-operative patients using the SenTec transcutaneous pCO(2) monitor. ( 0,684172239192027 )
J Clin Monit Comput - Bedside assessment of passive leg raising effects on venous return. ( 0,68326126262405 )
J Telemed Telecare - A pilot test of a new tool for remote blood pressure monitoring. ( 0,682820575868065 )
Comput. Biol. Med. - Effect of CPAP therapy on daytime cardiovascular regulations in patients with obstructive sleep apnea. ( 0,68063992613204 )
J Clin Monit Comput - Continuous non-invasive monitoring improves blood pressure stability in upright position: randomized controlled trial. ( 0,679371291371613 )
J Clin Monit Comput - Trending ability and limitations of transpulmonary thermodilution and pulse contour cardiac output measurement in cats as a model for pediatric patients. ( 0,679036398996573 )
J Clin Monit Comput - Baroreflex sensitivity variations in response to propofol anesthesia: comparison between normotensive and hypertensive patients. ( 0,67621334732184 )
Comput. Biol. Med. - Modeling of heart sound morphology and analysis of the morphological variations induced by respiration. ( 0,667536421330932 )
J Clin Monit Comput - Impact of central hypovolemia on photoplethysmographic waveform parameters in healthy volunteers. Part 1: time domain analysis. ( 0,665389378883056 )
J Telemed Telecare - Telerehabilitation for people with chronic obstructive pulmonary disease: feasibility of a simple, real time model of supervised exercise training. ( 0,659018381792492 )
J Clin Monit Comput - Early goal-directed therapy based on endotracheal bioimpedance cardiography: a prospective, randomized controlled study in coronary surgery. ( 0,657471090450638 )
Comput. Biol. Med. - Numerical investigation of blood flow in three-dimensional porcine left anterior descending artery with various stenoses. ( 0,655562617452469 )
Comput. Biol. Med. - The hemodynamic alterations induced by the vascular angular deformation in stent-assisted coiling of bifurcation aneurysms. ( 0,654025217220547 )
Telemed J E Health - A mobile phone short message service improves perceived control of asthma: a randomized controlled trial. ( 0,652091168108404 )
J. Med. Internet Res. - The MOnitoring Resynchronization dEvices and CARdiac patiEnts (MORE-CARE) randomized controlled trial: phase 1 results on dynamics of early intervention with remote monitoring. ( 0,646717173638152 )
J Clin Monit Comput - Goal-directed intraoperative fluid therapy guided by stroke volume and its variation in high-risk surgical patients: a prospective randomized multicentre study. ( 0,6463724045496 )
J Clin Monit Comput - The influence of basic ventilation strategies on cerebral oxygenation in anesthetized patients without vascular disease. ( 0,645197753637859 )
Comput Methods Programs Biomed - Simulation of transport and extravasation of nanoparticles in tumors which exhibit enhanced permeability and retention effect. ( 0,642507388094247 )
J Clin Monit Comput - The effect of endotracheal tube cuff pressure change during gynecological laparoscopic surgery on postoperative sore throat: a control study. ( 0,641287811562038 )
J Clin Monit Comput - Impact of skin incision on the pleth variability index. ( 0,639521330934002 )
Med Biol Eng Comput - Relation of fetal heart rate signals with unassignable baseline to poor neonatal state at birth. ( 0,635342866800546 )
J Clin Monit Comput - The effects of DEX premedication on volatile induction of mask anesthesia (VIMA) and sevoflurane requirements. ( 0,633728638882457 )
J Clin Monit Comput - Transcutaneous continuous carbon dioxide tension monitoring reduced incidence, degree and duration of hypercapnia during combined regional anaesthesia and monitored anaesthesia care in shoulder surgery patients. ( 0,63347750106297 )
J Clin Monit Comput - Evaluation of mean systemic filling pressure from pulse contour cardiac output and central venous pressure. ( 0,631619937580734 )
Med Biol Eng Comput - Coronary-aortic interaction during ventricular isovolumic contraction. ( 0,631585024527461 )
Comput Math Methods Med - Evaluation of a model-based hemodynamic monitoring method in a porcine study of septic shock. ( 0,630851156994131 )
