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Guillaume Becq

Publications and source records attributed to Guillaume Becq.

2 recordsLinked to original sources

On-line segmentation algorithm for continuously monitored data in intensive care units.

An on-line segmentation algorithm is presented in this paper. It is developed to preprocess data describing the patient's state, sampled at high frequencies in intensive care units, with a further purpose of alarm filtering. The algorithm splits the signal monitored into line segments--continuous or discontinuous--of various lengths and determines on-line when a new segment must be calculated. The delay of detection of a new line segment depends on the importance of the change: the more important the change, the quicker the detection. The linear segments are a correct approximation of the structure of the signal. They emphasise steady-states, level changes and trends occurring on the data. The information returned by the algorithm, which is the time at which the segment begins, its ordinate and its slope, is sufficient to completely reconstruct the filtered signal. This makes the algorithm an interesting tool to provide a processed time history record of the monitored variable. It can also be used to extract on-line information on the signal, such as its trend, in the short or long term.

Algorithms↗

Do we need a systematic activation of alarm soundings for blood pressure monitoring for the safety of ICU patients?

PURPOSE: Evaluation of a protocol of activation-deactivation of alarm soundings on noninvasive mean arterial pressure (MAP) monitoring. MATERIALS AND METHODS: 103 patients were analyzed. Alarm soundings on noninvasive MAP were either activated (group A) or inactivated (group NA) according to a protocol based on patient's hemodynamic status. RESULTS: In the first part of the study (11 periods of 24 hours), we informed the nursing staff before data collection. In the second part of the study (11 periods of 24 hours), we did not inform the nursing staff before data collection. Results of the two parts were assembled and the final analysis consisted of 3,304 hours of monitoring with 12,839 noninvasive MAP measurements, 6,354 in group A and 6,485 in group NA. In group A, 75 of 944 (8%) of abnormal measurements were detected or managed with a delay > 15 minutes and among them 16 required a therapeutic adjustment. In group NA, 140 of 265 (53%) of abnormal measurements were detected or managed with a delay > 15 minutes and among them, only one required a therapeutic adjustment. The number of alarm soundings avoided in group NA was 286. CONCLUSION: In this study, a systematic activation of alarm soundings for non-invasive blood pressure monitoring seemed unnecessary for the safety of ICU patients.

Blood Pressure↗