SONG Tianjiao, WANG Xiaoting, CHAO Yangong. Particle Multimodality Monitoring and Hemodynamics[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 942-947. DOI: 10.12290/xhyxzz.2022-0626
Citation: SONG Tianjiao, WANG Xiaoting, CHAO Yangong. Particle Multimodality Monitoring and Hemodynamics[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 942-947. DOI: 10.12290/xhyxzz.2022-0626

Particle Multimodality Monitoring and Hemodynamics

Funds: 

National Natural Science Foundation of China 81771938

More Information
  • Corresponding author:

    CHAO Yangong, E-mail: chaoyg1059@foxmail.com

  • Received Date: October 29, 2022
  • Accepted Date: November 08, 2022
  • Available Online: November 16, 2022
  • Issue Publish Date: November 29, 2022
  • Hemodynamic optimization is key to resuscitation of critically ill patients in intensive medicine. Delayed or improper treatment will inevitably lead to hypoperfusion, tissue hypoxia and multiple organ failure, which affects the patients' outcome. Therefore, early identification of patients at risk and implementation of adequate monitoring and guidance intervention have a profound impact on the results. The key principle of hemodynamic management is to optimize blood flow and oxygen flow according to current tissue metabolism. To achieve this goal, we need to monitor and get blood pressure, cardiac output, organ-specific automatic regulation and tissue microcirculation. However, the clinical monitoring data is huge. At the same time nearly one hundred pieces of data objectively present the pathophysiological state of the patient, and the changes of data at different time periods can describe the progress of the patients' condition. Therefore, the integrated analysis of time/ frequency domain based on millisecond-level high-resolution data will promote the understanding and practice of hemodynamics at microcosmic level, and help to facilitate clearer judgment and more precise treatment of patients' condition.
  • [1]
    Khanna AK, Karamchandani K. Macrocirculation and Microcirculation: The "Batman and Superman" Story of Critical Care Resuscitation[J]. Anesth Analg, 2021, 132: 280-283. DOI: 10.1213/ANE.0000000000005272
    [2]
    Saugel B, Michard F, Thomas WL. ScheerenGoal-directed therapy: hit early and personalize[J]. J Clin Monit Comput, 2018, 32: 375-377. DOI: 10.1007/s10877-017-0043-x
    [3]
    Goldstein B, McNames J, McDonald BA, et al. Physiolo-gic data acquisition system and database for the study of disease dynamics in the intensive care unit[J]. Crit Care Med, 2003, 31: 433-441. DOI: 10.1097/01.CCM.0000050285.93097.52
    [4]
    Lee HC, Jung CW. Vital recorder—a free research tool for automatic recording of high-resolution time-synchronised physiological data from multiple anaesthesia Devices[J]. Sci Rep, 2018, 8: 1527.
    [5]
    Sun YC, Guo F, Kaffashi F, et al. INSMA: An integrated system for multimodal data acquisition and analysis in the intensive care unit[J]. J Biomed Inform, 2020, 106: 103434. DOI: 10.1016/j.jbi.2020.103434
    [6]
    Calfee CS, Delucchi K, Parsons PE, et al. Subphenotypes in acute respiratory distress syndrome: Latent class analysis of data from two randomised controlled trials[J]. Lancet Respir Med, 2014, 2: 611-620. DOI: 10.1016/S2213-2600(14)70097-9
    [7]
    王剑, 张政波, 王卫东, 等. 基于重症监护数据库MIMIC-Ⅱ的临床数据挖掘研究[J]. 中国医疗器械杂志, 2014, 38: 402-406. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLZ201406003.htm
    [8]
    Halford GS, Baker R, McCredden JE, et al. How many variables can humans process?[J]. Psychol Sci, 2005, 16: 70-76. DOI: 10.1111/j.0956-7976.2005.00782.x
    [9]
    Jozwiak M, Monnet X, Teboul JL. Pressure Waveform Analysis[J]. Anesth Analg, 2018, 126: 1930-1933. DOI: 10.1213/ANE.0000000000002527
    [10]
    Tusman G, Acosta CM, Pulletz S, et al. Photoplethysmographic characterization of vascular tone mediated changes in arterial pressure: an observational study[J]. J Clin Monit Comput, 2019, 33: 815-824. DOI: 10.1007/s10877-018-0235-z
    [11]
    Chen L, Dubrawski A, Wang D, et al. Using supervised machine learning to classify real alerts and artifact in online multisignal vital sign monitoring data[J]. Crit Care Med, 2016, 44: e456-463. DOI: 10.1097/CCM.0000000000001660
    [12]
    Guillame-Bert M, Dubrawski A, Wang D, et al. Learning temporal rules to forecast instability in continuously moni-tored patients[J]. J Am Med Inform Assoc, 2017, 24: 47-53. DOI: 10.1093/jamia/ocw048
    [13]
    Hatib F, Jian Z, Buddi S, et al. Machine-learning Algorithm to Predict Hypotension Based on High-fidelity Arterial Pressure Waveform Analysis[J]. Anesthesiology, 2018, 129: 663-674. DOI: 10.1097/ALN.0000000000002300
    [14]
    Davidson S, Pretty C, Balmer J, et al. Blood pressure waveform contour analysis for assessing peripheral resistance changes in sepsis[J]. Biomed Eng Online, 2018, 17: 171. DOI: 10.1186/s12938-018-0603-4
    [15]
    Le Roux P, Menon DK, Citerio G, et al. Consensus summary statement of the International Multidisciplinary Consen-sus Conference on Multimodality Monitoring in Neurocritical Care: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive[J]. Neurocrit Care, 2014, 21: S1-S26.
    [16]
    Vespa PM, McArthur DL, Xu Y, et al. Nonconvulsive seizures after traumatic brain injury are associated with hippocampal atrophy[J]. Neurology, 2010, 31: 792-798.
    [17]
    Claassen J, Mayer SA, Kowalski RG, et al. Detection of electrographic seizures with continuous EEG monitoring in critically ill patients[J]. Neurology, 2004, 25: 1743-1748.
    [18]
    Claassen J, Taccone FS, Horn P, et al. Recommendations on the use of EEG monitoring in critically ill patients: consensus statement from the neurointensive care section of the ESICM[J]. Intensive Care Med, 2013, 39: 1337-1351. DOI: 10.1007/s00134-013-2938-4
    [19]
    Steiner LA, Czosnyka M, Piechnik SK, et al. Continuous monitoring of cerebrovascular pressure reactivity allows determination of optimal cerebral perfusion pressure in patients with traumatic brain injury[J]. Crit Care Med, 2002, 30: 733-738. DOI: 10.1097/00003246-200204000-00002
    [20]
    Aries MJ, Czosnyka M, Budohoski KP, et al. Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury[J]. Crit Care Med, 2012, 40: 2456-2463. DOI: 10.1097/CCM.0b013e3182514eb6
    [21]
    Jacobi J. The pathophysiology of sepsis--2021 update: Part 2, organ dysfunction and assessment[J]. Am J Health Syst Pharm, 2022, 79: 424-436. DOI: 10.1093/ajhp/zxab393
    [22]
    Boucsein W. Electrodermal Activity(2nd ed)[M]. Germany: Springer Verlag, 2012: 153-154.
    [23]
    Carrara M, Ferrario M, Bollen Pinto B, et al. The autonomic nervous system in septic shock and its role as a future therapeutic target: a narrative review[J]. Ann Intensive Care, 2021, 11: 80. DOI: 10.1186/s13613-021-00869-7
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