Med Biol Eng Comput - Transesophageal left ventricular electrogram-recording and temporary pacing to improve patient selection for cardiac resynchronization. ( 0,626869509175193 )
Appl Clin Inform - Evaluating the impact of the electronic health record on patient flow in a pediatric emergency department. ( 0,624939047702527 )
J Clin Monit Comput - A comparison of response time to desaturation between tracheal oximetry and peripheral oximetry. ( 0,623095290371752 )
BMC Med Inform Decis Mak - Clinical decision support of therapeutic drug monitoring of phenytoin: measured versus adjusted phenytoin plasma concentrations. ( 0,622721983208835 )
J Clin Monit Comput - Hemodynamic volumetry using transpulmonary ultrasound dilution (TPUD) technology in a neonatal animal model. ( 0,621335129456435 )
J Clin Monit Comput - Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management. ( 0,620627890474241 )
J Telemed Telecare - Cardiac rehabilitation outcomes in a conventional versus telemedicine-based programme. ( 0,617966152767791 )
J Clin Monit Comput - Capability of a new paediatric oesophageal Doppler monitor to detect changes in cardiac output during testing of external pacemakers after cardiac surgery. ( 0,616854100330126 )
IEEE J Biomed Health Inform - Experimental investigation of the influence of the aortic stiffness on hemodynamics in the ascending aorta. ( 0,616660549395936 )
J Clin Monit Comput - Effect of preloading epidural space with normal saline on the incidence of complications of epidural catheter placement and spinal anesthesia for cesarean section. ( 0,61493569906794 )
J Clin Monit Comput - Tako-tsubo cardiomyopathy and microcirculation. ( 0,612838063093918 )
J Clin Monit Comput - Assessment of cerebral oxygenation using near infrared spectroscopy during isovolemic hemodilution in pediatric patients. ( 0,61273739484163 )
Comput Methods Programs Biomed - Impact of pulmonary vascular stiffness and vasodilator treatment in pediatric pulmonary hypertension: 21 patient-specific fluid-structure interaction studies. ( 0,61118539340895 )
J Telemed Telecare - Improving attendance in psychiatric outpatient clinics by using reminders. ( 0,609927931594886 )
J Telemed Telecare - A telehealth service model for the treatment of hypertension. ( 0,608170907381681 )
Med Biol Eng Comput - Cardiovascular control and stabilization via inclination and mobilization during bed rest. ( 0,608035311606277 )
J Clin Monit Comput - Impact of changes in systemic vascular resistance on a novel non-invasive continuous cardiac output measurement system based on pulse wave transit time: a report of two cases. ( 0,608023570639603 )
J Clin Monit Comput - Automated titration of propofol and remifentanil decreases the anesthesiologist's workload during vascular or thoracic surgery: a randomized prospective study. ( 0,607448260558998 )
J Clin Monit Comput - Arterial pressure waveform derived cardiac output FloTrac/Vigileo system (third generation software): comparison of two monitoring sites with the thermodilution cardiac output. ( 0,607360937704052 )
J Clin Monit Comput - The pulmonary artery catheter. ( 0,605849921461418 )
J Clin Monit Comput - Heart sounds analysis via esophageal stethoscope system in beagles. ( 0,604476667278781 )
J Clin Monit Comput - Variations in the pre-ejection period induced by deep breathing do not predict the hemodynamic response to early haemorrhage in healthy volunteers. ( 0,602590382296968 )
J Clin Monit Comput - Changes in R-Wave amplitude in DII lead is less sensitive than pulse pressure variation to detect changes in stroke volume after fluid challenge in ICU patients postoperatively to cardiac surgery. ( 0,602037585713137 )
Comput. Biol. Med. - Error correction in intracellular transport: numerical investigation of rerouting of a pulse of misdirected axonal cargos in a dendrite. ( 0,600090634986825 )
Appl Clin Inform - Home blood pressure monitoring, secure electronic messaging and medication intensification for improving hypertension control: a mediation analysis. ( 0,597534955037238 )
J Clin Monit Comput - The use of a noninvasive hemoglobin monitor for determining fluid distribution and elimination in pediatric patients undergoing minor surgery. ( 0,597146015992958 )
