Alarms in a neurocritical care unit: a prospective study

Ünal, Ali; Arsava, Ethem Murat; Çağlar, Gülşen; Topçuoğlu, Mehmet Akif

doi:10.1007/s10877-021-00724-x

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…Another ICU study found Sp o 2 generated 15% of all alarms, with only 1.4% of those alarms requiring prescriber intervention (23). In another study, only 2.5% of Sp o 2 alarms required physician involvement (24). Others have found up to 93% of postoperative Sp o 2 alarms to be false with poor correlation to measurements of ventilation (3, 25–27).…”

Section: Pulse Oximeters Have Accuracy Issues and Generate Too Many F...mentioning

confidence: 99%

Pulse Oximetry Con: Stop Living in the Cave

Winters

Sarwal

2023

Critical Care Medicine

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Pulse oximetry is a clinical monitoring tool that commonly serves as a biomarker for hypoxia. It is a simple, practical, noninvasive tool so deeply embedded in medicine that it is typically the first interaction a patient has with a monitoring technology. It is such an integral part of vital signs measurement in critical care that any argument questioning its efficacy or safety is ridiculed and treated as heresy. However, as described by Plato, we have been living in a cave where we are the prisoners of a false reality of the infallibility of this medical technology, like shadows cast upon the cave wall by firelight. The cave is all most of us know, and few are willing to venture out of the cave into the sunlight; the rest remaining inside considering the truth not worth seeking. Like any instrument we use in our critical care cave, pulse oximetry has become such a part of our daily existence that we may have neglected to see that both the tool itself, and our use of it may be fraught with fallacies and represent a "false reality. " As a profession, we need to venture out of the cave and reconsider the accuracy and value of pulse oximetry and respond appropriately.Pulse oximetry has several limitations. No perfect tool exists, and any tool is only as good as the operator's understanding of its perils and pitfalls in using it effectively. We describe the current state of science as it relates to the limitations of pulse oximetry, with the hope that this will become a trigger for igniting further research into improving its use.

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Section: Pulse Oximeters Have Accuracy Issues and Generate Too Many F...mentioning

confidence: 99%

Pulse Oximetry Con: Stop Living in the Cave

Winters

Sarwal

2023

Critical Care Medicine

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“…In the neurological critical care unit (NCCU), Unal et al (102) used statistical techniques to determine the prevalence, types, and determinants of alarms. Liu et al (103) conducted a study in 2020 on armpit temperature monitoring using an AI-enabled wireless, non-invasive armpit thermometer called iThermonitor.…”

Section: Category I: Monitoringmentioning

confidence: 99%

Machine Learning-Guided Anesthesiology: A Review of Recent Advances and Clinical Applications

Hashemi,

Yousefzadeh,

Abin

et al. 2024

J Cell Mol Anesth

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: Anesthesia is the process of inducing and experiencing various conditions, such as painlessness, immobility, and amnesia, to facilitate surgeries and other medical procedures. During the administration of anesthesia, anesthesiologists face critical decision-making moments, considering the significance of the procedure and potential complications resulting from anesthesia-related choices. In recent years, artificial intelligence (AI) has emerged as a supportive tool for anesthesia decisions, given its potential to assist with control and management tasks. This study aims to conduct a comprehensive review of articles on the intersection of AI and anesthesia. A review was conducted by searching PubMed for peer-reviewed articles published between 2020 and early 2022, using keywords related to anesthesia and AI. The articles were categorized into nine distinct groups: "Depth of anesthesia", "Control of anesthesia delivery", "Control of mechanical ventilation and weaning", "Event prediction", "Ultrasound guidance", "Pain management", "Operating room logistic", "Monitoring", and "Neuro-critical care". Four reviewers meticulously examined the selected articles to extract relevant information. The studies within each category were reviewed by considering items such as the purpose and type of anesthesia, AI algorithms, dataset, data accessibility, and evaluation criteria. To enhance clarity, each category was analyzed with a higher resolution than previous review articles, providing readers with key points, limitations, and potential areas for future research to facilitate a better understanding of each concept. The advancements in AI techniques hold promise in significantly enhancing anesthesia practices and improving the overall experience for anesthesiologists.

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“…This group needs specific care and constant surveillance by the multiprofessional health team in the hospital environment, to avoid further aggravations and secondary injuries. The execution of this care at the ICU level can be implemented by the nursing team, having as an instrument the systematization of nursing care ( de Arruda et al, 2019 ; Unal et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Neurocritical Patients: Review of the Scope of Nursing Diagnoses and Care in the Intensive Care Unit

et al. 2023

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Objective To identify the diagnoses and nursing care for neurocritical patients in the intensive care unit. Method This is a scope review study, based on the Joanna Briggs Institute, led by the following guiding question: what are the diagnoses and nursing care for neurocritical patients in the intensive care unit? Data collection was carried out in February 2022 in a paired manner, in the following databases: EMBASE, MEDLINE, PubMed, and SCOPUS. For sample selection, the following search strategy was used: “Neurology” AND “Nursing Care” OR “Nursing Diagnosis” AND “Critical Care.” Studies were independently selected, blinded by two reviewers. Result It was possible to identify 854 studies, which after analysis by title and abstract, only 27 articles passed the eligibility, of which 10 were part of this review. Conclusion According to the analysis of the studies, it was found that nursing care, combined with a care plan for neurocritical patients, allows for better results, with a view to the quality of life and health promotion.

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Alarms in a neurocritical care unit: a prospective study

Cited by 5 publications

References 16 publications

Pulse Oximetry Con: Stop Living in the Cave

Pulse Oximetry Con: Stop Living in the Cave

Machine Learning-Guided Anesthesiology: A Review of Recent Advances and Clinical Applications

Neurocritical Patients: Review of the Scope of Nursing Diagnoses and Care in the Intensive Care Unit

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