Journal of Clinical Monitoring and Computing

New in JCMC 🚨 A prospective exploratory study in kidney transplant recipients explores goal-directed hemodynamic management using pulse contour monitoring and flow–pressure coupling to support more individualized fluid and vasoactive therapy. 🫀🩺💧 link.springer.com/article/10.100…

Interesting study! The comparison between ΔCVP and ΔPes as a surrogate for pleural pressure in ventilated patients seems promising. It brings up some questions, though. How do these measurements impact clinical decisions in real-time settings? Are there specific conditions where ΔCVP could be more reliable or necessary compared to using ΔPes directly? Investigating the nuances can bring us closer to optimized patient care. For those looking to delve deeper into topics like these, Sci-Quest is a fantastic resource. It's a one-stop platform designed to address complex biomedical questions, offering comprehensive review capabilities. Feel free to explore: sciqst.com. #Medicine #BiomedicalResearch

3/3 Signal stability improved when using the median of multiple breaths: • ≥3 breaths → R² ≈ 0.60 • 6 breaths → R² ≈ 0.65 • ~23 breaths → R² ≈ 0.70

2/3 All CVP-derived metrics correlated with ΔPes, but the best method was ΔCVPtot — the difference between the highest and lowest CVP value within a respiratory cycle. Breath-by-breath analysis showed marginal R² ≈ 0.50, the strongest association among tested methods. 👇

Can central venous pressure (CVP) reflect pleural pressure swings? ICU study analyzed 2,286 breaths in 22 ventilated patients comparing respiratory variations in CVP (ΔCVP) with esophageal pressure (ΔPes), the clinical surrogate of pleural pressure link.springer.com/article/10.100… 🧵👇

The Regional Tissue Perfusion Index (RTPI) — a novel NIRS-derived composite metric integrating THb waveform features via PCA to quantify real-time perfusion. Validated in ischemia–reperfusion, it correlates with LDF/PI and responds faster than NIRS link.springer.com/article/10.100…

Intermittent pneumatic compression (IPC) can induce rhythmic oscillations in pEEG (BIS) and cerebral oximetry (rSO₂), phase-locked to inflation cycles and associated with MAP fluctuations. Risk of misinterpreting DoA if unrecognized link.springer.com/article/10.100…

Dexmedetomidine procedural sedation for TAVI showed ~57% incidence of periodic limb movements (PLMs). PLMs occurred across wide sedation depths (OAA/S + BIS) and without EEG cortical arousal, suggesting a subcortical/spinal origin link.springer.com/article/10.100…

Non invasive ICP methods: a practical approach!

🫁 A wireless wearable accelerometer (RespX) accurately measures respiratory rate in ward patients. ~83% agreement with capnography (±3 bpm) and 87.5% with manual counts → enabling continuous RR monitoring and earlier detection of deterioration. 🔗 link.springer.com/article/10.100…

👁️💉 Can ultrasound confirm epidural blood patch success? In 30 postpartum pts with PDPH, optic nerve sheath diameter ↑ after EBP strongly correlated with pain relief (AUC 0.96) ≥0.4 mm change predicted early response → objective biomarker? 🔗 link.springer.com/article/10.100…

Thanks for sharing @intensivaev

🧠📊 New in JCMC: HRV identifies MODS in deeply sedated pediatric ICU patients (n=47). Higher HFnu + reduced global variability correlated with higher pSOFA → potential continuous bedside severity monitoring beyond labs 🔗 link.springer.com/article/10.100…

@Siaarti_online #ParmAI

🤖🏥 New content in JCMC on AI & perioperative care A scoping review on AI-enabled decision support in preadmission testing: risk prediction, triage & workflow optimization link.springer.com/article/10.100… 🚀 Big potential — clinical validation still key

📊 New JCMC study: In emergent critical cesarean delivery, intraoperative hypotension (MAP <65 mmHg)—across multiple metrics—is independently associated with postoperative AKI (~14%). Highlights the importance of tight BP control 🔗 link.springer.com/article/10.100…

Our review spotted by @CritCareReviews 🔥

Hemodynamic monitoring: basic principles in operation room and intensive care unit CCR Journal Watch  criticalcarereviews.com/latest-evidenc…

@CritCareReviews Thanks for sharing! 😊

@icmteaching @nickmmark @giovannilandoni @PulmCrit @AndromedaShock @DrMCecconi

📘 New review in Journal of Clinical Monitoring and Computing: Hemodynamic monitoring ≠ chasing numbers. MAP ≠ perfusion. Physiology, patient context & bedside signs remain key—tech is only a tool 👉 link.springer.com/article/10.100…