Comput Math Methods Med - Simulation of exercise-induced syncope in a heart model with severe aortic valve stenosis. ( 0,59558788808666 )
J. Med. Internet Res. - Breathe Easier Online: evaluation of a randomized controlled pilot trial of an Internet-based intervention to improve well-being in children and adolescents with a chronic respiratory condition. ( 0,593275410580845 )
J Clin Monit Comput - Near real-time notification of gaps in cuff blood pressure recordings for improved patient monitoring. ( 0,592910591771651 )
Comput. Biol. Med. - Computational analysis of the importance of flow synchrony for cardiac ventricular assist devices. ( 0,591731848518054 )
J Clin Monit Comput - Changes in cardiac output and stroke volume as measured by non-invasive CO monitoring in infants with RSV bronchiolitis. ( 0,59025519779142 )
Comput Methods Programs Biomed - Quantitative analysis of digital subtraction angiography using optical flow method on occlusive cerebrovascular disease. ( 0,58998352315021 )
J Clin Monit Comput - Radial-femoral concordance in time and frequency domain-based estimates of systemic arterial respiratory variation. ( 0,583401215545921 )
J Clin Monit Comput - Reliability of a new 4th generation FloTrac algorithm to track cardiac output changes in patients receiving phenylephrine. ( 0,582945706060924 )
Comput Math Methods Med - Mathematical modeling of radiofrequency ablation for varicose veins. ( 0,582884600272588 )
Med Biol Eng Comput - Effect of respiration on Korotkoff sounds and oscillometric cuff pressure pulses during blood pressure measurement. ( 0,582745211251407 )
Med Biol Eng Comput - Evaluation of the hemodynamics in straight 6-mm and tapered 6- to 8-mm grafts as upper arm hemodialysis vascular access. ( 0,581974426801367 )
IEEE J Biomed Health Inform - Automated estimation of fetal cardiac timing events from Doppler ultrasound signal using hybrid models. ( 0,581808995435886 )
J Clin Monit Comput - Continuous minimally invasive peri-operative monitoring of cardiac output by pulmonary capnotracking: comparison with thermodilution and transesophageal echocardiography. ( 0,581723007502353 )
J Clin Monit Comput - Pulmonary artery pulsatility is the main cause of cardiogenic oscillations. ( 0,581285186196963 )
J Clin Monit Comput - The analysis of transesophageal oxygen saturation photoplethysmography from different signal sources. ( 0,580975439355752 )
J Clin Monit Comput - An optimal frequency range for assessing the pressure reactivity index in patients with traumatic brain injury. ( 0,580492591554532 )
Med Biol Eng Comput - Determinants of vascular and cardiac baroreflex sensitivity values in a random population sample. ( 0,57928397314886 )
J Clin Monit Comput - Cardiopulmonary interactions and volume status assessment. ( 0,578582562165823 )
Int J Med Robot - Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up. ( 0,577649580772979 )
J Telemed Telecare - Results of a telehealth-enabled chronic care management service to support people with long-term conditions at home. ( 0,577162947107986 )
Med Biol Eng Comput - The effect of aortic wall and aortic leaflet stiffening on coronary hemodynamic: a fluid-structure interaction study. ( 0,5766752176452 )
Med Biol Eng Comput - Characterization of skin dermis microcirculation in flow-mediated dilation using optical sensor with pressurization mechanism. ( 0,575760603971595 )
Comput Math Methods Med - Numerical study for blood flow in pulmonary arteries after repair of tetralogy of Fallot. ( 0,574972722956397 )
J Clin Monit Comput - The effect of preoperative consumption of potatoes on succinylcholine-induced block and recovery from anesthesia. ( 0,5730284990252 )
Int J Med Robot - Open vs robot-assisted laparoscopic gastric resection with D2 lymph node dissection for adenocarcinoma: a case-control study. ( 0,573011687681943 )
Med Biol Eng Comput - Arterial reservoir-excess pressure and ventricular work. ( 0,572789696894893 )
J Clin Monit Comput - Pulse oximeter plethysmograph variation and its relationship to the arterial waveform in mechanically ventilated children. ( 0,572635793477272 )