• Title/Summary/Keyword: Blood pressure monitoring

Search Result 194, Processing Time 0.024 seconds

Change of End-tidal PCS During Cardiopulmonary Bypass (체외순환시 호기말 이산화탄소압의 변화)

  • 오중환
    • Journal of Chest Surgery
    • /
    • v.25 no.12
    • /
    • pp.1399-1403
    • /
    • 1992
  • The evaluation of the effectivess of ongoing cardiopulmonary resucitation efforts is dependent on the commonly used methods, such as the presence of femoral or carotid artery pulsations, arterial blood gas determinations, peripheral arterial pressure and intracardiac pressure monitoring. But recent studies suggest that end-tidal carbon dioxide tension serves as a non-invasive measurement of pulmonary blood flow and therefore cardiac output under constant ventilation. A prospective clinical study was done to determine whether end-tidal carbon dioxide monitoring in open heart surgery under cardiopulmonary bypass could be used as a prognostic indicator of bypass weaning. We monitored end-tidal PCO2 values continuously during cardiopulmonary bypass in 30 patients. "Ohmeda 5210 CO-2 monitor" under infrared absorption method were incorperated into the ventilator circuit by means of a side point adaptor between endotracheal tube and ventilator tubing. 18 patients[Group I ] were res-ucitated from partial bypass followed by aorta cross clamp off and 12 patients[Group II ] from aorta cross clamp off followed by partial bypass. But there was no difference between two groups[p>0.05]. The value of end-tidal carbon dioxide tension during ventricular fibrillation or nearly arrest state was 6.6$\pm$2.9 mmHg, and at the time of spontaneous beating was 19.3$\pm$5.6 mmHg[Mean$\pm$Standard deviation], In conclusion end-tidal carbon dioxide tension monitoring provides clinically useful, continous, noninvasive and supplementary prognostic indicator during cardiopulmonary bypass weaning procedures.rocedures.

  • PDF

A New Approach Method of Measuring Abdominal Pressure for Urodynamic Monitoring System (요역동학 측정시스템을 위한 새로운 복압측정 기법)

  • Seo, Jeong-Hwan;Kim, Keo-Sik;An, Yang-Su;Kim, Kyeong-Seop;Song, Chul-Gyu
    • The Transactions of The Korean Institute of Electrical Engineers
    • /
    • v.56 no.6
    • /
    • pp.1170-1176
    • /
    • 2007
  • The conventional urodynamic monitoring is fulfilled by artificially filling a bladder with saline. Generally. it is difficult to evaluate the physiological functions of the storage and voiding of a bladder. With this aim, we constructed an ambulatory urodynamic monitoring (AUM) system and proposed a novel method estimating abdominal pressure by measuring bio-impedance variations. Our system was clinically evaluated for 10 patients. It turned out to be that as the intensity of the abdomen contraction increased, the amplitude of bio-impedance signal and the RMS value of EMG increased more as compared to those who observed during the rest mode. Also, we determined the optimum electrode pair for estimating the abdominal pressure using bio-impedance method and consequently compared with the conventional methods. Because impedance changes differ from a weight, a height, contractile force, volume of muscle and blood other or whatever of individuals, it was quantified in terms of impedance change, correlation coefficient and SNR Our results showed the optimum electrode pair (1,9) which could detect impedance changes due to the increase of the intensity in the abdominal pressure. The correlation coefficient and quadratic function between the RMS values of EMG and the impedance changes were 0.87 and $y=0.0014x^2+0.0620x+0.6958$, respectively. Thus, our system demonstrated that the abdominal pressure could be measured noninvasively and conveniently by simply estimating bio-impedance values. We propose that this optimum electrode configuration would be useful for the future studies involving the handy measurements of abdominal pressure with our suggested ambulatory urodynamics monitoring system.

Effects of Abdominal Circumference, Blood Lipids and Blood Pressure according to Diabetes with VO2peak (당뇨 유·무에 따른 VO2peak가 복부둘레, 혈중지질 및 혈압에 미치는 영향)

  • Nam, Sang-Nam;Park, Jung-Beom;Lee, Hyoung-Ju
    • The Journal of the Korea Contents Association
    • /
    • v.12 no.12
    • /
    • pp.363-371
    • /
    • 2012
  • This research is to know about how $VO_2peak$ effects on Abdominal circumference, Blood lipids and blood presure with diabetes patients. After that, we have reached the final decision. in terms of the patients, there is significant indication that Abdominal circumference and HDL-cholesterol are related to $VO_2peak$. And Non-patients and $VO_2peak$ are related to each other though. $VO_2peak$ of the patients significantly effects on Abdominal circumference. Also, $VO_2peak$ of Nom-patients are same in aspect of Diastolic blood pressure As for Abdominal circumference, $VO_2peak$, High-density lipoprotein (HDL) cholesterol, Triglyceride, blood pressure, they are significantly associated to each other For These reasons, we have suggested that $VO_2peak$ seems to be possible to be handled by monitoring index for dangerous factors. Futhermore, exercise is really regarded as the best way of improving Cardiopulmonary capacity.

