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Dissertations / Theses on the topic 'Critical care monitoring'

Author: Grafiati

Published: 4 June 2021

Last updated: 15 February 2022

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1

Currey, Judy A., and mikewood@deakin edu au. "Critical care nurses' haemodynamic decision making." Deakin University. School of Nursing, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050728.094123.

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For cardiac surgical patients, the immediate 2-hour recovery period is distinguished by potentially life-threatening haemodynamic instability. To ensure optimum patient outcomes, nurses of varying levels of experience must make rapid and accurate decisions in response to episodes of haemodynamic instability. Decision complexity, nurses characteristics, and environmental characteristics, have each been found to influence nurses' decision making in some form. However, the effect of the interplay between these influences on decision outcomes has not been investigated. The aim of the research rep

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2

Parlikar, Tushar Anil 1978. "Modeling and monitoring of cardiovascular dynamics for patients in critical care." Thesis, Massachusetts Institute of Technology, 2007. http://hdl.handle.net/1721.1/40859.

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Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2007.<br>This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.<br>Includes bibliographical references (p. 231-239).<br>In modern intensive care units (ICUs) a vast and varied amount of physiological data is measured and collected, with the intent of providing clinicians with detailed information about the physiological state of each patient. The data include measurements from the bedside monito

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3

Revie, James Alexander Michael. "Model-based cardiovascular monitoring in critical care for improved diagnosis of cardiac dysfunction." Thesis, University of Canterbury. Mechanical Engineering, 2013. http://hdl.handle.net/10092/7876.

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Cardiovascular disease is a large problem in the intensive care unit (ICU) due to its high prevalence in modern society. In the ICU, intensive monitoring is required to help diagnose cardiac and circulatory dysfunction. However, complex interactions between the patient, disease, and treatment can hide the underlying disorder. As a result, clinical staff must often rely on their skill, intuition, and experience to choose therapy, increasing variability in care and patient outcome. To simplify this clinical scenario, model-based methods have been created to track subject-specific disease and tr

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4

Antcliffe, David. "Metabolic signatures of pneumonia in critical care : a paradigm shift in diagnosis and therapeutic monitoring." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/31522.

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Pneumonia and ventilator associated pneumonia (VAP) are a frequent cause for admission to Intensive Care and complication of ventilation respectively. VAP occurs in 10-40% of patients requiring mechanical ventilation and is associated with increased mortality, morbidity and healthcare costs. Diagnosis can be difficult due to poor predictive value of clinical features and low specificity of radiological changes. Bronchoscopic techniques are often invasive, may not be suitable for all patients and are not without complications. New tests are required to improve the diagnosis of these conditions

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5

Ward, Roxanne E. "Examining Methods and Practices of Source Data Verification in Canadian Critical Care Randomized Controlled Trials." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/23974.

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Statement of the Problem: Source data verification (SDV) is the process of comparing data collected at the source to data recorded on a Case Report Form, either paper or electronic (1) to ensure that the data are complete, accurate and verifiable. Good Clinical Practice (GCP) Guidelines are vague and lack evidence as to the degree of SDV and whether or not SDV affects study outcomes. Methods of Investigation: We performed systematic reviews to establish the published evidence-base for methods of SDV and to examine the effect of SDV on study outcomes. We then conducted a national survey o

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6

Black, C. J. "The feasibility of monitoring exercise intensity in mechanically ventilated patients recovering from critical illness in Intensive Care." Thesis, University College London (University of London), 2016. http://discovery.ucl.ac.uk/1476989/.

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Critical illness survivorship is frequently characterised by profound long-term physical and psychological disabilities. These arise as a result of the complex interaction between the patho-physiological e ects of critical illness, clinical interventions and the impact of prolonged bed rest on physical and psychological health. Early rehabilitation in the ICU is an important intervention that can overcome some of the devastating impacts of critical illness on patients and their carers. However, with little or no scienti c basis for its prescription and no validated means of assessing individua

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7

Emeka-Nweze, Chika Cornelia. "ICU_POC: AN EMR-BASED POINT OF CARE SYSTEM DESIGN FOR THE INTENSIVE CARE UNIT." Case Western Reserve University School of Graduate Studies / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=case1499255523449397.

