keyword
https://read.qxmd.com/read/38512990/mitigating-intensive-care-unit-noise-design-led-modeling-solutions-calculated-acoustic-outcomes-and-cost-implications
#1
JOURNAL ARTICLE
Emil E Jonescu, Benjamin Farrel, Chamil Erik Ramanayaka, Christopher White, Giuseppe Costanzo, Lori Delaney, Rebecca Hahn, Janet Ferrier, Edward Litton
OBJECTIVES, PURPOSE, OR AIM: The study aimed to decrease noise levels in the ICU, anticipated to have adverse effects on both patients and staff, by implementing enhancements in acoustic design. BACKGROUND: Recognizing ICU noise as a significant disruptor of sleep and a potential hindrance to patient recovery, this study was conducted at a 40-bed ICU in Fiona Stanley Hospital in Perth, Australia. METHODS: A comprehensive mixed-methods approach was employed, encompassing surveys, site analysis, and acoustic measurements...
March 21, 2024: HERD
https://read.qxmd.com/read/38493258/state-of-the-art-mobile-head-ct-scanner-delivers-nearly-the-same-image-quality-as-a-conventional-stationary-ct-scanner
#2
JOURNAL ARTICLE
Lukas Goertz, Yosef Al-Sewaidi, Mahmoud Habib, David Zopfs, Benjamin Reichardt, Alexander Ranft, Christoph Kabbasch
The use of mobile head CT scanners in the neurointensive care unit (NICU) saves time for patients and NICU staff and can reduce transport-related mishaps, but the reduced image quality of previous mobile scanners has prevented their widespread clinical use. This study compares the image quality of SOMATOM On.Site (Siemens Healthineers, Erlangen, Germany), a state-of-the-art mobile head CT scanner, and a conventional 64-slice stationary CT scanner. The study included 40 patients who underwent head scans with both mobile and stationary scanners...
March 16, 2024: Scientific Reports
https://read.qxmd.com/read/38394548/perioperative-care-of-neonates-with-critical-pulmonary-stenosis-case-report
#3
JOURNAL ARTICLE
Qiong He, Min Song, Yanping Huang, Ling Wan
RATIONALE: Summarizing the perioperative nursing experience in the successful treatment of 4 neonates with critical pulmonary stenosis (CPS). PATIENT CONCERNS: Of the 4 patients, 3 had postnatal shortness of breath and varying degrees of cyanosis, aggravated by crying and noise, and 1 had no obvious shortness of breath and cyanosis. The preoperative auscultation of the precordial region could be heard 3-4/6 systolic murmur; echocardiography was diagnosed as CPS, combined with patent ductus arteriosus, right ventricular dysplasia, and severe tricuspid regurgitation...
February 23, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38295684/neonatal-hearing-screening-using-a-smartphone-based-otoacoustic-emission-device-a-comparative-study
#4
JOURNAL ARTICLE
Andani Gluggy Madzivhandila, Talita le Roux, Leigh Biagio de Jager
OBJECTIVE: Increasing options are becoming available for clinicians and healthcare professionals who use smartphone-based applications (apps) to identify hearing loss. The use of smartphone-based apps for newborn hearing screening (NHS) has been proposed as an alternative screening method in NHS programs. This study aims to compare the screening outcomes of a smartphone-based otoacoustic emission (OAE) screening device to a commercially available OAE screening device. METHODS: NHS was conducted in the post-natal maternity ward and neonatal intensive care unit (NICU) of two tertiary public healthcare hospitals over a period of 8 months...
January 18, 2024: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/38269569/simulating-whole-body-vibration-for-neonatal-patients-on-a-tire-coupled-road-simulator
#5
JOURNAL ARTICLE
Patrick Kehoe, Keely Gibb, Jason Hurley, Robert G Langlois, James R Green, Adrian Dc Chan, Elton Toma, Cheryl Aubertin, Kim Greenwood, Andrew Ibey, Stephanie Redpath
Exposure to excessive whole-body vibration is linked to health issues and may result in increased rates of mortality and morbidity in infants. Newborn infants requiring specialized treatment at neonatal intensive care units often require transportation by road ambulance to specialized care centers, exposing the infants to potentially harmful vibration and noise. A standardized Neonatal Patient Transport System (NPTS) has been deployed in Ontario, Canada, that provides life saving equipment to patients and safe operation for the clinical care staff...
