keyword
https://read.qxmd.com/read/38601999/non-invasive-estimation-of-skeletal-muscle-oxygen-consumption-rate-and-microvascular-reactivity-in-chronic-stroke-survivors-using-near-infrared-spectroscopy
#1
JOURNAL ARTICLE
Allison S Hyngstrom, Jennifer N Nguyen, David D Gutterman, Brian D Schmit, Emilie A Klevenow, Matthew J Durand
BACKGROUND: Understanding post-stroke changes in skeletal muscle oxidative metabolism and microvascular reactivity could help create therapeutic targets that optimize rehabilitative interventions. Due to disuse atrophy, we hypothesized that basal muscle oxygen consumption rate and microvascular endothelial function would be impaired in the tibialis anterior (TA) muscle of the affected leg of chronic stroke survivors compared to the non-affected leg and vs. matched controls. METHODS: Fifteen chronic stroke survivors (10 female) and 15 matched controls (9 female) completed this study...
April 11, 2024: Journal of Applied Physiology
https://read.qxmd.com/read/38579785/oscillometric-and-doppler-techniques-can-provide-continuous-noninvasive-blood-pressure-readings-in-cats-and-dogs-an-instructional-video
#2
JOURNAL ARTICLE
Satoshi Haginoya, Elizabeth J Thomovsky
OBJECTIVE: To provide a video tutorial detailing how to perform continuous noninvasive blood pressure monitoring in dogs and cats. ANIMALS: Any size dog or cat. METHODS: To measure blood pressure noninvasively, a blood pressure cuff is selected on the basis of the circumference of the limb and placed at the level of the right atrium. For oscillometric blood pressure measurement, the cuff is connected to an oscillometric unit that will automatically inflate and deflate the cuff in order to measure the patient's blood pressure using an internal algorithm...
April 5, 2024: Journal of the American Veterinary Medical Association
https://read.qxmd.com/read/38565129/measuring-blood-pressure-from-korotkoff-sounds-as-the-brachial-cuff-inflates-on-average-provides-higher-values-than-when-the-cuff-deflates
#3
JOURNAL ARTICLE
Branko G Celler, Ahmadreza Argha

In this study, we test the hypothesis that if, as demonstrated in a previous study, brachial arteries exhibit hysteresis as the occluding cuff is deflated and fail to open until cuff pressure (CP) is well below true intra-arterial blood pressure (IAPB), estimating systolic (SBP) and diastolic blood pressure (DBP) from the presence of Korotkoff sounds as CP increases may eliminate these errors and give more accurate estimates of SBP and DBP relative to IABP readings. 
Approach. In 62 subjects of varying ages (45...
April 2, 2024: Physiological Measurement
https://read.qxmd.com/read/38519132/cardiovascular-effects-from-venous-blood-pooling-in-the-lower-limbs-during-prolonged-sitting
#4
JOURNAL ARTICLE
Kathleen Stanford, Alexander Pomeroy, Lee Stoner
PURPOSE: To investigate whether venous blood pooling in the lower limbs from prolonged sitting induces harmful cardiovascular effects by reducing stroke volume (SV) and cardiac output (CO). METHODS: A randomized crossover trial involving 16 participants (mean age = 24.8 years ± 6.0 years, 44% women, 1 dropout) was conducted. The trial consisted of 2 conditions: cuff and noncuff, both involving 2 hours of prolonged sitting with tourniquets placed proximal to each knee...
March 2024: Radiologic Technology
https://read.qxmd.com/read/38455431/effect-of-high-intensity-interval-exercise-versus-continuous-low-intensity-aerobic-exercise-with-blood-flow-restriction-on-psychophysiological-responses-a-randomized-crossover-study
#5
RANDOMIZED CONTROLLED TRIAL
Victor S de Queiros, Nicholas Rolnick, Angelo Sabag, Phelipe Wilde, Thiago Peçanha, Rodrigo Ramalho Aniceto, Roberto Felipe Câmara Rocha, Douglas Z Delgado, Breno Guilherme de Araújo Tinôco Cabral, Paulo Moreira Silva Dantas
This study compared the effect of continuous low-intensity aerobic exercise with blood flow restriction (LI-AE-BFR) versus high-intensity interval exercise (HIIE), matching total external mechanical work between conditions, on perceptual (exertion, pain, affective and pleasure) and physiological responses (heart rate [HR], blood lactate [BL] and muscle fatigue). Ten healthy untrained men (25.6 ± 3.78 years old; 75.02 ± 12.02 kg; 172.2 ± 6.76 cm; 24.95 ± 3.16 kg/m²) completed three visits to the laboratory...
