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J Endresen

Publications and source records attributed to J Endresen.

5 recordsLinked to original sources

The present state of trend detection and prediction in patient monitoring.

An investigation has been carried out into the suitability of the following techniques for trend detection and forecasting in patient monitoring: Cusum; Trigg's Tracking Signal; The Patient Condition Factor; The Patient Alarm Warning System; Box-Jenkins models and the Harrison-Stevens Bayesian approach. The latter holds considerable promise since it is flexible and can be implemented on a microprocessor. Consideration has also been given to the need for a better knowledge of the statistical properties of the variables to be monitored and the problems of combining trends detected in severable variables.

Humans

The effect of respiration on the monitoring of stroke volume and cardiac output by the electrical impedance technique.

In six volunteers (5 male, 1 female) it has been shown that normal respiration made no statistical difference to the estimates of the mean stroke volume and the mean cardiac output as determined by the electrical impedance method of Kubicek et al, (1966). The coefficient of variation was usually increased by respiration. The use of those stroke volumes which occur only at end-expiration was not shown to yield a greater reproducibility with 3 other male volunteers. In the female subject it was found that the use of a digital averager triggered from the preceding R-wave of the ECG gave values for the mean stroke volume and cardiac output which were always lower than the conventional mean values obtained from a number of strokes. The expense of either of these approaches does not appear to be justified as a means of compensating for the effects of normal respiration on the impedance dZ/dt waveform.

Adult