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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Endoscopic Procedures I: Esophagogastroduodenoscopy

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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  3. Improving Diagnosis Of Early Complications (<1 Week) Through Continuous Vital Sign Monitoring Following Oncological Gastrointestinal Surgical Procedures.
  1. Home
  3. Improving Diagnosis Of Early Complications (<1 Week) Through Continuous Vital Sign Monitoring Following Oncological Gastrointestinal Surgical Procedures.

Related Experiment Video

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
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Improving diagnosis of early complications (<1 week) through continuous vital sign monitoring following oncological

Elize W Lockhorst1,2, Milicia van Noordenne1, Linda Klouwens1

  • 1Department of Surgery, Amphia Hospital Breda, Breda, The Netherlands.

World Journal of Surgery
|June 18, 2024

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
abdominal surgeryadverse eventsbiosensorcontinuous monitoringvital signswearableswireless patch

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Continuous monitoring with a wireless patch detected postoperative complications earlier than standard nurse measurements in major abdominal surgery patients. This technology promises earlier recognition and management of clinical deterioration, improving patient outcomes.

Area of Science:

  • Oncology
  • Surgical Patient Monitoring
  • Medical Technology

Background:

  • Major oncological abdominal surgery patients face significant risks of postoperative complications.
  • Early recognition of clinical deterioration is critical for timely intervention.
  • Intermittent vital sign measurements by nurses may delay the detection of complications.

Purpose of the Study:

  • To compare vital parameter measurements between ward nurses and the Sensium® wireless patch.
  • To assess if the Sensium® patch can detect clinical deterioration earlier in postoperative patients.

Main Methods:

  • Vital parameters (heart rate, respiratory rate, temperature) were collected from patients undergoing oncological abdominal surgery.
  • Sensium® patch measurements were compared against nurse measurements for discrepancies.
  • Time to detection of clinical deterioration was analyzed for patients with complications.

    • Main Results:

    • 22% of 227 patients experienced complications; 26% of measurements showed discrepancies between nurses and the Sensium® patch.
    • The Sensium® patch detected elevated respiratory rates 14 hours earlier and heart rates 2 hours earlier compared to nurses.
    • No significant difference in temperature detection was observed between the two methods.

    Conclusions:

    • Continuous monitoring with the Sensium® wireless patch shows potential for earlier complication detection in major oncological abdominal surgery.
    • This technology may improve the management of postoperative complications and reduce nursing workload.
    • Further research is warranted to validate these findings and explore broader clinical applications.