Journal ArticleDOI
Near-infrared spectroscopy: exposing the dark (venous) side of the circulation.
John P. Scott,George M. Hoffman +1 more
TLDR
Near‐infrared spectroscopy provides noninvasive continuous access to the venous side of regional circulations that can approximate organ‐specific and global measures to facilitate the detection of circulatory abnormalities and drive goal‐directed interventions to reduce end‐organ ischemic injury.Abstract:
The safety of anesthesia has improved greatly in the past three decades. Standard perioperative monitoring, including pulse oximetry, has practically eliminated unrecognized arterial hypoxia as a cause for perioperative injury. However, most anesthesia-related cardiac arrests in children are now cardiovascular in origin, and standard monitoring is unable to detect many circulatory abnormalities. Near-infrared spectroscopy provides noninvasive continuous access to the venous side of regional circulations that can approximate organ-specific and global measures to facilitate the detection of circulatory abnormalities and drive goal-directed interventions to reduce end-organ ischemic injury.read more
Citations
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Journal ArticleDOI
Two-dimensional near infrared spectroscopic imaging of the hand to assess microvascular abnormalities in systemic sclerosis: a pilot study
Valentina Hartwig,Martina Marinelli,Luna Gargani,Tatiana Barskova,Maria Giovanna Trivella,Marco Matucci Cerinic,Antonio L'Abbate +6 more
TL;DR: Spatial heterogeneity of microvascular alterations associated with temporal heterogeneity in vascular reactivity to ischaemic challenge make 2D NIR spectroscopic imaging a promising tool in the assessment of SSc, as compared with the current available techniques.
Journal ArticleDOI
Monitoring for Nonoperating Room Anesthesia
TL;DR: The safe provision of NORA requires strict adherence to standardized monitoring guidelines including pulse oximetry, capnography, electrocardiogram, and noninvasive blood pressure ampliflier.
Journal ArticleDOI
Assessment of Microvascular Function Using Near-Infrared Spectroscopic 2D Imaging of Whole Hand Combined with Vascular Occlusion Test
TL;DR: This study evaluates the possibility of using a NIRS two-dimensional (2D) camera for whole-hand imaging and calculated several parameters from the StO2 trend obtained from the N IRS image set, using two exemplifying regions of interest on the thenar eminence and the middle finger.
Journal ArticleDOI
New Methods of Monitoring Shock in Children
Helen Turnham,Joe Brierley +1 more
TL;DR: It is suggested that the optimal monitoring of the shocked child in theICU, and those developing shock outside the ICU, should include measuring those hemodynamic parameters above together with assessment of preload responsiveness and organ perfusion.
Journal ArticleDOI
Hemodynamic monitoring in children with heart disease: Overview of newer technologies.
Justin Skowno,Justin Skowno +1 more
TL;DR: Safely seeing a patient through the complexities of paediatric cardiac surgery requires a range of skills, many of which are based on use and interpretation of standard clinical monitoring, but these monitors are unable to tell us about absolute cardiac output, or whether the current cardiovascular state is adequate to the patient's needs.
References
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Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock
Emanuel P. Rivers,Bryant Nguyen,Suzanne Havstad,Julie Ressler,Alexandria Muzzin,Bernhard P. Knoblich,Edward L. Peterson,Michael C. Tomlanovich +7 more
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Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters
TL;DR: Observations by infrared transillumination in the exposed heart and in the brain in cephalo without surgical intervention show that oxygen sufficiency for cytochrome a,a3, function, changes in tissue blood volume, and the average hemoglobin-oxyhemoglobin equilibrium can be recorded effectively and in continuous fashion for research and clinical purposes.
Journal ArticleDOI
Part 8: Adult Advanced Cardiovascular Life Support 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Robert W. Neumar,Charles W. Otto,Mark S. Link,Steven L. Kronick,Michael Shuster,Clifton W. Callaway,Peter J. Kudenchuk,Joseph P. Ornato,Bryan McNally,Scott M. Silvers,Rod S. Passman,Roger D. White,Erik P. Hess,Wanchun Tang,Daniel Davis,Elizabeth Sinz,Laurie J. Morrison +16 more
TL;DR: The goal of therapy for bradycardia or tachycardia is to rapidly identify and treat patients who are hemodynamically unstable or symptomatic due to the arrhythmia.
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Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems
Paul Barach,Stephen D. Small +1 more
TL;DR: Focusing on data for near misses may add noticeably more value to quality improvement than a sole focus on adverse events, and an environment fostering a rich reporting culture must be created to capture accurate and detailed data about nuances of care.
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Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock.
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