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Innovations in technology for critical care medicine.

Chapman M, Gattas D, Suntharalingam G - Crit Care (2004)

Bottom Line: This new section in Critical Care presents a selection of clinically important examples of advances in critical care health technology.This article is divided into two main areas: diagnostics and monitoring.The monitoring section discusses recent claims of improved efficiency with telemedicine for intensive care units.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Toronto, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada. dr.martin.chapman@sw.ca

ABSTRACT
This new section in Critical Care presents a selection of clinically important examples of advances in critical care health technology. This article is divided into two main areas: diagnostics and monitoring. Attention is given to how bedside echocardiography can alter the cardiovascular physical examination, and to novel imaging techniques such as virtual bronchoscopy. The monitoring section discusses recent claims of improved efficiency with telemedicine for intensive care units.

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Related in: MedlinePlus

Bleeding from angiodysplasia in the small bowel.
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Figure 2: Bleeding from angiodysplasia in the small bowel.

Mentions: It seems that a more hands-off approach to patients is being promoted for the future physician. Several new technologies have recently been reported, including wireless capsule endoscopy. This is perhaps not directly applicable to critical care at the moment, but it could lead to some interesting real-time monitoring. The disposable unit comprises a miniature video camera, lens, light source, battery and transmitter. Currently, the dimensions are 11 × 26 mm, but a 9 × 23 mm version is being developed. In the outpatient setting the capsule is ingested and passes naturally through the bowel, transmitting pictures at a rate of two per second. A blood identification algorithm has been developed and this may have a role in the diagnosis of obscure gastrointestinal bleeding (Fig. 2). One of several studies published this year compared the capsule with standard enteroscopy to determine their efficacy for patients in whom colonoscopy and gastroscopy had been negative [6]. The capsule identified significantly more lesions than did endoscopy (n = 50; 68% versus 32%; P < 0.05), and understandably it was better tolerated. It recently gained US Food and Drug Administration approval as a first-line test.


Innovations in technology for critical care medicine.

Chapman M, Gattas D, Suntharalingam G - Crit Care (2004)

Bleeding from angiodysplasia in the small bowel.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC420050&req=5

Figure 2: Bleeding from angiodysplasia in the small bowel.
Mentions: It seems that a more hands-off approach to patients is being promoted for the future physician. Several new technologies have recently been reported, including wireless capsule endoscopy. This is perhaps not directly applicable to critical care at the moment, but it could lead to some interesting real-time monitoring. The disposable unit comprises a miniature video camera, lens, light source, battery and transmitter. Currently, the dimensions are 11 × 26 mm, but a 9 × 23 mm version is being developed. In the outpatient setting the capsule is ingested and passes naturally through the bowel, transmitting pictures at a rate of two per second. A blood identification algorithm has been developed and this may have a role in the diagnosis of obscure gastrointestinal bleeding (Fig. 2). One of several studies published this year compared the capsule with standard enteroscopy to determine their efficacy for patients in whom colonoscopy and gastroscopy had been negative [6]. The capsule identified significantly more lesions than did endoscopy (n = 50; 68% versus 32%; P < 0.05), and understandably it was better tolerated. It recently gained US Food and Drug Administration approval as a first-line test.

Bottom Line: This new section in Critical Care presents a selection of clinically important examples of advances in critical care health technology.This article is divided into two main areas: diagnostics and monitoring.The monitoring section discusses recent claims of improved efficiency with telemedicine for intensive care units.

View Article: PubMed Central - HTML - PubMed

Affiliation: University of Toronto, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada. dr.martin.chapman@sw.ca

ABSTRACT
This new section in Critical Care presents a selection of clinically important examples of advances in critical care health technology. This article is divided into two main areas: diagnostics and monitoring. Attention is given to how bedside echocardiography can alter the cardiovascular physical examination, and to novel imaging techniques such as virtual bronchoscopy. The monitoring section discusses recent claims of improved efficiency with telemedicine for intensive care units.

Show MeSH
Related in: MedlinePlus