March 2024: Journal of Sports Science & Medicine
https://read.qxmd.com/read/38428501/non-invasive-measurement-of-ambulatory-venous-pressure-via-column-interruption-duration-cid-in-chronic-venous-disease
#6
JOURNAL ARTICLE
Seshadri Raju, David Thaggard, Owen Barry, Hunter Peeples, Arjun Jayaraj
BACKGROUND: Column interruption duration (CID) is a non-invasive surrogate for venous refill time (VFT), a parameter used in ambulatory venous pressure measurement. CID is more accurate than invasive VFT measurement because it avoids errors involved with indirect access of the deep system through the dorsal foot vein. The aim of this retrospective single center study is to analyze the clinical usefulness of CID in assessment of chronic venous disease (CVD). Methods PATIENTS & SUBJECTS: A total of 1551 limbs (777 patients) were referred with CVD symptoms over a 5-year period (2018-2023); CID, Air plethysmography (APG) and duplex reflux data were analyzed...
February 28, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38404268/-in-vitro-study-on-the-sealing-effect-of-different-shapes-of-cuff-tracheal-tubes-under-the-lowest-safe-pressure
#7
JOURNAL ARTICLE
Chunyuan Zhao, Ling Huang, Zi Wei, Long Chang, Jing Lin, Chunfeng Zhou
OBJECTIVE: To compare the effectiveness of cylindrical-shaped and conical-shaped cuff catheters for airway closure using different pressure measurement methods at the lowest safe pressure and to guide the clinical application. METHODS: Twenty-four patients with endotracheal intubation admitted to the intensive care unit (ICU) of Guangxi Medical University Cancer Hospital from December 2021 to January 2022 were enrolled. Leakage test in vitro was performed on the secretion on the patients' cuff...
January 2024: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/38386314/noninvasive-pediatric-blood-pressure-assessment-exploring-the-clinicians-perspective
#8
JOURNAL ARTICLE
Natalie P Stewart, Catherine Quinlan, Stephanie Best, Jonathan P Mynard
BACKGROUND: Obtaining accurate and reliable blood pressure (BP) readings in pediatric patients is challenging, given difficulties in adhering to measurement guidelines, limited device validation and variable patient cooperation. This study aimed to investigate clinicians' perspectives surrounding noninvasive pediatric BP assessment to identify opportunities for improvement in BP technology and clinical practice. METHOD: Based on an adapted version of the extended Technology Acceptance Model 2, semi-structured interviews were conducted with clinicians involved in noninvasive pediatric BP assessment in a major Australian children's hospital...
February 19, 2024: Blood Pressure Monitoring
https://read.qxmd.com/read/38309733/determining-optimal-cuff-volume-for-cuffed-endotracheal-tubes-commonly-used-in-pediatric-patients-a-prospective-observational-study
#9
JOURNAL ARTICLE
Kahir Güneş, Feyza Sever, Sengül Özmert
OBJECTIVES: To determine an optimal cuff inflation volume to achieve safe cuff pressure (20-25 cmH2O) in cuffed endotracheal tubes (ETTs) with an inner diameter of 4.5, 5.0, and 5.5 mm, which are commonly used in pediatric anaesthesia clinical practice and to create a formula to determine the optimal cuff volume. METHODS: This study was carried out between February and June 2021 in Ankara City Hospital, Ankara, Turkey. A total of 127 pediatric patients who were intubated with 4...
February 2024: Saudi Medical Journal
https://read.qxmd.com/read/38241480/measurements-of-arterial-occlusion-pressure-using-hand-held-devices
#10
JOURNAL ARTICLE
Pat R Vehrs, Shay Richards, Josh Allen, Rachel Barrett, Chase Blazzard, Tyler Burbank, Hannah Hart, Nicole Kasper, Ryan Lacey, Daniela Lopez, Gilbert W Fellingham
Vehrs, PR, Reynolds, S, Allen, J, Barrett, R, Blazzard, C, Burbank, T, Hart, H, Kasper, N, Lacey, R, Lopez, D, and Fellingham, GW. Measurements of arterial occlusion pressure using hand-held devices. J Strength Cond Res XX(X): 000-000, 2023-Arterial occlusion pressure (AOP) of the brachial artery was measured simultaneously using Doppler ultrasound (US), a hand-held Doppler (HHDOP), and a pulse oximeter (PO) in the dominant (DOM) and nondominant (NDOM) arms of males (n = 21) and females (n = 23) using continuous (CONT) and incremental (INCR) cuff inflation protocols...