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8

Scheepers, Pamela Anne. "A comparison of the potentiation by desflurane of the effects of rocoronium and cisatracurium." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85643.

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Thesis (MMed)-- Stellenbosch University, 2013.<br>ENGLISH ABSTRACT: Introduction: Of the volatile anaesthetic agents, desflurane causes the greatest degree of potentiation of the neuromuscular blocking drugs (NMB). The purpose of this study was to determine whether desflurane prolongs the effects of 3xED95 doses of rocuronium and cisatracurium to the same degree. The two NMB represent potent and less potent classes respectively. Methods: Informed, written consent was obtained from 63 adult patients scheduled for routine surgery. They were randomly allocated to one of four groups to rece

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9

Dolo, Lucy Mashishi. "Investigating the effect of an intervention on tracheal cuff pressure monitoring in the critical care environment of an academic hospital in Gauteng." Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/53055.

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Tracheal cuff pressure monitoring plays a significant role in the care of patients in the critical care environment. Most patients in critical care environment are intubated with cuffed tubes via the ore or the naso-tracheal route, or a tracheostomy is performed. The purpose of the tracheal cuff is to maintain a seal between the tube and the tracheal wall, to prevent volume loss and ensure effective mechanical ventilation. Nurse practitioners in the critical care environment play a vital role in monitoring tracheal cuff pressure, which is often neglected in clinical practice. Purpose: To

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10

Oliveira, Marcos Antonio de. "Análise contínua de medidas de cateter de artéria pulmonar volumétrico, ecotransesofágico, variações da pressão arterial sistêmica e marcadores de hipoperfusão tissular no choque hemorrágico em suínos." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/5/5152/tde-05032010-142149/.

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INTRODUÇÃO: Diferentes parâmetros hemodinâmicos, incluindo os indicadores estáticos de pré-carga cardíaca como o índice de volume diastólico final ventrículo direito (IVDFVD) e parâmetros dinâmicos como a variação de pressão de pulso (VPP) têm sido usados na tomada de decisão para considerar o processo da expansão volêmica em pacientes em estado grave. O objetivo deste estudo foi comparar a reanimação por fluidos guiados tanto por VPP ou IVDFVD após choque hemorrágico induzido experimentalmente. MÉTODO: vinte e seis suínos anestesiados e ventilados mecanicamente foram alocados em três grupos:

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11

Almerud, Sofia. "Vigilance & Invisibility : Care in technologically intense environments." Doctoral thesis, Växjö : Växjö University Press, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-1506.

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12

Kumar, Hemant. "Software analytical tool for assessing cardiac blood flow parameters /." View thesis, 2001. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030724.122149/index.html.

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13

Gomes, Vanessa Rossato. "Eventos adversos a medicamentos em idosos de unidades de terapia intensiva." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-27042018-143325/.

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Introdução: Eventos adversos a medicamentos (EAM) representam um importante problema de saúde pública, sendo associados à morbimortalidade, maior taxa de permanência hospitalar e elevação de custos. Os idosos e os pacientes de unidade de terapia intensiva (UTI) são grupos de risco para a ocorrência desses eventos. O uso de rastreadores, que representam situações indicativas de potenciais EAM, simplifica a detecção de EAM por meio do screening sistemático de prontuários, possibilitando a mensuração da taxa dessas adversidades continuamente e permitindo avançar na prática de segurança do pacient

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14

Pappada, Scott Michael. "Prediction of Glucose for Enhancement of Treatment and Outcome: A Neural Network Model Approach." Toledo, Ohio : University of Toledo, 2010. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=toledo1271302208.

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Dissertation (Ph.D.)--University of Toledo, 2010.<br>Typescript. "Submitted to the Graduate Faculty as partial fulfillment of the requirements for the Doctor of Philosophy Degree in Engineering." "A dissertation entitled"--at head of title. Title from title page of PDF document. Bibliography: p. 191-212.

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15

Cathelyn, Jim, and L. Lee Glenn. "Effect of Ambient Temperature and Cardiac Stability on Two Methods of Cardiac Output Measurement." Digital Commons @ East Tennessee State University, 1999. https://dc.etsu.edu/etsu-works/7534.

