对非侵入性血压估计机器学习方法的审查
Ravi Pal1, Joshua Le2, Akos Rudas3
1Department of Anesthesiology & Perioperative Medicine, David Geffen School of Medicine, University of California Los Angeles, Ronald Reagan UCLA Medical Center, 757 Westwood Plaza, Los Angeles, CA, 90095, USA. RPal@mednet.ucla.edu.
Journal of clinical monitoring and computing
|September 21, 2024
概括
这篇评论探讨了用于非侵入性血压估计的机器学习. 这些先进的方法为持续的血液动力学监测提供了侵入性技术的更安全的替代方案.
科学领域:
- 生物医学工程 生物医学工程
- 临床监测 临床监测
- 人工智能在医学中的应用
背景情况:
- 血压监测对于评估患者的血液动力学状况至关重要.
- 低血压和高血压显著增加患者的发病率.
- 血压监测的侵入性和非侵入性方法都存在,每个方法都有独特的风险-收益概况.
研究的目的:
- 审查基于机器学习 (ML) 的现代血压估计的非侵入性方法.
- 讨论这些ML驱动技术的优点和局限性.
- 评估非侵入性ML血压监测的临床相关性.
主要方法:
- 关于机器学习用于非侵入性血压估计的最新研究的文献综述.
- 分析不同的ML算法及其性能指标.
- 非侵入性ML方法与传统的侵入性和非侵入性技术的比较.
主要成果:
- 机器学习模型显示出准确,连续,非侵入性血压估计的前景.
- 与侵入性监测相比,非侵入性ML方法的风险较低.
- 当前的ML方法在标准化和广泛的临床采用方面存在挑战.
结论:
- 机器学习在非侵入性血压监测方面取得了重大进展.
- 需要进一步的研究和验证,以临床整合基于ML的BP估计.
- 非侵入性ML技术有可能彻底改变患者的血液动力学评估.
相关概念视频
01:30Equipments Used To Measure Blood Pressure
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Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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01:21Sites for measruring blood pressure
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Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
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01:23Assessment of blood pressure in brachial artery(two-step method)
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Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
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01:17Measurement of Blood Pressure
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Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
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01:28Special considerations while measuring blood pressure
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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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