scholarly journals Remote Blood Pressure Monitoring With a Wearable Photoplethysmographic Device (Senbiosys): Protocol for a Single-Center Prospective Clinical Trial (Preprint)

2021 ◽  
Author(s):  
Sara Schukraft ◽  
Assim Boukhayma ◽  
Stéphane Cook ◽  
Antonino Caizzone
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Prospective Trial ◽  
Vital Signs ◽  
Adult Patients ◽  
Arterial Catheter ◽  
Single Center ◽  
New Device ◽  
Remote Patient ◽  
User Friendly

BACKGROUND Wearable devices can provide user-friendly, accurate, and continuous blood pressure (BP) monitoring to assess patients’ vital signs and achieve remote patient management. Remote BP monitoring can substantially improve BP control. The newest cuffless BP monitoring devices have emerged in patient care using photoplethysmography. OBJECTIVE The Senbiosys trial aims to compare BP measurements of a new device capturing a photoplethysmography signal on the finger versus invasive measurements performed in patients with an arterial catheter in the intensive care unit (ICU) or referred for a coronarography at the Hospital of Fribourg. METHODS The Senbiosys study is a single-center, single-arm, prospective trial. The study population consists of adult patients undergoing coronarography or patients in the ICU with an arterial catheter in place. This study will enroll 35 adult patients, including 25 patients addressed for a coronarography and 10 patients in the ICU. The primary outcome is the assessment of mean bias (95% CI) for systolic BP, diastolic BP, and mean BP between noninvasive and invasive BP measurements. Secondary outcomes include a reliability index (Qualification Index) for BP epochs and count of qualified epochs. RESULTS Patient recruitment started in June 2021. Results are expected to be published by December 2021. CONCLUSIONS The findings of the Senbiosys trial are expected to improve remote BP monitoring. The diagnosis and treatment of hypertension should benefit from these advancements. CLINICALTRIAL ClinicalTrials.gov NCT04379986; https://clinicaltrials.gov/ct2/show/NCT04379986 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/30051

Sensing of Vital Signs and Transmission Using Wireless Networks

2010 ◽  
pp. 180-207
Author(s):  
Yousef Jasemian
Keyword(s):  
Health System ◽  
Vital Signs ◽  
Healthcare Personnel ◽  
Mobile Healthcare ◽  
Individualized Care ◽  
Patient Monitoring System ◽  
Remote Patient ◽  
User Friendly ◽  
Monitoring Devices

People living with chronic medical conditions, or with conditions requiring short term monitoring, need regular and individualized care to maintain their normal lifestyles. Mobile healthcare is a solution for providing patients’ mobility while their health is being monitored. Existing studies show that mobile healthcare can bring significant economic savings, improve the quality of care, and consequently the patient’s quality of life. However, despite all progresses in advanced information and telecommunication technologies, there are still very few functioning commercial wireless mobile monitoring devices present on the market, which most work off-line, are not proper for m-health services and there are still many issues to be dealt with. This chapter deals with a comprehensive investigation of feasibility of wireless and cellular telecommunication technologies and services in a real-time m-health system. The chapter bases its investigation, results, discussion and argumentation on an already developed remote patient monitoring system by the author. The implemented m-health system has been evaluated and validated by a number of well defined tests and experiments. The designed and implemented system fulfils the requirements. The suggested system is reliable, functions with a clinically acceptable performance, and transfers medical data with a reasonable quality, even though the system was tested under totally uncontrolled circumstances during the patients’ daily activities. Both the patients and the involved healthcare personnel expressed their confidence in using it. It is concluded that the system is applicable in clinical setup, and might be generalized in clinical practice. Finally, the chapter suggests improvement approaches for more reliable, more secure, more user-friendly and higher performance of an m-health system in future.