January 25, 2024: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://read.qxmd.com/read/38268285/effects-of-white-noise-on-preterm-infants-in-the-neonatal-intensive-care-unit-a-meta-analysis-of-randomised-controlled-trials
#6
REVIEW
Qing Zhang, Qiugui Huo, Peizhen Chen, Wenying Yao, Zhihong Ni
AIM: To critically assess the effects of white noise on the pain level, weight gain and vital signs (heart rate, respiratory rate and oxygen saturation) of preterm infants in neonatal intensive care units (NICUs). DESIGN: A systematic review and meta-analysis of randomised controlled trials (RCTs). METHODS: Ten databases (PubMed, Cochrane Library, Embase, Web of Science, CINAHL, PsycINFO, SinoMed, China National Knowledge Infrastructure, VIP and Wanfang Data) were systematically reviewed from inception to July 2022...
January 2024: Nursing Open
https://read.qxmd.com/read/38232571/voice-use-of-nurses-working-in-the-intensive-care-unit-during-the-covid-19-pandemic
#7
JOURNAL ARTICLE
Ziwei Song, Pyoung-Jik Lee
OBJECTIVE: This study aimed to investigate the voice use of nurses working in intensive care units (ICUs) and their perception of acoustic environments. SETTING AND SAMPLE: The research was conducted in four different hospitals in China during the COVID-19 pandemic. A total of 60 ICU nurses were recruited for their voice use monitoring and 100 nurses participated in the survey. RESEARCH METHODOLOGY: Firstly, voice-related parameters such as voice level (SPL, dB), fundamental frequency (F0, Hz), and voicing time percentage (Dt, %) were measured using a vocal monitor...
January 16, 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38223168/notch-rgb-camera-based-spo-2-estimation-a-clinical-trial-in-a-neonatal-intensive-care-unit
#8
JOURNAL ARTICLE
Yonglong Ye, Liping Pan, Dongfang Yu, Dongfeng Gu, Hongzhou Lu, Wenjin Wang
Regular and narrow-band RGB cameras are recently explored for contactless SpO2 monitoring. Regular RGB cameras with cross-band overlap provide a high signal-to-noise-ratio (SNR) in measuring the photoplethysmographic signals but possess high dependency on the spectra of incident light, whereas narrow-band RGB cameras have better spectral independence but lower SNR especially in dim lighting conditions, such as in the neonatal intensive care unit (NICU). This paper proposes a notch RGB camera based SpO2 measurement approach that uses an optical notch filter to attenuate the wavelengths of 580-605 nm of a regular RGB camera to improve the spectral independence while maintaining high SNR in signal measurement...
January 1, 2024: Biomedical Optics Express
https://read.qxmd.com/read/38197292/-sounds-in-intensive-care-units-perspectives-of-patients-and-parents-a-qualitative-study
#9
JOURNAL ARTICLE
Isabel Schön, Sandra Witek, Nicola Merz, Sven Ziegler, Johanna Feuchtinger
Sounds in intensive care units: Perspectives of patients and parents. A qualitative study Abstract: Background: Sound levels in intensive care units exceed internationally recommended limits. This can have negative effects on patients, relatives, and staff. There is a lack of evidence on noise-reducing measures. Aim: The aim of the study was the implementation and evaluation of ward-specific noise management in intensive care units. In the present article, the question of the noise and stress experience of intensive care patients and parents of neonatal intensive care patients was explored...
January 10, 2024: Pflege
https://read.qxmd.com/read/38129130/randomised-crossover-study-on-pulse-oximeter-readings-from-different-sensors-in-very-preterm-infants
#10
JOURNAL ARTICLE
Christian Achim Maiwald, Christoph E Schwarz, Katrin Böckmann, Laila Springer, Christian F Poets, Axel Franz
OBJECTIVE: In extremely preterm infants, different target ranges for pulse oximeter saturation (SpO2 ) may affect mortality and morbidity. Thus, the impact of technical changes potentially affecting measurements should be assessed. We studied SpO2 readings from different sensors for systematic deviations. DESIGN: Single-centre, randomised, triple crossover study. SETTING: Tertiary neonatal intensive care unit. PATIENTS: 24 infants, born at <32 weeks' gestation, with current weight <1500 g and without right-to-left shunt via a patent ductus arteriosus...
