Eintrag weiter verarbeiten
The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study
Gespeichert in:
| Zeitschriftentitel: | Anaesthesia |
|---|---|
| Personen und Körperschaften: | , , , , , , , , , , , , , , , |
| In: | Anaesthesia, 70, 2015, 12, S. 1356-1368 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Kenwright, D. A. Bernjak, A. Draegni, T. Dzeroski, S. Entwistle, M. Horvat, M. Kvandal, P. Landsverk, S. A. McClintock, P. V. E. Musizza, B. Petrovčič, J. Raeder, J. Sheppard, L. W. Smith, A. F. Stankovski, T. Stefanovska, A. Kenwright, D. A. Bernjak, A. Draegni, T. Dzeroski, S. Entwistle, M. Horvat, M. Kvandal, P. Landsverk, S. A. McClintock, P. V. E. Musizza, B. Petrovčič, J. Raeder, J. Sheppard, L. W. Smith, A. F. Stankovski, T. Stefanovska, A. |
|---|---|
| author |
Kenwright, D. A. Bernjak, A. Draegni, T. Dzeroski, S. Entwistle, M. Horvat, M. Kvandal, P. Landsverk, S. A. McClintock, P. V. E. Musizza, B. Petrovčič, J. Raeder, J. Sheppard, L. W. Smith, A. F. Stankovski, T. Stefanovska, A. |
| spellingShingle |
Kenwright, D. A. Bernjak, A. Draegni, T. Dzeroski, S. Entwistle, M. Horvat, M. Kvandal, P. Landsverk, S. A. McClintock, P. V. E. Musizza, B. Petrovčič, J. Raeder, J. Sheppard, L. W. Smith, A. F. Stankovski, T. Stefanovska, A. Anaesthesia The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study Anesthesiology and Pain Medicine |
| author_sort |
kenwright, d. a. |
| spelling |
Kenwright, D. A. Bernjak, A. Draegni, T. Dzeroski, S. Entwistle, M. Horvat, M. Kvandal, P. Landsverk, S. A. McClintock, P. V. E. Musizza, B. Petrovčič, J. Raeder, J. Sheppard, L. W. Smith, A. F. Stankovski, T. Stefanovska, A. 0003-2409 1365-2044 Wiley Anesthesiology and Pain Medicine http://dx.doi.org/10.1111/anae.13208 <jats:title>Summary</jats:title><jats:p>Depth of anaesthesia monitors usually analyse cerebral function with or without other physiological signals; non‐invasive monitoring of the measured cardiorespiratory signals alone would offer a simple, practical alternative. We aimed to investigate whether such signals, analysed with novel, non‐linear dynamic methods, would distinguish between the awake and anaesthetised states. We recorded ECG, respiration, skin temperature, pulse and skin conductivity before and during general anaesthesia in 27 subjects in good cardiovascular health, randomly allocated to receive propofol or sevoflurane. Mean values, variability and dynamic interactions were determined. Respiratory rate (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0002), skin conductivity (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.03) and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.00006) changed with sevoflurane, and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0005) with propofol. Pulse transit time increased by 17% with sevoflurane (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) and 11% with propofol (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.007). Sevoflurane reduced the wavelet energy of heart (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0004) and respiratory (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) rate variability at all frequencies, whereas propofol decreased only the heart rate variability below 0.021 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). The phase coherence was reduced by both agents at frequencies below 0.145 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05), whereas the cardiorespiratory synchronisation time was increased (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). A classification analysis based on an optimal set of discriminatory parameters distinguished with 95% success between the awake and anaesthetised states. We suggest that these results can contribute to the design of new monitors of anaesthetic depth based on cardiovascular signals alone.</jats:p> The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study Anaesthesia |
| doi_str_mv |
10.1111/anae.13208 |
| facet_avail |
Online Free |
| finc_class_facet |
Medizin |
| format |
ElectronicArticle |
| fullrecord |
blob:ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9hbmFlLjEzMjA4 |
| id |
ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9hbmFlLjEzMjA4 |
| institution |
DE-Gla1 DE-Zi4 DE-15 DE-Pl11 DE-Rs1 DE-105 DE-14 DE-Ch1 DE-L229 DE-D275 DE-Bn3 DE-Brt1 DE-Zwi2 DE-D161 |
| imprint |
Wiley, 2015 |
| imprint_str_mv |
Wiley, 2015 |
| issn |
0003-2409 1365-2044 |
| issn_str_mv |
0003-2409 1365-2044 |
| language |
English |
| mega_collection |
Wiley (CrossRef) |
| match_str |
kenwright2015thediscriminatoryvalueofcardiorespiratoryinteractionsindistinguishingawakefromanaesthetisedstatesarandomisedobservationalstudy |
| publishDateSort |
2015 |
| publisher |
Wiley |
| recordtype |
ai |
| record_format |
ai |
| series |
Anaesthesia |
| source_id |
49 |
| title |
The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_unstemmed |
The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_full |
The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_fullStr |
The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_full_unstemmed |
The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_short |
The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_sort |
the discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| topic |
Anesthesiology and Pain Medicine |
| url |
http://dx.doi.org/10.1111/anae.13208 |
| publishDate |
2015 |
| physical |
1356-1368 |
| description |
