Transition from mandatory to discretionary nurse-measured MEWS assessment in a continuously monitored surgical ward: Diagnostic performance of wearable-derived early warning scores - Journal of Clinic...

Early detection of clinical deterioration on surgical wards is vital to prevent adverse outcomes. Conventional ward monitoring using the Modified Early Warning Score (MEWS) relies on intermittent nurs...

link.springer.com

Nociception-guided opioid administration within multimodal analgesia for laparoscopic endometriosis surgery: a randomized controlled trial - Journal of Clinical Monitoring and Computing

Women with endometriosis are at increased risk of severe postoperative pain due to nociceptive sensitization. While multimodal analgesia reduces opioid use, the added value of objective nociception mo...

link.springer.com

Esophageal pressures in supine and prone position: evaluation using high-resolution manometry - Journal of Clinical Monitoring and Computing

Esophageal pressure (PES), used as a substitute for pleural pressure in calculations of respiratory mechanics, are complex and influenced by several factors. High-resolution manometry (HRM) provides p...

link.springer.com

Operator wellbeing as a translational endpoint: a dimension missing from the AI implementation framework in anesthesiology - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing -

link.springer.com

Making brain monitoring routine: why processed EEG monitoring should be standard practice - Journal of Clinical Monitoring and Computing

Despite major technological advances and a growing evidence base, perioperative electroencephalographic (EEG) monitoring remains underused, even though general anaesthesia is fundamentally a brain-tar...

link.springer.com

NIRS monitoring during steep trendelenburg in robotic prostatectomy - Journal of Clinical Monitoring and Computing

Robotic-assisted laparoscopic prostatectomy (RALP) requires steep Trendelenburg positioning and CO₂ pneumoperitoneum, which may significantly influence cerebral hemodynamic homeostasis. While postoper...

link.springer.com

Clinical agreement and physiological relevance of the zero-heat-flux temperature measurement in trauma patients during operating room resuscitation - Journal of Clinical Monitoring and Computing

Background Hypothermia is common in trauma patients and related to increased mortality; therefore, monitoring of core temperature is important. Conventional measuring methods have limitations in traum...

link.springer.com

Clinical validation of video-based vital sign monitoring in the intensive care unit: a prospective cohort study - Journal of Clinical Monitoring and Computing

Purpose Video-based monitoring technologies enable continuous and contactless monitoring of vital signs. This study evaluates the clinical concordance and determinants of performance of contactless vi...

link.springer.com

A temporal deep learning algorithm for prediction of extubation failures in critical care patients - Journal of Clinical Monitoring and Computing

Extubation failure in ICU patients is associated with poor outcomes. Existing prediction models often rely on static data, missing dynamic disease fluctuations. This study introduces TrAcE, a deep lea...

link.springer.com

From prediction to practice: closing the translation gap in artificial intelligence for anesthesia - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing - Artificial intelligence (AI) and machine learning (ML) techniques are rapidly advancing in anesthesiology, showing promise in patient monitoring,...

link.springer.com

Augmented reality for ultrasound-guided venipuncture: a pilot study on a simulated vascular access model - Journal of Clinical Monitoring and Computing

To evaluate the feasibility of a low-cost augmented reality (AR) workflow for ultrasound-guided venipuncture and whether AR visualisation is non-inferior to conventional monitor guidance in total proc...

link.springer.com

Effects of remimazolam and propofol on parasympathetic activity during general anesthesia induction in patients with severe aortic stenosis: a randomized controlled trial utilizing high-frequency vari...

Journal of Clinical Monitoring and Computing - In this study, we aimed to compare the effects of remimazolam and propofol on parasympathetic activity during general anesthesia induction in patients...

link.springer.com

Exploratory clinical trial on the acoustic variability index for predicting fluid responsiveness during hepatectomy - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing - The acoustic variability index (AVI), derived from continuous phonocardiographic analysis of heart sounds via an esophageal stethoscope, is a novel...

link.springer.com

Real-time flow–pressure coupling under pulse contour monitoring in kidney transplantation: prospective algorithm and retrospective phenotype assignment - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing - To prospectively evaluate a pulse contour–guided algorithm for real-time flow–pressure coupling to direct fluid versus vasoactive therapy...

link.springer.com

Intermittent Pneumatic Compression as an Unrecognized Source of Neuromonitoring Oscillations - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing -

link.springer.com

Periodic limb movements during sedation and general anesthesia in elderly patients: a prospective observational study - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing - Dexmedetomidine sedation in elderly patients is associated with cognitive benefits due to its biomimetic non-rapid eye movement (NREM)...