Electroacupuncture Delays Development of Hypertension through Increase of NO Level in Spontaneously Hypertensive Rats

  • Hwang, Hye-Suk;Kim, Yu-Sung;Lee, Ji-Eun;Han, Kyung-Ju;Choi, Sun-Mi;Koo, Sung-Tae
    • Korean Journal of Oriental Medicine
    • /
    • v.13 no.2 s.20
    • /
    • pp.149-155
    • /
    • 2007
  • Objective : Using a spontaneously hypertensive rat (SHR) model of essential hypertension, this study investigated whether electroacupuncture (EA) could reduce early stage hypertension by examining whether EA increased nitric oxide (NO) levels in plasma, which compensates for elevated blood pressure (BP). Methods : EA was applied to the acupoint, Baekhoe (GV20), and to a non acupoint in the tail at 10 Hz and an intensity of 1 mA for 10 minutes on the first and fourth day of the week for three weeks under isoflurane anesthesia. In conscious SHR and normotensive Wistar Kyoto (WKY) rats, blood pressure was determined the day after EA treatment by the tail cuff method using an automatic BP monitoring system. We also measured NO concentration of blood serum in SHR and WKY. Results : Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were lower after 3 weeks of GV20 treatment than in non EA treated or non acupoint treated SHR rats. The NO level of plasma was significantly lower in hypertensive SHR than in normotensive WKY. EA prevented the augmentation of blood pressure, and also increased NO concentrations from $7.91{\pm}0.42$ ${\mu}M$ to $11.50{\pm}0.93$ ${\mu}M$ in SHR serum. Conclusions : We suggest that acupuncture may be an early intervention to delay the development of hypertension and enhance NO/NOS activity.

  • PDF

Development of Implantable Blood Pressure Sensor Using Quartz Wafer Direct Bonding and Ultrafast Laser Cutting (Quatrz 웨이퍼의 직접접합과 극초단 레이저 가공을 이용한 체내 이식형 혈압센서 개발)

  • Kim, Sung-Il;Kim, Eung-Bo;So, Sang-kyun;Choi, Jiyeon;Joung, Yeun-Ho
    • Journal of Biomedical Engineering Research
    • /
    • v.37 no.5
    • /
    • pp.168-177
    • /
    • 2016
  • In this paper we present an implantable pressure sensor to measure real-time blood pressure by monitoring mechanical movement of artery. Sensor is composed of inductors (L) and capacitors (C) which are formed by microfabrication and direct bonding on two biocompatible substrates (quartz). When electrical potential is applied to the sensor, the inductors and capacitors generates a LC resonance circuit and produce characteristic resonant frequencies. Real-time variation of the resonant frequency is monitored by an external measurement system using inductive coupling. Structural and electrical simulation was performed by Computer Aided Engineering (CAE) programs, ANSYS and HFSS, to optimize geometry of sensor. Ultrafast laser (femto-second) cutting and MEMS process were executed as sensor fabrication methods with consideration of brittleness of the substrate and small radial artery size. After whole fabrication processes, we got sensors of $3mm{\times}15mm{\times}0.5mm$. Resonant frequency of the sensor was around 90 MHz at atmosphere (760 mmHg), and the sensor has good linearity without any hysteresis. Longterm (5 years) stability of the sensor was verified by thermal acceleration testing with Arrhenius model. Moreover, in-vitro cytotoxicity test was done to show biocompatiblity of the sensor and validation of real-time blood pressure measurement was verified with animal test by implant of the sensor. By integration with development of external interrogation system, the proposed sensor system will be a promising method to measure real-time blood pressure.