<jats:title>Summary</jats:title><jats:p>Depth of anaesthesia monitors usually analyse cerebral function with or without other physiological signals; non‐invasive monitoring of the measured cardiorespiratory signals alone would offer a simple, practical alternative. We aimed to investigate whether such signals, analysed with novel, non‐linear dynamic methods, would distinguish between the awake and anaesthetised states. We recorded ECG, respiration, skin temperature, pulse and skin conductivity before and during general anaesthesia in 27 subjects in good cardiovascular health, randomly allocated to receive propofol or sevoflurane. Mean values, variability and dynamic interactions were determined. Respiratory rate (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0002), skin conductivity (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.03) and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.00006) changed with sevoflurane, and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0005) with propofol. Pulse transit time increased by 17% with sevoflurane (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) and 11% with propofol (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.007). Sevoflurane reduced the wavelet energy of heart (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0004) and respiratory (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) rate variability at all frequencies, whereas propofol decreased only the heart rate variability below 0.021 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). The phase coherence was reduced by both agents at frequencies below 0.145 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05), whereas the cardiorespiratory synchronisation time was increased (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). A classification analysis based on an optimal set of discriminatory parameters distinguished with 95% success between the awake and anaesthetised states. We suggest that these results can contribute to the design of new monitors of anaesthetic depth based on cardiovascular signals alone.</jats:p> |
| container_issue |
12 |
| container_start_page |
1356 |
| container_title |
Anaesthesia |
| container_volume |
70 |
| format_de105 |
Article, E-Article |
| format_de14 |
Article, E-Article |
| format_de15 |
Article, E-Article |
| format_de520 |
Article, E-Article |
| format_de540 |
Article, E-Article |
| format_dech1 |
Article, E-Article |
| format_ded117 |
Article, E-Article |
| format_degla1 |
E-Article |
| format_del152 |
Buch |
| format_del189 |
Article, E-Article |
| format_dezi4 |
Article |
| format_dezwi2 |
Article, E-Article |
| format_finc |
Article, E-Article |
| format_nrw |
Article, E-Article |
| _version_ |
1792336942457683976 |
| geogr_code |
not assigned |
| last_indexed |
2024-03-01T15:08:11.606Z |
| geogr_code_person |
not assigned |
| openURL |
url_ver=Z39.88-2004&ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fvufind.svn.sourceforge.net%3Agenerator&rft.title=The+discriminatory+value+of+cardiorespiratory+interactions+in+distinguishing+awake+from+anaesthetised+states%3A+a+randomised+observational+study&rft.date=2015-12-01&genre=article&issn=1365-2044&volume=70&issue=12&spage=1356&epage=1368&pages=1356-1368&jtitle=Anaesthesia&atitle=The+discriminatory+value+of+cardiorespiratory+interactions+in+distinguishing+awake+from+anaesthetised+states%3A+a+randomised+observational+study&aulast=Stefanovska&aufirst=A.&rft_id=info%3Adoi%2F10.1111%2Fanae.13208&rft.language%5B0%5D=eng |
| SOLR | |
| _version_ | 1792336942457683976 |
| author | Kenwright, D. A., Bernjak, A., Draegni, T., Dzeroski, S., Entwistle, M., Horvat, M., Kvandal, P., Landsverk, S. A., McClintock, P. V. E., Musizza, B., Petrovčič, J., Raeder, J., Sheppard, L. W., Smith, A. F., Stankovski, T., Stefanovska, A. |
| author_facet | Kenwright, D. A., Bernjak, A., Draegni, T., Dzeroski, S., Entwistle, M., Horvat, M., Kvandal, P., Landsverk, S. A., McClintock, P. V. E., Musizza, B., Petrovčič, J., Raeder, J., Sheppard, L. W., Smith, A. F., Stankovski, T., Stefanovska, A., Kenwright, D. A., Bernjak, A., Draegni, T., Dzeroski, S., Entwistle, M., Horvat, M., Kvandal, P., Landsverk, S. A., McClintock, P. V. E., Musizza, B., Petrovčič, J., Raeder, J., Sheppard, L. W., Smith, A. F., Stankovski, T., Stefanovska, A. |
| author_sort | kenwright, d. a. |
| container_issue | 12 |
| container_start_page | 1356 |
| container_title | Anaesthesia |
| container_volume | 70 |
| description | <jats:title>Summary</jats:title><jats:p>Depth of anaesthesia monitors usually analyse cerebral function with or without other physiological signals; non‐invasive monitoring of the measured cardiorespiratory signals alone would offer a simple, practical alternative. We aimed to investigate whether such signals, analysed with novel, non‐linear dynamic methods, would distinguish between the awake and anaesthetised states. We recorded ECG, respiration, skin temperature, pulse and skin conductivity before and during general anaesthesia in 27 subjects in good cardiovascular health, randomly allocated to receive propofol or sevoflurane. Mean values, variability and dynamic interactions were determined. Respiratory rate (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0002), skin conductivity (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.03) and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.00006) changed with sevoflurane, and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0005) with propofol. Pulse transit time increased by 17% with sevoflurane (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) and 11% with propofol (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.007). Sevoflurane reduced the wavelet energy of heart (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0004) and respiratory (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) rate variability at all frequencies, whereas propofol decreased only the heart rate variability below 0.021 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). The phase coherence was reduced by both agents at frequencies below 0.145 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05), whereas the cardiorespiratory synchronisation time was increased (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). A classification analysis based on an optimal set of discriminatory parameters distinguished with 95% success between the awake and anaesthetised states. We suggest that these results can contribute to the design of new monitors of anaesthetic depth based on cardiovascular signals alone.</jats:p> |