January 19, 2024: Journal of Strength and Conditioning Research
https://read.qxmd.com/read/38230615/comparison-of-cuff-inflation-and-cuff-deflation-brachial-sphygmomanometry-with-intra-arterial-blood-pressure-as-reference
#11
JOURNAL ARTICLE
Branko G Celler, Andy Yong, Imants Rubenis, Mark Butlin, Ahmadreza Argha, Rajan Rehan, Alberto Avolio
Conventional sphygmomanometry with cuff deflation is used to calibrate all noninvasive BP (NIBP) instruments and the International Standard makes no mention of calibrating methods specifically for NIBP instruments, which estimate systolic and diastolic pressure during cuff inflation rather than cuff deflation. There is however increasing interest in inflation-based NIBP (iNIBP) instruments on the basis of shorter measurement time, reduction in maximal inflation pressure and improvement in patient comfort and outcomes...
January 16, 2024: Journal of Hypertension
https://read.qxmd.com/read/38110700/reduction-in-peripheral-arterial-stiffness-after-reactive-hyperemia-is-dependent-on-increases-in-blood-flow
#12
JOURNAL ARTICLE
Ronald E Jackson, Natalia S Lima, Sara R Sherman, Philip S Clifford
The acute reduction in peripheral arterial stiffness during reactive hyperemia is assumed to be flow-mediated; however, the mechanism remains unproven. We hypothesized that restricting the blood flow increase during reactive hyperemia would abolish the reduction in peripheral arterial stiffness. Fourteen healthy young adults (5 females, 25 ± 5 years, mean ± SD) underwent reactive hyperemia with a rapid-release cuff on the upper arm inflated to 220 mmHg for 5 min: once with unrestricted blood flow and once with restricted blood flow by manually applying pressure to the brachial artery...
December 2023: Physiological Reports
https://read.qxmd.com/read/38099530/the-effect-of-remote-ischemic-postconditioning-on-quality-of-life-and-clinical-events-after-an-ischemic-stroke
#13
Thijs P Kerstens, Thijs R J Landman, Yvonne Schoon, Frederick J A Meijer, Michiel C Warlé, Frank-Erik de Leeuw, Dick H J Thijssen
OBJECTIVES: Repeated remote ischemic postconditioning (rIPostC) may be an easily applicable treatment following ischemic stroke to improve quality of life (QoL) and clinical outcomes. rIPostC consists of repeated, brief periods of limb ischemia (through inflation of a blood pressure cuff), followed by reperfusion. This study investigated the 1-year follow-up of rIPostC on QoL and clinical events. METHODS: As part of a randomized controlled trial, adult patients with an ischemic stroke within 24 hours after onset of symptoms were randomized to repeated rIPostC or sham-conditioning...
December 1, 2023: Current Neurovascular Research
https://read.qxmd.com/read/38083400/comparison-of-effects-of-peripheral-vasculature-on-tonometric-radial-pulse-and-cuff-based-brachial-pulse-waveform-as-used-in-estimation-of-central-aortic-pressures
#14
JOURNAL ARTICLE
Mark Butlin, Isabella Tan, Ahmad Qasem, Alberto P Avolio
OBJECTIVE: Aortic pressure estimation requires reliable peripheral pulse waveform acquisition. The peripheral waveform can change with local vascular effects that can be independent of aortic pressure. This study quantifies the effects of peripheral vasculature changes on radial and brachial waveforms. DESIGN AND METHOD: In 20 subjects (37± 15 years, 7 female), brachial volumetric displacement (cuff-based) and radial tonometry waveforms were simultaneously measured whilst a cuff around the hand on the same arm was inflated to induce transmural pressures of -60, -30, -15, 0, 15 and 30 mmHg, altering local peripheral resistance and compliance by graded arterial wall unloading...
July 2023: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://read.qxmd.com/read/38058769/no-differences-in-exercise-performance-perceptual-response-or-safety-were-observed-among-3-blood-flow-restriction-devices
#15
JOURNAL ARTICLE
Malik E Dancy, Andrew S Alexander, Muhammad J Abbas, Nicholas Rolnick, Kareme D Alder, Yining Lu, Kelechi R Okoroha
PURPOSE: To compare 3 separate blood flow restriction (BFR) systems in their capacity to reduce repetitions to failure, impact perceptual responses, and cause adverse events during a low-load free-flow exercise. METHODS: The study included healthy subjects aged 18 years or older who presented to an ambulatory-care sports medicine clinic. On day 1, participants' demographic characteristics and anthropomorphic measurements were recorded. Each participant performed dumbbell biceps curl repetitions to failure using 20% of his or her 1-repetition maximum weight with each arm...