The Condition of Controlling Blood-pressure and the Use of Oriental Medical Services in Hypertensive Patients (고혈압(高血壓) 환자(患者)의 혈압관리실태(血壓管理實態)와 한방이용(韓方利用) 현황(現況))

  • Shin, Taek-Su;Yoo, Seong-Gi;Chong, Myong-Soo;Lee, Ki-Nam
    • The Journal of Traditional Korean Medicine
    • /
    • v.15 no.1
    • /
    • pp.128-144
    • /
    • 2006
  • This Study aims at looking into the use of oriental medical services in treating hypertension. The first objective to be explored through this study is the morbidity caused by the disease, classifying them by age, gender, and occupation. The second is to determine the regular use of anti-hypertensive medicine and their efficacy in controlling blood-pressure. The third is to investigate the use-rate and satisfaction of oriental medical service. 838 households across the country, were asked to answer questionnaires for the period of time from Apr. to Jun. 2005. The conclusion from the survey can be summarized as following. The age of which the first medical diagnosis of hypertension were made showed lower in males, those with higher education and income. The study showed females were more active in blood-pressure control, with their frequent monitoring of blood-pressure for the past year. With age, people in under 50 age group proved to be less active. The management of high blood pressure was more effective in group with regular dosage compared to group with irregular use of anti-hypertensive medication, but their difference was minimal. Also, group with no medication showed signs of blood-pressure control. The use of oriental medical service for the past year, were more frequent in groups with lower education, either low or high income, old age, females and occupations in agriculture, forestry and fishing industry. Results were similar in both general population and high blood-pressure patient group. Females, people over 51 years old and with lower education showed more intentions in utilizing oriental medical services in the future. Results were similar in both general population and high blood-pressure patient group. It is necessary to offer a more accurate information on oriental medical treatments. Also, a systematic reform to reduce the patient's share of the treatment cost, as well as, heightening public awareness on the infirmity of present blood-pressure management system is crucial.

  • PDF

Enhancement of Blood Compatibility of Albumin-Immobilized Polyurethane

  • Gyu Ha Ryu;Don
    • Journal of Biomedical Engineering Research
    • /
    • v.13 no.4
    • /
    • pp.269-274
    • /
    • 1992
  • In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.raph.

  • PDF

A Vascular Characteristic Index of Blood Pressure Variation using the Pulse Wave Signal

  • Kim, Gi-Ryon;Jung, Dong-Keun;Ye, Soo-Young;Jeon, Gye-Rok
    • Transactions on Electrical and Electronic Materials
    • /
    • v.9 no.5
    • /
    • pp.213-219
    • /
    • 2008
  • Pulse waves continuously change with respect to the characteristics and status of the cardiovascular system and in relation to the blood pressure (BP) and the pulse wave velocity (PWV). Monitoring the vascular condition by analyzing the variations in pulse waveforms has been used to diagnose vascular disorders and in drug treatment of arteriosclerosis and peripheral circulatory obstruction. In this paper, we investigated the vascular characteristic index with regard to the BP and classified by pulse wave signals. The pressure pulse wave and photoplethysmography (PPG) were measured simultaneously while subjects exercised, producing changes in the BP, to analyze the variation in the vascular characteristic index. We investigated the correlation between the BP and vascular characteristic index with regard to the classification methods of the pulse wave. The reflection index (RI) and vascular stiffness index were correlated with the diastolic BP, but no correlation was found between these parameters and the systolic BP. These results suggest the possibility of estimating BP through simple measurements of pulse waves.

Smart Health Monitoring System (SHMS) An Enabling Technology for patient Care

  • Irfan Ali Kandhro;Asif Ali Wagan;Muhammad Abdul Aleem;Rasheeda Ali Hassan;Ali Abbas
    • International Journal of Computer Science & Network Security
    • /
    • v.24 no.3
    • /
    • pp.43-52
    • /
    • 2024
  • Health Monitoring System is a sophisticating technology and another way to the normal/regular management of the health of the patient. This Health Monitoring Mobile Application is a contribution from our side to the public and to the overall health industry in Pakistan. With the help of Health mobile application, the users will be able to store their medical records, prescriptions and retrieve them later. The users can store and keep track of their vital readings (heart rate, blood pressure, fasting glucose, random glucose). The mobile application also shows hospitals that are nearby in case the user wants to avail of any medical help. An important feature of the application is the symptoms-based disease prediction, the user selects the symptoms which he has and then the application will name certain diseases that match those symptoms based on relevant algorithms. The major advances and issues have been discussed, and as well as potential tasks to health monitoring will be identified and evaluated.

The Development of Patient Monitoring System Using Microcomputer (마이크로컴퓨터를 이용한 환자감시장치의 개발)

  • Kim, N.H.;Park, Y.C.;You, S.K.;Kim, W.K;Park, S.H.
    • Proceedings of the KIEE Conference
    • /
    • 1987.07b
    • /
    • pp.1280-1283
    • /
    • 1987
  • In this paper, we represent the development of microcomputer-based monitoring system which monitors patient's states-ECG, blood pressure, temperature and respiration. And since data acquisition and system controls are processed by microprocessor, this system improved the conventional method.

  • PDF