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The dependence of cardiac output measurement precision on ambient temperature and cardiac output stability was assessed by concurrent continuous and bolus thermodilution methods in postoperative cardiac surgery patients. The degree of agreement between the two methods was depended on room temperature (0.1 L/min for each degree below 25 degrees C). The agreement was also closer in trials where cardiac output was stable (< 10% variation). The continuous thermodilution method shows sufficient agreement with the bolus method for use in critical care; however, improved precision of cardiac output t

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16

Euteneuer, Joshua C. "Large Variability of Morphine Exposure during Standard of Care Dosing in Critically Ill Neonates." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459528713.

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17

Signal, Matthew Kent. "Continuous Glucose Monitoring and Tight Glycaemic Control in Critically Ill Patients." Thesis, University of Canterbury. Department of Mechanical Engineering, 2013. http://hdl.handle.net/10092/8458.

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Critically ill patients often exhibit abnormal glycaemia that can lead to severe complications and potentially death. In critically ill adults, hyperglycaemia is a common problem that has been associated with increased morbidity and mortality. In contrast, critically ill infants often suffer from hypoglycaemia, which may cause seizures and permanent brain injury. Further complicating the matter, both of these conditions are diagnosed by blood glucose (BG) measurements, often taken several hours apart, and, as a result, these conditions can remain poorly managed or go completely undetected. Eme

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18

Mviko, Vuyiseka Nosipho. "Critical analysis of the implementation of government-wide monitoring and evaluation system in Eastern Cape municipalities - case study of Chris Hani District Municipality." Thesis, University of Fort Hare, 2016. http://hdl.handle.net/10353/2877.

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South Africa is faced with enormous backlog of service delivery which is attributed to the apartheid government and performance challenges especially in areas like Eastern Cape. It was then identified that there was no uniform system to monitor and evaluate performance of government institutions and the impact of the services they render to the community. The government then adopted a monitoring and evaluation system called Government - Wide Monitoring and Evaluation System for all government departments and municipalities. This study analysed the implementation of this Government-Wide Monitor

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19

Makalima, Babalwa. "A critical assessment of the role of women in the implementation of the African Peer Review Mechanism (APRM) exercise in Western Cape 2007." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5351_1307525332.

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<p>This study seeks to assess the level of women&rsquo<br>s participation and involvement in the promotion of effective governance during the African Peer Review Mechanism (APRM) implementation exercise in 2007, which was endorsed by the APRM Western Cape Province. The interest of the study arises from the concept of &lsquo<br>good governance&rsquo<br>and how the implementation of such a concept is carried out in the rendering of public services, specifically the role of women in rendering public service in the Western Cape Province, South Africa.</p>

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20

Liao, Chia-Wei, and 廖家偉. "A Health Care Monitoring System for Critical Patients: Design and Implementation." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/54492324418482444822.

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碩士<br>國立屏東科技大學<br>資訊管理系所<br>100<br>With the improvement in medical infrastructure and technology, the ageing phenomenon in Taiwan becomes more and more seriously. The health care issue in critical ill patients is being taken with severe attention. Because the physical condition on critical ill patients is worse than mild disease patients, they are more pressing needs for monitoring if the care staff cannot always beside of them. The patients only can use the emergency button passively to inform nursing station when they feel not good or have abnormal condition, but some critical ill patients c

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21

Thommandram, Anirudh. "Correlation and real time classification of physiological streams for critical care monitoring." Thesis, 2013. http://hdl.handle.net/10155/372.

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This thesis presents a framework for the deployment of algorithms that support the correlation and real-time classification of physiological data streams through the development of clinically meaningful alerts using a blend of expert knowledge in the domain and pattern recognition programming based on clinical rules. Its relevance is demonstrated via a real world case study within the context of neonatal intensive care to provide real-time classification of neonatal spells. Events are first detected in individual streams independently; then synced together based on timestamps; and finally asse

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22

Archana, Gopal. "Reducing ‘Failure-to-Rescue’ Events through Enhanced Critical Care Response Teams." Thesis, 2011. http://hdl.handle.net/1807/30609.