scholarly journals Awaking Blood Pressure Surge and Progression to Microalbuminuria in Type 2 Normotensive Diabetic Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Michelangela Barbieri ◽  
Maria Rosaria Rizzo ◽  
Ilaria Fava ◽  
Celestino Sardu ◽  
Nicola Angelico ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Cox Regression ◽  
Blood Pressure Monitoring ◽  
Adult Patients ◽  
Diabetic Patients ◽  
Increased Risk ◽  
Pressure Surge

Background. We investigated the predictive value of morning blood pressure surge (MBPS) on the development of microalbuminuria in normotensive adults with a recent diagnosis of type 2 diabetes.Methods. Prospective assessments of 24-hour ambulatory blood pressure monitoring and urinary albumin excretion were performed in 377 adult patients. Multivariate-adjusted Cox regression models were used to assess hazard ratios (HRs) between baseline and changes over follow-up in MBPS and the risk of microalbuminuria. The MBPS was calculated as follows: mean systolic BP during the 2 hours after awakening minus mean systolic BP during the 1 hour that included the lowest sleep BP.Results. After a mean follow-up of 6.5 years, microalbuminuria developed in 102 patients. An increase in MBPB during follow-up was associated with an increased risk of microalbuminuria. Compared to individuals in the lowest tertile (−0.67±1.10 mmHg), the HR and 95% CI for microalbuminuria in those in the highest tertile of change (24.86±6.92 mmHg) during follow-up were 17.41 (95% CI 6.26–48.42);pfor trend <0.001. Mean SD MBPS significantly increased in those who developed microalbuminuria from a mean [SD] of 10.6[1.4]to 36.8[7.1],p<0.001.Conclusion. An increase in MBPS is associated with the risk of microalbuminuria in normotensive adult patients with type 2 diabetes.

scholarly journals A New Device for Thoracoscopic Cryoanalgesia in Pectus Excavatum Repair: Preliminary Single Center Experience

2021 ◽  
Vol 8 ◽  
Author(s):  
Michele Torre ◽  
Leila Mameli ◽  
Rachele Bonfiglio ◽  
Vittorio Guerriero ◽  
Lucia Derosas ◽  
...  
Keyword(s):  
Pilot Study ◽  
Hospital Stay ◽  
Pain Control ◽  
Pectus Excavatum ◽  
Pain Treatment ◽  
Prospective Trial ◽  
Single Center ◽  
New Device ◽  
Small Series ◽  
Good Pain Control

Introduction: Cryoanalgesia has been recently described as alternative technique for immediate and persistent pain treatment after pectus excavatum repair. Cryoanalgesia has the potentiality to reduce analgesic consumption and length of hospitalization. However, cryoanalgesia has not been standardized yet: the previous reports describe different techniques and systems and include only small series. In Europe, no reports on cryoanalgesia for pectus repair have been published so far.Materials and Methods: This is a prospective single center pilot study performed in adolescents undergoing minimally invasive pectus excavatum repair with a new cryoanalgesia system, using a probe designed specifically for thoracoscopy. This new double lumen probe has the theoretical advantage of freezing only in its tip, so reducing the risk of complications.Results: Seven patients undergoing pectus excavatum repair were treated with cryoanalgesia performed with the new probe. No complications of cryoanalgesia were reported. Total consumption of morphine during hospital stay was between 0.1 and 0.35 mg/kg, with no side effects reported. Mean time to discharge was 2.4 days. All patients reported a good pain control with a fair need of rescue medications for pain relief during the first week after discharge, and a very good pain control without need of rescue medications during following weeks.Conclusions: Our pilot study showed that the new cryoanalgesia device is efficacious in terms of pain control, hospital stay and resumption of post-operative activities. The cryoprobe designed allowed an easy and safe maneuver. A prospective trial is needed to better define the risks and benefits of this technique.