December 21, 2023: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://read.qxmd.com/read/38111275/the-impact-of-sensory-stimuli-on-healthcare-workers-and-outcomes-in-trauma-rooms-a-focus-group-study
#11
JOURNAL ARTICLE
Sara Bayramzadeh, Sahar Ahmadpour
OBJECTIVE: This study investigated issues related to noise, lighting, and temperature in trauma rooms that impact patient care and staff performance. BACKGROUND: Uncontrolled sensory stimuli can hinder healthcare delivery quality in trauma rooms. High noise and temperature levels can increase staff stress and discomfort as well as patient discomfort. Conversely, proper lighting can decrease staff stress levels and reduce burnout. Sensory overload in trauma rooms is a crucial concern, but no studies have been conducted on this issue...
December 18, 2023: HERD
https://read.qxmd.com/read/38106560/development-of-neonatal-specific-sequences-for-portable-ultralow-field-magnetic-resonance-brain-imaging-a-prospective-single-centre-cohort-study
#12
JOURNAL ARTICLE
Paul Cawley, Francesco Padormo, Daniel Cromb, Jennifer Almalbis, Massimo Marenzana, Rui Teixeira, Alena Uus, Jonathan O'Muircheartaigh, Steven C R Williams, Serena J Counsell, Tomoki Arichi, Mary A Rutherford, Joseph V Hajnal, A David Edwards
BACKGROUND: Magnetic Resonance (MR) imaging is key for investigation of suspected newborn brain abnormalities. Access is limited in low-resource settings and challenging in infants needing intensive care. Portable ultralow field (ULF) MRI is showing promise in bedside adult brain imaging. Use in infants and children has been limited as brain-tissue composition differences necessitate sequence modification. The aim of this study was to develop neonatal-specific ULF structural sequences and test these across a range of gestational maturities and pathologies to inform future validation studies...
November 2023: EClinicalMedicine
https://read.qxmd.com/read/38095715/analysis-of-noise-levels-in-the-neonatal-intensive-care-unit-the-impact-of-clinical-microsystems
#13
JOURNAL ARTICLE
Gerhard Fusch, Saber Mohamed, Ahmad Bakry, Edward W Li, Sourabh Dutta, Salhab El Helou, Christoph Fusch
Reorganization of neonatal intensive care by introducing clinical microsystems may help to allocate nursing time more appropriately to the needs of patients. However, there is concern that cohorting infants according to acuity may enhance noise levels. This single-center study investigated the impact of reorganization of neonatal intensive care unit by implementing clinical microsystems in a Level III NICU on environmental noise. This prospective study measured 24-h noise levels over a period of 6 months during pre- and post-implementation of microsystems cohorting infants of similar acuity...
December 14, 2023: European Journal of Pediatrics
https://read.qxmd.com/read/38083255/statistical-shape-modeling-based-algorithm-for-replacing-missing-beats-in-blood-pressure-signals
#14
JOURNAL ARTICLE
Margherita Garagnani, Maximiliano Mollura, Riccardo Barbieri
In clinical environments, such as the Intensive Care Unit (ICU), continuous and uninterrupted monitoring of vital signs is critical for the early detection of patient deterioration and prompt intervention. Since data collected in these settings are often corrupted by noise, artifacts, or recording gaps, it is important to estimate missing data for a more accurate signal assessment.In this study, we propose an automatic algorithm for reconstructing of arterial blood pressure signal waveforms. The methodological core of the algorithm is based on the idea of statistical shape modeling, which basically estimates the shape variation of beat waveforms in order to reconstruct them in noisy segments...
July 2023: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://read.qxmd.com/read/38057790/noise-exposure-among-staff-in-intensive-care-units-and-the-effects-of-unit-based-noise-management-a-monocentric-prospective-longitudinal-study
#15
JOURNAL ARTICLE
Christoph Armbruster, Stefan Walzer, Sandra Witek, Sven Ziegler, Erik Farin-Glattacker
BACKGROUND: Intensive care units (ICUs) are often too noisy, exceeding 70-80 dBA, which can have negative effects on staff. The corresponding recommendation of the World Health Organization (average sound pressure level below 35 dBA) is often not achieved. To date there is a lack of intervention studies examining the extent to which unit-based noise management in ICUs contributes to a reduction in noise exposure for the staff. The study therefore aims to provide answers to 1) how unit-based noise management sustainably reduces the subjective noise exposure among staff, and 2) how this intervention affects other noise-related topics...
