Literature DB >> 19296057

[Noise in intensive care units. Do the alarms for subspecialties differ].

S Siebig1, S Kuhls, U Gather, M Imhoff, T Müller, T Bein, B Trabold, S Bele, C E Wrede.   

Abstract

INTRODUCTION: Cardiovascular monitoring alarms are frequent in intensive care units (ICUs) and lead to noise levels often exceeding 80 dB. The aim of this study was to evaluate if there are relevant differences between ICUs with different subspecialties in the frequency and distribution of alarm signals, their occurrence during the day, the types of alarms and the underlying vital parameters.
METHODS: All alarm signals of the cardiovascular monitoring systems from randomly chosen patients at five different ICUs of the university hospital of Regensburg were evaluated.
RESULTS: No significant differences between the ICUs regarding the frequency of alarm signals and only slight differences in the time distribution could be recognized (p=0.02). The most frequent alarm signals were from threshold alarms (61%) followed by technical alarms. The majority of alarms generated were related to invasive arterial blood pressure measurement.
CONCLUSIONS: The frequency and distribution of ICU alarm signals seem to be comparable on different ICUs. Therefore, implementation of universal concepts for alarm reduction seems to be applicable regardless of the subspecialty of the ICU.

Entities:  

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Year:  2009        PMID: 19296057     DOI: 10.1007/s00101-008-1487-7

Source DB:  PubMed          Journal:  Anaesthesist        ISSN: 0003-2417            Impact factor:   1.041


  12 in total

1.  Alarm algorithms in critical care monitoring.

Authors:  Michael Imhoff; Silvia Kuhls
Journal:  Anesth Analg       Date:  2006-05       Impact factor: 5.108

2.  Users' opinions on intensive care unit alarms--a survey of German intensive care units.

Authors:  S Siebig; W Sieben; F Kollmann; M Imhoff; T Bruennler; F Rockmann; U Gather; C E Wrede
Journal:  Anaesth Intensive Care       Date:  2009-01       Impact factor: 1.669

Review 3.  Sleep in the critically ill patient.

Authors:  Gerald L Weinhouse; Richard J Schwab
Journal:  Sleep       Date:  2006-05       Impact factor: 5.849

4.  Identification and modification of environmental noise in an ICU setting.

Authors:  D M Kahn; T E Cook; C C Carlisle; D L Nelson; N R Kramer; R P Millman
Journal:  Chest       Date:  1998-08       Impact factor: 9.410

5.  Crying wolf: false alarms in a pediatric intensive care unit.

Authors:  S T Lawless
Journal:  Crit Care Med       Date:  1994-06       Impact factor: 7.598

6.  Name that tone. The proliferation of alarms in the intensive care unit.

Authors:  A J Cropp; L A Woods; D Raney; D L Bredle
Journal:  Chest       Date:  1994-04       Impact factor: 9.410

7.  Quantity and quality of sleep in the surgical intensive care unit: are our patients sleeping?

Authors:  Randall S Friese; Ramon Diaz-Arrastia; Dara McBride; Heidi Frankel; Larry M Gentilello
Journal:  J Trauma       Date:  2007-12

Review 8.  Sleep and recovery from critical illness and injury: a review of theory, current practice, and future directions.

Authors:  Randall S Friese
Journal:  Crit Care Med       Date:  2008-03       Impact factor: 7.598

9.  Collection of annotated data in a clinical validation study for alarm algorithms in intensive care--a methodologic framework.

Authors:  Sylvia Siebig; Silvia Kuhls; Michael Imhoff; Julia Langgartner; Michael Reng; Jürgen Schölmerich; Ursula Gather; Christian E Wrede
Journal:  J Crit Care       Date:  2009-01-17       Impact factor: 3.425

Review 10.  Alarms in the intensive care unit: how can the number of false alarms be reduced?

Authors:  M C Chambrin
Journal:  Crit Care       Date:  2001-05-23       Impact factor: 9.097

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