Abstract P156: Improvement In Blood Pressure Using Remote Patient Monitoring During COVID19

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Nadia A Liyanage-Don ◽  
Joseph E Schwartz ◽  
Nathalie Moise ◽  
Kelsey B Bryant ◽  
Adina Bono ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Patient Monitoring ◽  
Healthcare Access ◽  
Vital Signs ◽  
Primary Care Doctor ◽  
Remote Patient Monitoring ◽  
Nursing Support ◽  
Before And After ◽  
Remote Patient ◽  
The Impact

Introduction: The coronavirus disease 2019 (COVID19) pandemic required strict social distancing to curb transmission. Unfortunately, these measures severely limited healthcare access and chronic disease management. In response, many health organizations rapidly developed or expanded telemedicine to provide care directly to patients at home. Little has been reported about the impact of such interventions on clinical outcomes during COVID19. We examined whether enrollment in a remote patient monitoring (RPM) program for hypertension (HTN) prior to COVID19 was associated with improved blood pressure during the pandemic. Methods: We developed an RPM program that tracked vital signs, medication side effects, and treatment adherence patterns outside of the clinic. Patients were referred by their primary care doctor for uncontrolled HTN or suspected white coat HTN. Patients received a two-way tablet, blood pressure cuff, and virtual nursing support via scheduled video visits. Those referred for uncontrolled HTN who had at least two weeks of data both before and after the onset of COVID19 (defined as the first two weeks of March 2020) were included in the study. A mixed-models analysis that adjusted for serial autocorrelation was used to compare mean systolic blood pressure (SBP) and mean diastolic blood pressure (DBP) in the pre-/post-COVID19 periods. Results: Of 94 patients enrolled in the RPM program to date, 46 had at least two weeks of data both pre-COVID19 and post-COVID19. Mean age was 69.0 ± 10.9 years, 69.6% (32 of 46) were women, 78.3% (36 of 46) were Hispanic, and 63.0% (29 of 46) were Spanish-speaking. Pre-COVID, mean SBP was 132.31 ± 13.99 mmHg, mean DBP was 77.10 ± 9.87 mmHg, and 70% (32 of 46) of patients had uncontrolled BP (>130/80 mmHg per AHA guidelines). Post-COVID, mean SBP was 129.57 ± 13.29 mmHg, mean DBP was 76.00 ± 9.16 mmHg, and 57% (26 of 46) of patients had uncontrolled BP. There was a significant reduction in both mean SBP (β = –2.74, 95% CI –5.21, –0.26, p = 0.03) and mean DBP (β = –1.10, 95% CI –2.22, 0.02, p = 0.05) post-COVID vs. pre-COVID. Discussion: Despite the stress and social isolation associated with COVID19, participation in an RPM program that combines home BP monitoring with virtual nursing support can help maintain and even mildly decrease BP.

Updates in Hemodynamic Monitoring: A Review for Pharmacists

2021 ◽  
pp. 089719002110034
Author(s):  
Chelsea N. Lopez ◽  
Elisabeth M. Sulaica ◽  
Kevin R. Donahue ◽  
Matthew A. Wanat
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Vital Signs ◽  
Hemodynamic Instability ◽  
Cardiac Output Monitoring ◽  
Specific Information ◽  
Pressure Monitoring ◽  
Substantial Impact ◽  
Non Invasive ◽  
Output Monitoring

Vital signs are regularly monitored in hospitalized patients. In the intensive care unit (ICU), traditional non-invasive blood pressure monitoring and telemetry may not provide enough information to determine the etiology of hemodynamic instability or guide intervention. Arterial catheters remain the gold-standard for continuous blood pressure monitoring and are commonly used in ICU patients. Pulmonary artery catheters and central venous catheters are beneficial in select patient populations and provide more advanced and specific information about a patient’s hemodynamics. However, neither are benign and can increase risk of complications such as infection, arrhythmias, pneumothorax and vascular or valvular damage. In the past 10 years, the development of reliable non-invasive (NICOM), or minimally-invasive (MICOM), cardiac output monitoring devices has accelerated. The MICOM devices require an arterial catheter to obtain hemodynamic values, whereas NICOM devices do not require any arterial or venous access. These devices have emerged to be particularly useful in evaluating and managing patients with suspected mixed shock. As these devices become more prevalent, it is imperative that clinical pharmacists become familiar with interpreting this data as it may have a substantial impact on medication selection and optimization. This review will discuss the basics of NICOM and MICOM devices, limitations with these methods of monitoring, and clinical application for pharmacists.

