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Your search keyword '"Phillip Hoppe"' showing total 4 results
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4 results on '"Phillip Hoppe"'

1. Agreement between continuous and intermittent pulmonary artery thermodilution for cardiac output measurement in perioperative and intensive care medicine: a systematic review and meta-analysis

Author

Karim Kouz, Frederic Michard, Alina Bergholz, Christina Vokuhl, Luisa Briesenick, Phillip Hoppe, Moritz Flick, Gerhard Schön, and Bernd Saugel

Subjects
Cardiac index, Cardiovascular dynamics, Hemodynamic monitoring, Indicator dilution method, Pulmonary artery catheterization, Right heart catheterization, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background Pulmonary artery thermodilution is the clinical reference method for cardiac output monitoring. Because both continuous and intermittent pulmonary artery thermodilution are used in clinical practice it is important to know whether cardiac output measurements by the two methods are clinically interchangeable. Methods We performed a systematic review and meta-analysis of clinical studies comparing cardiac output measurements assessed using continuous and intermittent pulmonary artery thermodilution in adult surgical and critically ill patients. 54 studies with 1522 patients were included in the analysis. Results The heterogeneity across the studies was high. The overall random effects model-derived pooled estimate of the mean of the differences was 0.08 (95%-confidence interval 0.01 to 0.16) L/min with pooled 95%-limits of agreement of − 1.68 to 1.85 L/min and a pooled percentage error of 29.7 (95%-confidence interval 20.5 to 38.9)%. Conclusion The heterogeneity across clinical studies comparing continuous and intermittent pulmonary artery thermodilution in adult surgical and critically ill patients is high. The overall trueness/accuracy of continuous pulmonary artery thermodilution in comparison with intermittent pulmonary artery thermodilution is good (indicated by a pooled mean of the differences

Published
2021
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2. Automated continuous noninvasive ward monitoring: future directions and challenges

Author

Ashish K. Khanna, Phillip Hoppe, and Bernd Saugel

Subjects
Hemodynamic monitoring, Postoperative complications, Blood pressure, Hypotension, Peripheral oxygen saturation, Hypoxemia, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Automated continuous noninvasive ward monitoring may enable subtle changes in vital signs to be recognized. There is already some evidence that automated ward monitoring can improve patient outcome. Before automated continuous noninvasive ward monitoring can be implemented in clinical routine, several challenges and problems need to be considered and resolved; these include the meticulous validation of the monitoring systems with regard to their measurement performance, minimization of artifacts and false alarms, integration and combined analysis of massive amounts of data including various vital signs, and technical problems regarding the connectivity of the systems.

Published
2019
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3. Agreement between continuous and intermittent pulmonary artery thermodilution for cardiac output measurement in perioperative and intensive care medicine: a systematic review and meta-analysis

Author

Moritz Flick, Karim Kouz, Alina Bergholz, Gerhard Schön, Frederic Michard, Phillip Hoppe, Christina Vokuhl, Bernd Saugel, and Luisa Briesenick

Subjects
Pulmonary artery catheterization, medicine.medical_specialty, Cardiac output, Critical Care, Thermodilution, Cardiac index, Pulmonary Artery, Critical Care and Intensive Care Medicine, Swan Ganz Catheter, 03 medical and health sciences, Cardiac output measurement, 0302 clinical medicine, Hemodynamic monitoring, 030202 anesthesiology, Internal medicine, medicine.artery, medicine, Humans, Right heart catheterization, Cardiac Output, Indicator dilution method, Swan-Ganz catheter, business.industry, Research, lcsh:Medical emergencies. Critical care. Intensive care. First aid, 030208 emergency & critical care medicine, lcsh:RC86-88.9, Perioperative, Pooled variance, Catheterization, Swan-Ganz, Meta-analysis, Pulmonary artery, Cardiology, business, Cardiovascular dynamics
Abstract

Background Pulmonary artery thermodilution is the clinical reference method for cardiac output monitoring. Because both continuous and intermittent pulmonary artery thermodilution are used in clinical practice it is important to know whether cardiac output measurements by the two methods are clinically interchangeable. Methods We performed a systematic review and meta-analysis of clinical studies comparing cardiac output measurements assessed using continuous and intermittent pulmonary artery thermodilution in adult surgical and critically ill patients. 54 studies with 1522 patients were included in the analysis. Results The heterogeneity across the studies was high. The overall random effects model-derived pooled estimate of the mean of the differences was 0.08 (95%-confidence interval 0.01 to 0.16) L/min with pooled 95%-limits of agreement of − 1.68 to 1.85 L/min and a pooled percentage error of 29.7 (95%-confidence interval 20.5 to 38.9)%. Conclusion The heterogeneity across clinical studies comparing continuous and intermittent pulmonary artery thermodilution in adult surgical and critically ill patients is high. The overall trueness/accuracy of continuous pulmonary artery thermodilution in comparison with intermittent pulmonary artery thermodilution is good (indicated by a pooled mean of the differences PROSPERO registration number CRD42020159730.

Published
2021

4. Automated continuous noninvasive ward monitoring: future directions and challenges

Author

Bernd Saugel, Ashish Khanna, and Phillip Hoppe

Subjects
medicine.medical_specialty, False alarms, Delayed Diagnosis, Peripheral oxygen saturation, Vital signs, Critical Care and Intensive Care Medicine, Hypoxemia, Postoperative complications, Viewpoint, Hemodynamic monitoring, Normal ward, Patients' Rooms, medicine, Humans, Intensive care medicine, Monitoring, Physiologic, Electronic Data Processing, business.industry, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Monitoring system, lcsh:RC86-88.9, Clinical routine, Remote monitoring, Blood pressure, Hypotension, medicine.symptom, Artifacts, business
Abstract

Automated continuous noninvasive ward monitoring may enable subtle changes in vital signs to be recognized. There is already some evidence that automated ward monitoring can improve patient outcome. Before automated continuous noninvasive ward monitoring can be implemented in clinical routine, several challenges and problems need to be considered and resolved; these include the meticulous validation of the monitoring systems with regard to their measurement performance, minimization of artifacts and false alarms, integration and combined analysis of massive amounts of data including various vital signs, and technical problems regarding the connectivity of the systems.

Published
2019

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