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The standard monitoring modality in lumbosacral spine surgery includes lower-limb SSEP and electromyography (EMG).
Future studies that implement NIRSth into treatment algorithms in anesthesia and intensive care would be valuable to define the place for this monitoring modality in daily management of critically ill patients.
We have previously shown that electroencephalography (EEG) may be an underutilized monitoring modality in a single general medical-surgical ICU, that does not have a specific neurocritical care consultation service or neurocritical care unit.
LiDCOrapid estimates noncalibrated cardiac output (nCO) by pulse wave contour analysis from an arterial line and is a well-established monitoring modality in our department.
This trial is to be commended for its courage in questioning a therapy that has gained widespread acceptance as the 'standard of care' as well as its attempt to study this monitoring modality in a randomized controlled fashion.
Similar(53)
In the ESA guidelines, monitoring technologies and their limitations are not described, monitoring-dependent intervention cutoff points are not reported and differential indications for monitoring modalities in specific clinical situations are not suggested.
How this new technology compares to other ultrasound-based or non-ultrasound-based monitoring modalities in terms of efficiency and efficacy remains to be studied.
Furthermore, it may offer some explanations, from a user's perspective, on the use and choice of FHR monitoring modalities in practice, especially when this is contrary to current recommendations.
Given the current little knowledge about the benefits of IS in brain-injured patients, it is extremely important to adopt multiple monitoring modalities in neurocritical care in order to escape IS in those patients who will potentially be harmed by this procedure.
Given the current little knowledge about the benefits of interruption of continuous sedation in brain-injured patients, it is extremely important to adopt multiple monitoring modalities in neurocritical care in order to escape wake-up tests in those patients who will potentially be harmed by this procedure.
The present study sought to investigate the current utilization of TEE by anesthesiologists during LT as well as issues of training and credentialing in this monitoring modality.
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