Journal of Clinical Monitoring and Computing @JcmcSoMe
The JCMC is a clinical journal publishing articles related to technology in anaesthesia, IC, EM, periop medicine. https://t.co/DR4veCjiDo springer.com/journal/10877 Joined September 2022-
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New in JCMC 🫀 NOL®-guided opioid titration during laparoscopic surgery for endometriosis/adenomyosis, within multimodal analgesia: ❌ no opioid reduction ❌ no pain improvement ❌ no shorter PACU stay. Context matters. link.springer.com/article/10.100…
🫁 New in JCMC: high-resolution manometry shows that esophageal pressure in ventilated patients varies with body position, PEEP and sensor location—key for interpreting respiratory mechanics during prone positioning. 🔗 link.springer.com/article/10.100…
🚨 New in JCMC: a wearable cuffless BP system using a finger-clip force sensor was validated against intra-arterial BP in 46 OR patients, showing encouraging agreement and meeting ISO 81060-2:2018 criteria. 🩺📈 link.springer.com/article/10.100…
Great news for JCMC🚨: 2025 IF is 2.5 (+12%), citations +12%, Q2 in Anesthesiology. Full-text accesses also rose to 722k (+15% vs 2024). Thanks to our Associate Editors, Editorial Board and reviewers for their outstanding work🔥
🤖 AI in anesthesiology should not only improve patient care, but also support clinician wellbeing.This Letter highlights operator wellbeing as a translational endpoint for AI, from reducing admin burden to supporting teams and cognitive workload. link.springer.com/article/10.100…
🧠 GA targets the brain — yet brain monitoring is still often optional. pEEG is not a magic number or just awareness detector. It is real-time cortical information to titrate hypnotics, detect excessive EEG suppression, and support safer, anesthesia. link.springer.com/article/10.100…
Steep Trendelenburg during robotic prostatectomy may increase cerebral oxygenation—but not necessarily as a “good” sign New #JCMC study: NIRS + optic nerve sheath diameter suggest rising ΔHHb may reflect impaired cerebral venous outflow and congestion link.springer.com/article/10.100…
🌡️ zero-heat-flux temperature monitoring showed moderate agreement with esophageal temperature in trauma OR resuscitation. Useful for continuous non-invasive trend monitoring, but not fully interchangeable—especially in severe hypothermia or instability link.springer.com/article/10.100…
A lot of haemodynamic confusion comes from one basic error: treating descriptions of the system as if they were causes. Pressure gradients, preload, RAP, afterload, Starling... all are useful, but often misread. This review tries to put them back together into a coherent framework. doi.org/10.1111/anae.7…
New in #JCMC 🚨 📹 Contactless video monitoring in ICU: 35 patients | 683.6 h recordings ❤️ HR: bias 2.1 bpm; 81.9% within ±5 bpm 🫁 RR: bias −2.4/min; 63.5% within ±3/min ⚠️ Motion & ICU complexity remain key limits link.springer.com/article/10.100…
🤖 New in JCMC: AI in anesthesia must move beyond prediction toward validated, interpretable, workflow-integrated clinical tools. Data quality, interoperability, regulation, and clinician trust remain key barriers. link.springer.com/article/10.100…
🧪 New in JCMC: pilot study of AR-guided ultrasound venipuncture using a HoloLens 2 + Python/OpenCV/WebSocket pipeline. In a simulated model, AR showed similar procedure times to standard guidance, with better perceived ergonomics and gaze continuity link.springer.com/article/10.100…
🫀 In elective TAVR, a randomized trial found different autonomic responses during induction with remimazolam vs propofol. HFVI fell more with remimazolam, while heart rate increased vs decreased with propofol. Similar hemodynamics otherwise link.springer.com/article/10.100…
New in JCMC 🎧 During hepatectomy, the Acoustic Variability Index (AVI) from esophageal phonocardiography predicted fluid responsiveness with AUC 0.873 and cutoff >9.8%, with performance comparable to SVV/PPV in this exploratory study link.springer.com/article/10.100…
New in JCMC 🚨 A prospective exploratory study in kidney transplant recipients explores goal-directed hemodynamic management using pulse contour monitoring and flow–pressure coupling to support more individualized fluid and vasoactive therapy. 🫀🩺💧 link.springer.com/article/10.100…
Interesting study! The comparison between ΔCVP and ΔPes as a surrogate for pleural pressure in ventilated patients seems promising. It brings up some questions, though. How do these measurements impact clinical decisions in real-time settings? Are there specific conditions where ΔCVP could be more reliable or necessary compared to using ΔPes directly? Investigating the nuances can bring us closer to optimized patient care. For those looking to delve deeper into topics like these, Sci-Quest is a fantastic resource. It's a one-stop platform designed to address complex biomedical questions, offering comprehensive review capabilities. Feel free to explore: sciqst.com. #Medicine #BiomedicalResearch
3/3 Signal stability improved when using the median of multiple breaths: • ≥3 breaths → R² ≈ 0.60 • 6 breaths → R² ≈ 0.65 • ~23 breaths → R² ≈ 0.70
2/3 All CVP-derived metrics correlated with ΔPes, but the best method was ΔCVPtot — the difference between the highest and lowest CVP value within a respiratory cycle. Breath-by-breath analysis showed marginal R² ≈ 0.50, the strongest association among tested methods. 👇
Can central venous pressure (CVP) reflect pleural pressure swings? ICU study analyzed 2,286 breaths in 22 ventilated patients comparing respiratory variations in CVP (ΔCVP) with esophageal pressure (ΔPes), the clinical surrogate of pleural pressure link.springer.com/article/10.100… 🧵👇
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