December 6, 2023: BMC Nursing
https://read.qxmd.com/read/38044046/-expert-consensus-on-management-of-pain-agitation-and-related-issues-in-adult-patients-with-critical-respiratory-diseases
#16
JOURNAL ARTICLE
(no author information available yet)
As patients with critical respiratory diseases suffer from the discomfort of disease, frequent medical and nursing procedures, and the noise disturbance of the ICU environment, it is necessary to implement analgesia and sedation to reduce their negative stress and oxygen consumption. Special emphasis will be placed on the clinical practice of analgesia, sedation and rehabilitation in critically ill patients with respiratory diseases, as different pathophysiological features of the respective pulmonary diseases are presented, such as severe asthma and acute exacerbations of chronic obstructive pulmonary disease, as well as the exclusive situations during respiratory therapy, such as recruitment maneuvers, bedside bronchoscopy and operation of extracorporeal membrane oxygenators...
December 12, 2023: Chinese Journal of Tuberculosis and Respiratory Diseases
https://read.qxmd.com/read/38043020/noise-survey-of-neonatal-intensive-care-unit-at-a-government-tertiary-care-centre
#17
JOURNAL ARTICLE
P Lokwani, N Gupta, S K Choudhary, A K Singh
BACKGROUND: With technological advancement, Neonatal Intensive Care Units (NICU) have become noisier than ever. Studies have shown the detrimental effects of increasing noise in NICU on growing pre-term and sick neonates. The present study aimed to survey the amount of noise in one of the NICU blocks of a government tertiary care centre and explore ways to control it when dealing with these sick babies. METHODS: A detailed noise survey was carried out, for February 2023, in one of the two blocks of NICU in a government tertiary-care centre...
November 29, 2023: Journal of Neonatal-perinatal Medicine
https://read.qxmd.com/read/38012768/evaluation-of-the-sensory-environment-in-a-large-tertiary-icu
#18
JOURNAL ARTICLE
Oystein Tronstad, Dylan Flaws, Sue Patterson, Robert Holdsworth, Veronica Garcia-Hansen, Francisca Rodriguez Leonard, Ruth Ong, Stephanie Yerkovich, John F Fraser
BACKGROUND: ICU survival is improving. However, many patients leave ICU with ongoing cognitive, physical, and/or psychological impairments and reduced quality of life. Many of the reasons for these ongoing problems are unmodifiable; however, some are linked with the ICU environment. Suboptimal lighting and excessive noise contribute to a loss of circadian rhythms and sleep disruptions, leading to increased mortality and morbidity. Despite long-standing awareness of these problems, meaningful ICU redesign is yet to be realised, and the 'ideal' ICU design is likely to be unique to local context and patient cohorts...
November 27, 2023: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/38000120/a-systematic-review-of-chronobiology-for-neonatal-care-units-what-we-know-and-what-we-should-consider
#19
REVIEW
Philip Lewis, Ursula Wild, J Jane Pillow, Russell G Foster, Thomas C Erren
A Cochrane 2016 review indicated cycled light might benefit neonatal health in hospital. We systematically reviewed chronobiological factors for neonatal health in hospital units, identifying 56 relevant studies on light-dark cycles, feeding, noise, massage therapy, rooming-in, incubators vs. cribs, neonatal units vs. homes, and time-of-day of birth. Empirical evidence for benefits from chronobiology is weaker than expected, including light. Mechanisms of clinical benefits are unclear (e.g., changes to sleep/activity vs...
February 2024: Sleep Medicine Reviews
https://read.qxmd.com/read/37971153/calibration-free-blood-pressure-estimation-based-on-a-convolutional-neural-network
#20
JOURNAL ARTICLE
Jinwoo Cho, Hangsik Shin, Ahyoung Choi
In this study, we conducted research on a deep learning-based blood pressure (BP) estimation model suitable for wearable environments. To measure BP while wearing a wearable watch, it needs to be considered that computing power for signal processing is limited and the input signals are subject to noise interference. Therefore, we employed a convolutional neural network (CNN) as the BP estimation model and utilized time-series electrocardiogram (ECG) and photoplethysmogram (PPG) signals, which are quantifiable in a wearable context...
November 16, 2023: Psychophysiology
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