December 2023: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/37985616/novel-peripheral-perfusion-dynamics-indices-for-detecting-and-grading-arterial-stenosis
#16
JOURNAL ARTICLE
Tomer Joshua Heitner, Amit Livneh, Amir Landesberg
PURPOSE: Peripheral artery disease causes severe morbidity, especially in diabetics and the elderly. There is a need for accurate noninvasive detection of peripheral arterial stenosis. The study has tested the hypothesis that arterial stenosis and the associated adaptation of the downstream circulation yield characteristic changes in the leg perfusion dynamics that enable early diagnosis, utilizing impedance plethysmography. METHODS: The arterial perfusion dynamic was derived from impedance plethysmography (IPG)...
November 20, 2023: Cardiovascular Engineering and Technology
https://read.qxmd.com/read/37965634/playing-the-pipes-acoustic-sensing-and-machine-learning-for-performance-feedback-during-endotracheal-intubation-simulation
#17
JOURNAL ARTICLE
Torjus L Steffensen, Barge Bartnes, Maja L Fuglstad, Marius Auflem, Martin Steinert
Objective: In emergency medicine, airway management is a core skill that includes endotracheal intubation (ETI), a common technique that can result in ineffective ventilation and laryngotracheal injury if executed incorrectly. We present a method for automatically generating performance feedback during ETI simulator training, potentially augmenting training outcomes on robotic simulators. Method: Electret microphones recorded ultrasonic echoes pulsed through the complex geometry of a simulated airway during ETI performed on a full-size patient simulator...
2023: Frontiers in Robotics and AI
https://read.qxmd.com/read/37851855/acute-effects-of-a-practical-blow-flow-restriction-device-during-swimming-exercise
#18
JOURNAL ARTICLE
Felipe Domingos Lisbôa, Rafael Alves de Aguiar, Gustavo Soares Pereira, Fabrizio Caputo
Purpose: The present study aimed to analyze: 1) the reliability of the tissue saturation index (TSI) and ratings of perceived discomfort (RPD) responses wearing a neoprene practical cuff (PrC), comparing with the responses from traditional (TrC) pneumatic cuffs (study I); 2) the effects of PrC on metabolic (blood lactate concentration, BLC), perceptual (rate of perceived effort, RPE) and kinematic responses at sub-maximal swimming velocities (study II). Methods: Study I; 1) PrC test-retest at rest and during swimming ergometer exercise; 2) BFR at rest with TrC inflated to different percentages of the minimum arterial occlusion pressure (MAOP; 60, 80, 100, 120 and 140%)...
October 18, 2023: Research Quarterly for Exercise and Sport
https://read.qxmd.com/read/37846938/pre-extubation-ultrasound-measurement-of-in-situ-cuffed-endotracheal-tube-laryngeal-air-column-width-difference-single-center-pilot-study-of-relationship-with-post-extubation-stridor-in-under-5-years-old
#19
JOURNAL ARTICLE
Luke Burton, Jeremy Loberger, Mark Baker, Priya Prabhakaran, Vidit Bhargava
OBJECTIVES: Post-extubation stridor (PES) is difficult to predict before extubation. We therefore evaluated the potential diagnostic performance of pre-extubation laryngeal air column width difference (LACWD) measurement, as assessed by intensivist-performed point-of-care laryngeal ultrasound, in relation to clinically important PES. DESIGN: Prospective observational cohort study. SETTING: Single quaternary care PICU (July 19, 2021, to October 31, 2022)...
October 10, 2023: Pediatric Critical Care Medicine
https://read.qxmd.com/read/37832270/remote-ischaemic-conditioning-for-fatigue-after-stroke-ricfast-a-pilot-randomised-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Dr Bethany Moyle, Mr Nik Kudiersky, Ms Nikki Totton, Dr Matilde Sassani, Dr Simon Nichols, Dr Tom Jenkins, Dr Jessica Redgrave, Dr Sheharyar Baig, Dr Krishnan Padmakumari Sivaraman Nair, Professor Arshad Majid, Dr Ali N Ali
BACKGROUND: Post stroke fatigue (PSF) affects 50 % of stroke survivors, and can be disabling. Remote ischaemic conditioning (RIC), can preserve mitochondrial function, improve tissue perfusion and may mitigate PSF. This pilot randomised controlled trial evaluates the safety and feasibility of using RIC for PSF and evaluated measures of cellular bioenergetics. METHODS: 24 people with debilitating PSF (7 item Fatigue Severity Score, FSS-7 > 4) were randomised (1:1) in this single-centre phase 2 study to RIC (blood pressure cuff inflation around the upper arm 200 mmHg for 5 min followed by 5 min of deflation), or sham (inflation pressure 20 mmHg), repeated 4 cycles, 3 times per week for 6 weeks...
December 2023: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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