Is Navigator a useful tool in guiding anesthesia practice in nephropatic patients? Preliminary study

Cirillo, V.; Volpe, Massimo; Iacono, Carola; Crisconio, P.; Robertis, Edoardo De; Tufano, R

doi:10.1097/00003643-201206001-00167

Cited by 4 publications

(2 citation statements)

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“…There is reasonable, and continuing, evidence that interaction display systems are useful clinical tools associated with a range of useful outcomes including: reduced drug use [16–19,20 ▪ ,21 ▪ ]; improved postoperative analgesia [20 ▪ ]; more stable anesthesia [17,21 ▪ ]; facilitating a wake-up test during scoliosis surgery [22]; and, in one study, use of SmartPilot was associated with reduced complications and a shorter hospital stay [17]. As Coburn and Sanders [23] point out, as with many anesthetic interventions, we are still awaiting randomized studies of long-term outcomes, and the numbers needed for such studies are large.…”

Section: Are They Useful?mentioning

confidence: 99%

Pharmacokinetic and pharmacodynamic drug display and simulation systems in anesthesia practice

Kennedy

2023

Current Opinion in Anaesthesiology

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Purpose of review This review explores the use of tools and displays based on pharmacokinetic and pharmacodynamic (PK/PD) modelling of drugs used in anesthesia. The primary focus is on those tools designed to illustrate the interactions between two or more drugs, or classes of drugs, and in particular, their use in a real-time clinical support role. Off-line, educational tools are also explored. Recent findings Despite initial promise and encouraging supporting data, the use of real-time display of PK/PD is not common except in target-controlled infusion (TCI) pumps. Summary PK/PD simulation is a useful tool for exposition of the relationship between drug dosing and effect. The initial promise of real-time tools has yet to be realized in routine clinical practice.

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Section: Are They Useful?mentioning

confidence: 99%

Pharmacokinetic and pharmacodynamic drug display and simulation systems in anesthesia practice

Kennedy

2023

Current Opinion in Anaesthesiology

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“…The first clinical studies with the SmartPilot are encouraging and ongoing. 44,45 Future versions will very likely also handle other intravenous drugs such as ketamine, dexmedetomidine, and lidocaine. Until these smarter drug advisory displays are available, EEG-based monitors may be advisable when an intravenous hypnotic drug is used.…”

Section: The Future Of Mac: Drug Advisory Displaysmentioning

confidence: 99%