Toward Intelligent Hemodynamic Monitoring: A Functional Approach

Technology is now available to allow a complete haemodynamic analysis; however this is only used in a small proportion of patients and seems to occur when the medical staff have the time and inclination. As a result of this, significant delays occur between an event, its diagnosis and therefore, any...

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Main Authors: Pierre Squara, Carl Waldmann
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/630828
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author Pierre Squara
Carl Waldmann
author_facet Pierre Squara
Carl Waldmann
author_sort Pierre Squara
collection DOAJ
description Technology is now available to allow a complete haemodynamic analysis; however this is only used in a small proportion of patients and seems to occur when the medical staff have the time and inclination. As a result of this, significant delays occur between an event, its diagnosis and therefore, any treatment required. We can speculate that we should be able to collect enough real time information to make a complete, real time, haemodynamic diagnosis in all critically ill patients. This article advocates for “intelligent haemodynamic monitoring”. Following the steps of a functional analysis, we answered six basic questions. (1) What is the actual best theoretical model for describing haemodynamic disorders? (2) What are the needed and necessary input/output data for describing this model? (3) What are the specific quality criteria and tolerances for collecting each input variable? (4) Based on these criteria, what are the validated available technologies for monitoring each input variable, continuously, real time, and if possible non-invasively? (5) How can we integrate all the needed reliably monitored input variables into the same system for continuously describing the global haemodynamic model? (6) Is it possible to implement this global model into intelligent programs that are able to differentiate clinically relevant changes as opposed to artificial changes and to display intelligent messages and/or diagnoses?
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spelling doaj-art-1e6e014261e64061bc4ced2c627e7e822025-08-20T02:03:47ZengWileyCardiology Research and Practice2090-80162090-05972012-01-01201210.1155/2012/630828630828Toward Intelligent Hemodynamic Monitoring: A Functional ApproachPierre Squara0Carl Waldmann1Intensive Care Unit, Clinique Ambroise Paré, 27 Bd Victor Hugo, 92200 Neuilly-sur-Seine, FranceIntensive Care Unit, Royal Berkshire Hospital, London Road, Reading RG1 5AN, UKTechnology is now available to allow a complete haemodynamic analysis; however this is only used in a small proportion of patients and seems to occur when the medical staff have the time and inclination. As a result of this, significant delays occur between an event, its diagnosis and therefore, any treatment required. We can speculate that we should be able to collect enough real time information to make a complete, real time, haemodynamic diagnosis in all critically ill patients. This article advocates for “intelligent haemodynamic monitoring”. Following the steps of a functional analysis, we answered six basic questions. (1) What is the actual best theoretical model for describing haemodynamic disorders? (2) What are the needed and necessary input/output data for describing this model? (3) What are the specific quality criteria and tolerances for collecting each input variable? (4) Based on these criteria, what are the validated available technologies for monitoring each input variable, continuously, real time, and if possible non-invasively? (5) How can we integrate all the needed reliably monitored input variables into the same system for continuously describing the global haemodynamic model? (6) Is it possible to implement this global model into intelligent programs that are able to differentiate clinically relevant changes as opposed to artificial changes and to display intelligent messages and/or diagnoses?http://dx.doi.org/10.1155/2012/630828
spellingShingle Pierre Squara
Carl Waldmann
Toward Intelligent Hemodynamic Monitoring: A Functional Approach
Cardiology Research and Practice
title Toward Intelligent Hemodynamic Monitoring: A Functional Approach
title_full Toward Intelligent Hemodynamic Monitoring: A Functional Approach
title_fullStr Toward Intelligent Hemodynamic Monitoring: A Functional Approach
title_full_unstemmed Toward Intelligent Hemodynamic Monitoring: A Functional Approach
title_short Toward Intelligent Hemodynamic Monitoring: A Functional Approach
title_sort toward intelligent hemodynamic monitoring a functional approach
url http://dx.doi.org/10.1155/2012/630828
work_keys_str_mv AT pierresquara towardintelligenthemodynamicmonitoringafunctionalapproach
AT carlwaldmann towardintelligenthemodynamicmonitoringafunctionalapproach