Angular velocity: a new method to improve prediction of ventricular fibrillation duration.
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Biomedical subjects
Publications and source records attributed to Colin E Robertson.
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We report an improved method for the estimation of shock outcome prediction based on novel wavelet transform-based time-frequency methods. Wavelet-based peak frequency, energy, mean frequency, spectral flatness and a new entropy measure were studied to predict shock outcome. Of these, the entropy measure provided optimal results with 60 +/- 6% specificity at 91 +/- 2% sensitivity achieved for the prediction of return of spontaneous circulation (ROSC). These results represent a major improvement in shock prediction in human ventricular fibrillation.
OBJECTIVE: To assess whether the 'LEMON' method, devised by the developers of the US National Emergency Airway Management Course, is an easily applied airway assessment tool in patients undergoing treatment in the emergency department resuscitation room. METHODS: One hundred patients treated in the resuscitation room of a UK teaching hospital between June 2002 and January 2003 were assessed on criteria based on the 'LEMON' method. RESULTS: All seven criteria of the 'Look' section of the method could be adequately assessed. Data for the 'Evaluate' section could not be obtained in 10 patients, with inter-incisor distance being the most problematical item. The 'Mallampatti' score was unavailable in 43 patients, and had to be assessed in the supine position in 32 of the remaining 57 patients. Assessment for airway 'Obstruction' and 'Neck mobility' could be performed in all patients. CONCLUSION: The 'Look', 'Obstruction' and 'Neck mobility' components of the 'LEMON' method are the easiest to assess in patients undergoing treatment in the emergency department resuscitation room. The 'Evaluate' and 'Mallampatti' components are less easily applied to the population that present to the resuscitation room, and assessment of these is more problematical and prone to inaccuracy. We suggest that the 'LEMON' airway assessment method may not be easily applied in its entirety to unselected resuscitation room patients, and that information on the 'Evaluate' and 'Mallampatti' parameters may not always be available.
The surface electrocardiogram associated with ventricular fibrillation has been of interest to researchers for some time. Over the last few decades, techniques have been developed to analyse this signal in an attempt to obtain more information about the state of the myocardium and the chances of successful defibrillation. This review looks at the implications of analysing the VF waveform and discusses the various techniques that have been used, including fast Fourier transform analysis, wavelet transform analysis and mathematical techniques such as chaos theory.
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