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AAP Grand Rounds 2:4-5 (1999)
© 1999 American Academy of Pediatrics

COMPUTER AND OTHER TECHNOLOGIES

Physiologic Trend Monitoring—Does it Compute?

Source: Cunningham S, Deere S, Symom A, Elton RA, McIntosh N. A randomized, controlled trial of computerized physiologic trend monitoring in an intensive care unit. Crit Care Med. 1998;26:2053–2060.

The first 20% of the full text of this article appears below.

Cunningham and colleagues conducted a randomized, controlled trial to evaluate the effect of computerized physiologic trend data (HR, RR, pO2, Transcutaneous pCO2, BP, MAP, CVP, core and peripheral temperature and O2 sat) on short-, medium-, and long-term variables in a Level III NICU. Four groups of infants in Edinburgh, Scotland, who were <32 weeks gestation or 32 weeks gestation and ventilated for 4 hours or asphyxiated were studied: (a) no display of trend data (n = 215), (b) continuous display of trend data (n = 230), (c) alternating 24-hr display of trend data starting in first 24 hours (n = 76), and (d) alternating 24-hr display of trend data with no display for first 24-hrs (n = 79). Staff acceptance of the new monitoring system . . . [Full Text of this Article]

Neel Ackerman, Jr., MD, FAAP
Neonatology, MAGELLA Medical Association PA, Dallas, TX

 





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