| doi_str_mv | 10.1111/anae.13208 |
| facet_avail | Online, Free |
| finc_class_facet | Medizin |
| format | ElectronicArticle |
| format_de105 | Article, E-Article |
| format_de14 | Article, E-Article |
| format_de15 | Article, E-Article |
| format_de520 | Article, E-Article |
| format_de540 | Article, E-Article |
| format_dech1 | Article, E-Article |
| format_ded117 | Article, E-Article |
| format_degla1 | E-Article |
| format_del152 | Buch |
| format_del189 | Article, E-Article |
| format_dezi4 | Article |
| format_dezwi2 | Article, E-Article |
| format_finc | Article, E-Article |
| format_nrw | Article, E-Article |
| geogr_code | not assigned |
| geogr_code_person | not assigned |
| id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9hbmFlLjEzMjA4 |
| imprint | Wiley, 2015 |
| imprint_str_mv | Wiley, 2015 |
| institution | DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161 |
| issn | 0003-2409, 1365-2044 |
| issn_str_mv | 0003-2409, 1365-2044 |
| language | English |
| last_indexed | 2024-03-01T15:08:11.606Z |
| match_str | kenwright2015thediscriminatoryvalueofcardiorespiratoryinteractionsindistinguishingawakefromanaesthetisedstatesarandomisedobservationalstudy |
| mega_collection | Wiley (CrossRef) |
| physical | 1356-1368 |
| publishDate | 2015 |
| publishDateSort | 2015 |
| publisher | Wiley |
| record_format | ai |
| recordtype | ai |
| series | Anaesthesia |
| source_id | 49 |
| spelling | Kenwright, D. A. Bernjak, A. Draegni, T. Dzeroski, S. Entwistle, M. Horvat, M. Kvandal, P. Landsverk, S. A. McClintock, P. V. E. Musizza, B. Petrovčič, J. Raeder, J. Sheppard, L. W. Smith, A. F. Stankovski, T. Stefanovska, A. 0003-2409 1365-2044 Wiley Anesthesiology and Pain Medicine http://dx.doi.org/10.1111/anae.13208 <jats:title>Summary</jats:title><jats:p>Depth of anaesthesia monitors usually analyse cerebral function with or without other physiological signals; non‐invasive monitoring of the measured cardiorespiratory signals alone would offer a simple, practical alternative. We aimed to investigate whether such signals, analysed with novel, non‐linear dynamic methods, would distinguish between the awake and anaesthetised states. We recorded ECG, respiration, skin temperature, pulse and skin conductivity before and during general anaesthesia in 27 subjects in good cardiovascular health, randomly allocated to receive propofol or sevoflurane. Mean values, variability and dynamic interactions were determined. Respiratory rate (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0002), skin conductivity (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.03) and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.00006) changed with sevoflurane, and skin temperature (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0005) with propofol. Pulse transit time increased by 17% with sevoflurane (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) and 11% with propofol (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.007). Sevoflurane reduced the wavelet energy of heart (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.0004) and respiratory (p<jats:italic> </jats:italic>=<jats:italic> </jats:italic>0.02) rate variability at all frequencies, whereas propofol decreased only the heart rate variability below 0.021 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). The phase coherence was reduced by both agents at frequencies below 0.145 Hz (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05), whereas the cardiorespiratory synchronisation time was increased (p<jats:italic> </jats:italic><<jats:italic> </jats:italic>0.05). A classification analysis based on an optimal set of discriminatory parameters distinguished with 95% success between the awake and anaesthetised states. We suggest that these results can contribute to the design of new monitors of anaesthetic depth based on cardiovascular signals alone.</jats:p> The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study Anaesthesia |
| spellingShingle | Kenwright, D. A., Bernjak, A., Draegni, T., Dzeroski, S., Entwistle, M., Horvat, M., Kvandal, P., Landsverk, S. A., McClintock, P. V. E., Musizza, B., Petrovčič, J., Raeder, J., Sheppard, L. W., Smith, A. F., Stankovski, T., Stefanovska, A., Anaesthesia, The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study, Anesthesiology and Pain Medicine |
| title | The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_full | The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_fullStr | The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_full_unstemmed | The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_short | The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_sort | the discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| title_unstemmed | The discriminatory value of cardiorespiratory interactions in distinguishing awake from anaesthetised states: a randomised observational study |
| topic | Anesthesiology and Pain Medicine |
| url | http://dx.doi.org/10.1111/anae.13208 |