A computerized decision support system to predict the variations in the cerebral blood flow of mechanically ventilated infants

Tehrani, Fleur T.

doi:10.1016/j.compbiomed.2013.06.015

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…The development in computing and technology, has led to the use of Clinical Decision Support System (CDSS) in medical centres and hospitals for efficient and reliable diagnosis and prognosis. Furthermore CDSS are used for Dental education [12], Ventilator treatment [13], Cancer Diagnosis [14], Cancer Treatment [15], Diagnosis of heart diseases [16] and Heart Failure [17], Diagnosis of neuromuscular disorders [18] Respiratory pattern analysis [19] and many more. The CDSS in this work uses a rule based knowledge mining approach, for detection of Allergic Rhinitis from the results of the Intradermal Skin Tests.…”

Section: Introductionmentioning

confidence: 99%

A clinical decision support system for diagnosis of Allergic Rhinitis based on intradermal skin tests

Christopher

Nehemiah

Kannan

2015

Computers in Biology and Medicine

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Section: Introductionmentioning

confidence: 99%

A clinical decision support system for diagnosis of Allergic Rhinitis based on intradermal skin tests

Christopher

Nehemiah

Kannan

2015

Computers in Biology and Medicine

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Los 6 pasos necesarios para elaborar Critically Appraised Topics

Villar

2014

Radiología

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Is Supplemental Oxygen Needed in Cardiac Compression?—The Influence of Oxygen on Cerebral Perfusion in Severely Asphyxiated Neonates With Bradycardia or Cardiac Asystole

2019

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Background: Previous studies have investigated hemodynamic recovery using 21% vs. 100% oxygen during cardiopulmonary resuscitation (CPR) with chest compression (CC) in term infants. Animal studies indicate that systemic circulatory recovery is the same whether 21 or 100% oxygen is used during neonatal CPR. One of the main goals of resuscitation is to maintain cerebral oxygen delivery and prevent cerebral hypo- and hyperoxygenation. Oxygen delivery to the brain depends on cerebral hemodynamics, concentration of inhaled oxygen and blood oxygen content. The aim of this paper was to synthesize available research about cerebral oxygen delivery during CPR using different oxygen concentrations. Our research questions included how do different oxygen concentrations during CPR with CC influence cerebral perfusion and oxygen delivery, and how do cerebral hemodynamics during CC influence outcomes.Methods: A search in Medline Ovid using the search terms hypoxia AND oxygen AND cerebrovascular circulation AND infant, newborn. Inclusion criteria included studies of hypoxia and resuscitation of term infants. Studies were excluded if no measures of cerebral blood flow (CBF), oxygenation, or perfusion were reported.Results: The search retrieved 21 papers. None of the studies directly fulfilled our inclusion criteria. The reference lists of some of the retrieved papers provided relevant animal studies with slightly conflicting results regarding blood flow and oxygen delivery to the brain using 21 or 100% oxygen. No study in term infants was identified, but we included one study in preterm infants. Studies in asphyxiated animals indicate that 100% oxygen increases CBF and oxygenation during and after CC with a potential increase in oxidative stress.Conclusion: In asphyxia, cerebral autoregulation may be impaired. Pure oxygen administration during CC may result in cerebral hyperperfusion and increased cerebral oxygen delivery, which may be associated with oxidative stress-related damage to the brain tissue. As systemic circulatory recovery is the same whether 21 or 100% oxygen is used during neonatal CPR, it is important to investigate whether brain damage could be aggravated when 100% oxygen is used.

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A computerized decision support system to predict the variations in the cerebral blood flow of mechanically ventilated infants

Cited by 3 publications

References 18 publications

A clinical decision support system for diagnosis of Allergic Rhinitis based on intradermal skin tests

A clinical decision support system for diagnosis of Allergic Rhinitis based on intradermal skin tests

Los 6 pasos necesarios para elaborar Critically Appraised Topics

Is Supplemental Oxygen Needed in Cardiac Compression?—The Influence of Oxygen on Cerebral Perfusion in Severely Asphyxiated Neonates With Bradycardia or Cardiac Asystole

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