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cover of episode Episode 304: Continuous Vital Sign Monitoring with Drs. Meyhoff and Breteler

Episode 304: Continuous Vital Sign Monitoring with Drs. Meyhoff and Breteler

2025/3/23
logo of podcast Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
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C
Christian Meyhoff
J
Jed Wolpaw
M
Martina Breteler
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Jed Wolpaw: 持续生命体征监测是未来发展趋势，麻醉师和重症监护医生将发挥重要作用。 Christian Meyhoff: 持续生命体征监测可以更早地发现并干预患者病情恶化，降低术后并发症和死亡率，减少重症监护室收治率。但需要智能地向临床医生传递信息，避免过度警报。目前数据显示持续监测可以预防约40%的严重并发症。 Martina Breteler: 技术进步使得在重症监护室之外持续监测生命体征成为可能，但需要对传感器进行临床验证。持续监测可以识别患者生命体征的趋势变化模式，为临床医生提供有用的信息，并可能提前发现患者达到稳定阶段，从而提前出院。 Christian Meyhoff: 持续生命体征监测系统存在过度警报和误读警报的风险，需要进一步研究以确定生命体征偏差的临床意义。可以通过算法将麻醉学和重症监护医学的知识整合到临床支持系统中，减少警报数量。人工智能可以用来减少警报数量，但需要注意人工智能算法的偏差问题。持续生命体征监测的目标不是取代医生和护士，而是辅助他们更好地护理患者。 Martina Breteler: 目前持续生命体征监测系统面临警报疲劳的问题，需要结合规则或评分系统来改进警报机制。在家中监测患者时，缺乏临床信息可能会导致误判，需要结合患者的活动模式和主观感受等信息来弥补。持续生命体征监测可能引发伦理问题，例如患者的隐私担忧和临床医生的额外压力。未来持续生命体征监测系统的改进方向是研发更好的传感器和更智能的算法。 Martina Breteler: 目前尚不清楚持续生命体征监测的起始和终止时间，这可能因手术患者和内科患者而异。医院可以设立专门的监测中心，对患者进行24/7的远程监测，并在生命体征异常时联系值班医生。持续生命体征监测不仅要关注生命体征数据，还要考虑患者的主观感受和临床背景信息。

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Continuous vital sign monitoring allows for early detection of vital sign deterioration, potentially improving patient outcomes by reducing morbidity and mortality. Data suggest that early detection can prevent up to 40% of serious complications. This approach is particularly relevant in the post-operative period, where complications are common despite safer intraoperative anesthesia.
  • Early detection of vital sign deterioration improves patient outcomes
  • Reduces morbidity and mortality after surgery
  • Potentially prevent 40% of serious complications
  • Post-operative period has higher morbidity and mortality than intraoperative period

Shownotes Transcript

In this 304th episode I welcome Drs. Meyhoff and Breteler to the show to discuss continuous vital sign monitoring for patients on the floor and at home after surgery. We talk about the pros and cons of this kind of monitoring, what the future holds, and how Anesthesiologist and Intensivists can play an important role. Dr. Meyhoff is the founder of the WARD Clinical Support System which is awaiting FDA clearance. Our Sponsors:* Check out Factor: https://factormeals.com/factorpodcast* Check out Thrive Market: https://thrivemarket.com/accrac* Check out Truelearn and use my code ACCRAC for a great deal: https://truelearn.comAdvertising Inquiries: https://redcircle.com/brands)Privacy & Opt-Out: https://redcircle.com/privacy)