link.springer.com

Clinical validation of a novel accelerometer-based respiratory rate monitor - Journal of Clinical Monitoring and Computing

Respiratory rate (RR) is a vital sign often unused in clinical practice due to labour-intensive manual counting or capnography limitations in spontaneously breathing patients. This study validated Res...

link.springer.com

Optic nerve sheath diameter as a real-time biomarker for epidural blood patch efficacy after post-dural puncture headache: a preliminary report - Journal of Clinical Monitoring and Computing

Post-dural puncture headache (PDPH) following epidural anesthesia remains a frequent obstetric complication. While epidural blood patch (EBP) is the reference treatment, its efficacy assessment still ...

link.springer.com

Heart rate variability as a marker of multiple organ dysfunction syndrome in deeply sedated, prepubescent patients: a secondary analysis - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing - Multiple organ dysfunction syndrome (MODS) is a frequent complication in critically ill patients. The objective of the present study in a pediatric...

link.springer.com

Artificial intelligence-enabled clinical decision support systems in preadmission testing: a scoping review of risk prediction, triage, and perioperative workflows (2020–2025) - Journal of Clinical Mo...

Journal of Clinical Monitoring and Computing - Preadmission testing (PAT) is a critical step in perioperative care that supports risk stratification, triage, and optimization. Tools such as the...

link.springer.com

Client Challenge

link.springer.com

Hemodynamic monitoring: basic principles in operation room and intensive care unit - Journal of Clinical Monitoring and Computing

Journal of Clinical Monitoring and Computing - To synthesize physiological principles and practical monitoring strategies for perioperative and intensive care hemodynamics, addressing two...

link.springer.com

A pre-trained language model approach for triaging surgical patients for preoperative anesthesia clinics - Journal of Clinical Monitoring and Computing

Purpose Preoperative anesthesia evaluation is a crucial step in ensuring patient safety and optimizing perioperative care. A heterogenous patient population requiring varying levels of assessment ofte...

link.springer.com

The effect of personalized perioperative blood pressure management on intraoperative cerebral oxygen saturation, burst suppression ratio and postoperative neurological outcomes in patients having majo...

Journal of Clinical Monitoring and Computing - It is not clear whether adopting personalized intraoperative blood pressure management could lead to better intraoperative regional cerebral...

link.springer.com

On the utility of near-infrared spectroscopy-derived measures for assessing cerebrovascular autoregulation: results from an observational cohort study - Journal of Clinical Monitoring and Computing

Cerebrovascular autoregulation maintains stable cerebral blood flow by counteracting slow changes in cerebral perfusion pressure (termed “slow waves”). Conventional assessment involves invasive techni...

link.springer.com

Program of quality improvement for extracorporeal blood purification therapies in the intensive care unit - Journal of Clinical Monitoring and Computing

Critically ill patients often require complex extracorporeal treatments, such as extracorporeal blood purification (EBP). At the bedside, there can be reluctance or uncertainty about when to initiate ...

link.springer.com

Early detection of postoperative infections using continuous temperature monitoring: A prospective clinical trial - Journal of Clinical Monitoring and Computing

This study aimed to evaluate whether continuous axillary temperature monitoring using a wearable patch enables earlier detection of postoperative infections compared to conventional intermittent infra...

link.springer.com

The ANI monitor’s “Energy” variable detects autonomic state modification during general anesthesia, sedation and spinal anesthesia: a retrospective cohort study - Journal of Clinical Monitoring and Co...

The Analgesia Nociception Index (ANI) is based on respiratory sinus arrhythmia and is a validated surrogate marker of the nociception-antinociception balance. Along with the ANI, the monitor provides ...

link.springer.com

Continuous autonomic system monitoring during neurosurgical procedures –proof of concept - Journal of Clinical Monitoring and Computing

Vegetative reactions are common during neurosurgical procedures. Known effects are mainly cardiovascular, including tachy- and bradyarrhythmia, hyper- and hypotonia as well as cardiac arrest. Computer...

link.springer.com

Reliability of bioreactance and arterial waveform analyses in monitoring stroke volume variation during cardiac surgery - Journal of Clinical Monitoring and Computing

Purpose Stroke volume variation (SVV) is a dynamic parameter used to assess fluid responsiveness in mechanically ventilated patients. This study aimed to evaluate the agreement and trending ability of...

link.springer.com