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link.springer.com/content/pdf/10… Journal of Clinical Monitoring and Computing @introna

🚨 New Scoping Review out! Can Target-Controlled Infusion (TCI), a cornerstone of anesthesia, be used in the ICU? 🧵 Here’s what we found 👇 🔗 link.springer.com/article/10.100…

Michele Introna Yes completely agree!

🫀👶renal and cerebral tissue oxygen saturation & AKI 🔎 49 kids, CPB surgery 📉 SrO₂ & ScO₂ drops ❌ not linked to AKI ⚠️ AKI (18.4%) linked to ↑ creatinine, ↑ BMI, intraop hypotension & ↑ lactate 📊 NIRS may not predict AKI in this setting link.springer.com/article/10.100…

🆕 Letter in JCMC: European Society for Intravenous Anaesthesia urges action on TCI pump PK/PD model errors ⚠️ 🔑 Key points: • Implementation mistakes can cause dosing discrepancies • Need for formal testing & regulatory oversight • One model–one drug for safer TIVA link.springer.com/article/10.100…

🆕 in Journal of Clinical Monitoring and Computing: Clinical validation of the viQtor® upper-arm wearable for continuous RR, HR & SpO₂ monitoring in postop patients ✅ High accuracy ✅ >90% data availability ✅ Excellent patient comfort 🔗 doi.org/10.1007/s10877…

🚀 IRRIS® transcutaneous infrared illumination as an adjunct to video laryngoscopy link.springer.com/article/10.100… 🔹 First-attempt success 🔹 Slightly longer intubation time with IRRIS 🔹 Better airway visualization, no harm reported

SPI-guided vs. routine sufentanil dosing in trauma/orthopaedic surgery (GA+RA). 🔹 No reduction in intraop sufentanil 🔹 Less postop opioid use in SPI group 🔹 No differences in pain, nausea, PACU stay link.springer.com/article/10.100…

🧠📈 New in JCMC: Can AI estimate ICP without a probe? A transformer model using ABP + CBFV achieved ~2–4 mmHg error across adult & pediatric cohorts. Early but promising step toward non-invasive ICP monitoring 🔗 link.springer.com/article/10.100…

🫁 New RCT from ECMO Centre Ostrava: real-time monitoring of mechanical power (MP) during ventilation was feasible but didn’t reduce MP vs control. Notably, MP was higher at night—highlighting nocturnal risk for lung stress 👉 link.springer.com/article/10.100… #ICU #MV #JCMC

💧 New in JCMC: Fluid management in severe burns is shifting from “how much to give” ➡️ to “who benefits & who can tolerate.” Modern monitoring (POCUS, VExUS, PiCCO) enables tailored resuscitation—balancing perfusion & edema risk 👉 link.springer.com/article/10.100…

Wearable devices in perioperwrofe medicine! Artificial intelligence in Anesthesia Valentina siaa

🔥JCMC is moving to 100% open acces !!🔥

🌍 Reducing volatile agent use is key for sustainable anesthesia >3,000 cases, ET control with FGF 0.5 L/min minimized sevoflurane use (0.16 mL/min) and CO₂ emissions vs higher flows Low FGF = lower footprint, same target 🔗 link.springer.com/article/10.100… #Anesthesia #Sustainability

💧Accurately predicting fluid responsiveness remains challenging. In 91 surgical patients, both ΔFTc (ultrasound) and ΔSVV (invasive) reliably assessed volume response (AUC 0.85 vs 0.84) ⚡️ΔFTc showed excellent accuracy & bedside applicability link.springer.com/article/10.100…