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Failure to recognize and respond to changes in a patient’s condition is a limitation in the effective utilization of Medical Emergency Teams (METs). A system that uses smartphone technology to facilitate vital signs collection at bedside has been developed. The alerts engine, based upon Mount Sinai Hospital’s (MSH) MET calling criteria, can automatically alert the MET of patients exhibiting abnormal vital signs. The system, without automated alerting, was piloted at MSH. Sensitivity and specificity calculations revealed that the MSH algorithm had a lower sensitivity and specificity than the C

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23

Suwanmongkol, Karlkim. "SIMON, a distributed real-time system for critical care patient monitoring and event detection." Diss., 2001. http://etd.library.vanderbilt.edu/ETD-db/available/etd-0726101-142850/.

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24

Davies-Schinkel, Corrine. "Needs Assessment, Knowledge Translation and Barriers to Implementing EEG Monitoring Technology in Critical Care." Thesis, 2011. http://hdl.handle.net/1807/30569.

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Background: The neurological examination in critically ill patients is limited due to decreased level of consciousness and sedating medications. Electroencephalography (EEG) can be used to monitor brain injury; however, availability is limited. Methods: To determine the perceived need for EEG monitoring in the ICU and its current availability, we used rigorous methodology to develop and disseminate a survey to 199 Canadian critical care physicians. Results: Of 103 (52%) respondents (77% academic practice; 83% adult focus), 75% stated EEG monitoring should be a standard of care; yet, 75.5% w

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25

Lin, Yo-Wei, and 林佑威. "Development of a monitoring system for critical care medicine base on diffuse optical spectroscope imaging technique." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/25688841469553785060.

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碩士<br>國立臺灣大學<br>光電工程學研究所<br>97<br>In intensive care unit (ICU) the condition of patients were instable. The patients were observed with much physiological information about heart rate, blood pressure, body temperature, SpO2 to diagnosis the condition of patients in time. A system with fast, noninvasive, portable, low cost and without radiation was developed to be a bedside monitor system. Diffuse optical image system with continuous wave laser diode and photodiode on flexible black rubber was designed to obtain information of oxy-hemoglobin, deoxy-hemoglobin, total hemoglobin and tissue oxygen

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26

Norris, Patrick R. "Toward new vital signs tools and methods for physiologic data capture, analysis, and decision support in critical care /." Diss., 2006. http://etd.library.vanderbilt.edu/ETD-db/available/etd-04022006-161638/.

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27

Paruk, Fathima. "Critically ill obstetric and gynaecology patients : the development and validation of an outcome prediction model." Thesis, 2006. http://hdl.handle.net/10413/8623.

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Introduction: Outcome prediction tools have the potential to provide significant adjunctive information for intensivists. Critically ill obstetric and gynaecology patients constitute a unique subset of the general ICU (intensive care unit) population yet, there exists no outcome prediction model developed specifically for these patients. Objectives: To evaluate the APACHE II score, prospectively develop and validate an outcome prediction model, evaluate organ failure (Organ Failure score and SOFA score) and review the SIRS (Systemic Inflammatory Response Syndrome) response in a cohort of criti

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28

Le, Roux Estelle. "Transfer to higher level of care : a retrospective analysis of patient deterioration, management as well as processes involved." Diss., 2010. http://hdl.handle.net/10500/3915.

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In-patient deterioration is a global phenomena and timely recognition and action improves outcome. Intensive care facilities are scarce and expensive and therefore patient care must be optimal. A retrospective health record analysis was used for this study. The findings indicated that nursing personnel do not recognize patient deterioration timeuously. However, the implementation of an outreach team and clinical markers training program improved the recognition of patient deterioration in general wards with three hours and 40 minutes. It is recommended to implement a comprehensive hospital p

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29

Beneš, Jan. "Hemodynamika v časné fázi kritických stavů a perioperační medicíně." Doctoral thesis, 2012. http://www.nusl.cz/ntk/nusl-308510.

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Beneš J.: HEMODYNAMIKA V ČASNÉ FÁZI KRITICKÝCH STAVŮ A PERIOPERAČNÍ MEDICÍNĚ - Využití méně invazivních monitorovacích prostředků k cílené hemodynamické péči ABSTRACT Hemodynamic instability occurs very often in critically ill patients and during the perioperative period. Insufficiency in the preload, contractility and afterload contribute in major part to this phenomenon. Hemodynamic monitoring allows clinicians to recognize and to intervene early the underlying cause. Due to new technologies development in recent years it is possible to provide continuous monitoring of hemodynamic parameters

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