Literature DB >> 31758214

[Postoperative remote monitoring].

B Preckel1, L M Posthuma2, M J Visscher2, M W Hollmann2.   

Abstract

During the course of surgical interventions, complications mostly occur in the postoperative period. Slight clinical indications can be observed, which precede a significant deterioration of the patient's condition. On the general ward vital parameters, such as heart and breathing frequencies are measured every 4-8 h. Even if the monitoring of critically ill patients is increased to every 2 h and the measurement of vital functions takes 10 min, the patient is only monitored for 120 min in a 24 h period and remains postoperatively on the general ward without monitoring for 22 out of 24 h. New wireless monitoring systems are available to continuously register some vital functions with the aid of wearable sensors. These systems can alert and alarm ward personnel if the patient's condition deteriorates. Although the optimal monitoring system does not yet exist and implementation of these new wireless monitoring systems might involve some risks, these new methods offer a great opportunity to optimize surveillance of postoperative patients on the general ward.

Entities:  

Keywords:  Failure to rescue; Postoperative complications; Vital signs; Wards, general; Wireless technology

Year:  2020        PMID: 31758214     DOI: 10.1007/s00101-019-00693-6

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


  39 in total

1.  The vexatious vital: neither clinical measurements by nurses nor an electronic monitor provides accurate measurements of respiratory rate in triage.

Authors:  Paris B Lovett; Jason M Buchwald; Kai Stürmann; Polly Bijur
Journal:  Ann Emerg Med       Date:  2005-01       Impact factor: 5.721

2.  Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients.

Authors:  Amir A Ghaferi; John D Birkmeyer; Justin B Dimick
Journal:  Ann Surg       Date:  2009-12       Impact factor: 12.969

3.  Standardized measurement of the Modified Early Warning Score results in enhanced implementation of a Rapid Response System: a quasi-experimental study.

Authors:  Jeroen Ludikhuize; Marjon Borgert; Jan Binnekade; Christian Subbe; Dave Dongelmans; Astrid Goossens
Journal:  Resuscitation       Date:  2014-02-20       Impact factor: 5.262

4.  Nurse adoption of continuous patient monitoring on acute post-surgical units: managing technology implementation.

Authors:  Mary Jeskey; Elizabeth Card; Donna Nelson; Nathaniel D Mercaldo; Neal Sanders; Michael S Higgins; Yaping Shi; Damon Michaels; Anne Miller
Journal:  J Nurs Manag       Date:  2011-09-06       Impact factor: 3.325

5.  Respiratory rates measured by a standardised clinical approach, ward staff, and a wireless device.

Authors:  A Granholm; N E Pedersen; A Lippert; L F Petersen; L S Rasmussen
Journal:  Acta Anaesthesiol Scand       Date:  2016-09-04       Impact factor: 2.105

6.  Patient attitudes towards remote continuous vital signs monitoring on general surgery wards: An interview study.

Authors:  C L Downey; J M Brown; D G Jayne; R Randell
Journal:  Int J Med Inform       Date:  2018-03-27       Impact factor: 4.046

7.  Cardiorespiratory instability before and after implementing an integrated monitoring system.

Authors:  Marilyn Hravnak; Michael A Devita; Amy Clontz; Leslie Edwards; Cynthia Valenta; Michael R Pinsky
Journal:  Crit Care Med       Date:  2011-01       Impact factor: 7.598

8.  Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study.

Authors:  Linda H Aiken; Douglas M Sloane; Luk Bruyneel; Koen Van den Heede; Peter Griffiths; Reinhard Busse; Marianna Diomidous; Juha Kinnunen; Maria Kózka; Emmanuel Lesaffre; Matthew D McHugh; M T Moreno-Casbas; Anne Marie Rafferty; Rene Schwendimann; P Anne Scott; Carol Tishelman; Theo van Achterberg; Walter Sermeus
Journal:  Lancet       Date:  2014-02-26       Impact factor: 79.321

9.  A comparison of oxygen saturation data in inpatients with low oxygen saturation using automated continuous monitoring and intermittent manual data charting.

Authors:  Andreas H Taenzer; Joshua Pyke; Michael D Herrick; Thomas M Dodds; Susan P McGrath
Journal:  Anesth Analg       Date:  2014-02       Impact factor: 5.108

10.  Delayed Recognition of Deterioration of Patients in General Wards Is Mostly Caused by Human Related Monitoring Failures: A Root Cause Analysis of Unplanned ICU Admissions.

Authors:  Louise S van Galen; Patricia W Struik; Babiche E J M Driesen; Hanneke Merten; Jeroen Ludikhuize; Johannes I van der Spoel; Mark H H Kramer; Prabath W B Nanayakkara
Journal:  PLoS One       Date:  2016-08-18       Impact factor: 3.240

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  1 in total

1.  [Early recognition of postoperative complications on normal wards : Continuous wireless monitoring for identification of patients at risk].

Authors:  J-C Schewe
Journal:  Anaesthesist       Date:  2020-01       Impact factor: 1.041

  1 in total

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