Title :
Development of a hemodynamic database in severe trauma patients to define optimal goals and predict outcome
Author :
Shoemaker, WC ; Wo, CCJ ; Botnen, A. ; Bayard, DS ; Jelliffe, RW
Author_Institution :
Dept. of Surgery & Anesthesia, Univ. of Southern California, Los Angeles, CA, USA
Abstract :
Noninvasive hemodynamic monitoring systems provide continuously monitored online displays of data from emergency department admission to the operating room and to the ICU for the early recognition of circulatory dysfunctions in acute emergency conditions. The net cumulative deficits of the cardiac index are estimated by thoracic electric bioimpedance, while arterial hypoxemia is measured by pulse oximetry and tissue perfusion is reflected by transcutaneous pO2 . Based on a large database, survival was satisfactorily predicted by discriminant analysis and by a new stochastic analysis and control program
Keywords :
bioelectric phenomena; cardiology; haemodynamics; haemorheology; medical information systems; optimisation; oximetry; patient monitoring; statistical databases; stochastic processes; ICU; acute emergency conditions; arterial hypoxemia; cardiac index net cumulative deficit estimation; circulatory dysfunction recognition; continuously monitored online displays; discriminant analysis; emergency department admission; hemodynamic database; intensive care unit; noninvasive hemodynamic monitoring systems; operating room; optimal goals; patient outcome prediction; patient survival prediction; pulse oximetry; severe trauma patients; stochastic analysis program; stochastic control program; thoracic electric bioimpedance; tissue perfusion; transcutaneous O2 pressure; Biomedical monitoring; Condition monitoring; Databases; Electric shock; Hemodynamics; Hospitals; Medical treatment; Patient monitoring; Pulse measurements; Surgery;
Conference_Titel :
Computer-Based Medical Systems, 2001. CBMS 2001. Proceedings. 14th IEEE Symposium on
Conference_Location :
Bethesda, MD
Print_ISBN :
0-7695-1004-3
DOI :
10.1109/CBMS.2001.941725