scholarly journals Wireless Electroencephalography Based Blood Pressure Monitoring

2018 ◽  
Vol 7 (4.38) ◽  
pp. 904
Author(s):  
R. A. Jafri ◽  
N. Shahid ◽  
M. F. Shamim ◽  
M. A. Alam ◽  
M. W. Munir ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Research Work ◽  
Vital Signs ◽  
Cardiac Patients ◽  
Research Framework ◽  
Aged People ◽  
Routine Monitoring ◽  
Home Monitor ◽  
Electroencephalogram Eeg

The number of cardiac patients and aged individuals are at a rise all around the world. Taking care of such individuals is a major challenge these days. In many cases, these patients require special care and regular monitoring of vital signs like blood pressure (BP). Focusing a prevalent idea of wireless brain-computer interface (WBCI), an innovative research work is considered to meet essential routine monitoring of BP for cardiac patients and aged people without any reliance. The research framework involves the use of wireless electroencephalogram (EEG) headset to control wrist BP and arm BP monitors to determine accurate BP readings in the proposed system. An Android application "Smart Home Monitor" is developed that screens the information from the headset. The research framework is tested on ten individuals to examine the precision in BP readings from two different BP monitors. Results specify that both upper arm blood pressure readings i.e. Systolic BP readings (SBP = 119.6 ±5.1 mmHg) and Diastolic BP (DBP = 79.5 ±7.4 mmHg) were found to be better than the wrist BP readings (SBP = 128.2 ±11.7 mmHg and DBP = 83.6 ±10.3 mmHg). This examination assessed that the designed system empowers the framework to be reliable, remote and compact.  

scholarly journals Comparison among different methods for blood pressure monitoring in rats: literature review

2019 ◽  
Vol 76 (1) ◽  
pp. 5
Author(s):  
Sidonia BOGDAN ◽  
Vlad LUCA ◽  
Ciprian OBER ◽  
Iulia MELEGA ◽  
Cosmin PESTEAN ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Blood Pressure Measurement ◽  
Experimental Studies ◽  
Arterial Catheter ◽  
Laboratory Animals ◽  
Advantages And Disadvantages ◽  
Arterial Blood ◽  
Direct Technique ◽  
Indirect Technique

Blood pressure is a cardinal vital sign that gives important information about the cardiovascular function and about hemodynamic trends during anaesthesia, in critical ill patients and during experimental procedures (Rehman and Nelson, 2018). Arterial blood pressure can be evaluated by direct technique (arterial catheter) or indirect technique (Doppler or oscillometry). Direct measurement is gold standard for blood pressure measurement, giving accurate beat-to-beat information and also allow collection of blood samples. However, it is more invasive and requires equipment for monitoring and experience to place the arterial catheter (Araghi et al., 2006; Ward and Langton, 2007; Wingfield and Raffe, 2002). Given its importance in directing care, it is essential to measure blood pressure accurately and consistently.The aim of this article is to present all technique found in literature, with its advantages and disadvantages, with the errors that may occur so that the researchers can have a better knowledge before choosing their technique. For this study we took into consideration articles from literature and speciality books from which we extracted the information reliable for the study. Experimental studies on small laboratory animals, particularly rats are widely used as a model. Three methods are used for recording the blood pressure in rats: tail cuff (indirect technique), intra-arterial catheters (direct technique), and radio telemetry. Each technique has its advantages and disadvantages and each of it may lead to erroneous data if they are improperly performed. The vast ranges of these errors highlight the importance of adhering to appropriate technique when measuring blood pressure.

Sign in / Sign up

Export Citation Format

Share Document