Pub Date : 2024-04-25DOI: 10.1080/17434440.2024.2346191
Toshiaki Takahashi, K. Morita, K. Uda, H. Matsui, Hideo Yasunaga, G. Nakagami
BACKGROUND It remains unclear whether peripherally inserted central catheters (PICCs) are superior to central venous catheters (CVCs); therefore, we compared post-implantation complications between CVC and PICC groups. RESEARCH DESIGN AND METHODS Patients who received CVCs or PICCs between April 2010 and March 2018 were identified from the Diagnosis Procedure Combination database, a national inpatient database in Japan. The outcomes of interest included catheter infection, pulmonary embolism, deep vein thrombosis, and phlebitis. Propensity score overlap weighting was used to balance patient backgrounds. Outcomes were compared using logistic regression analyses. RESULTS We identified 164,185 eligible patients, including 161,605 (98.4%) and 2,580 (1.6%) in the CVC and PICC groups, respectively. The PICC group was more likely to have overall complications (odds ratio [OR], 1.70; 95% confidence interval [CI], 1.32-2.19), pulmonary embolism (OR, 2.32; 95% CI, 1.38-3.89), deep vein thrombosis (OR, 1.86; 95% CI, 1.16-2.99), and phlebitis (OR, 1.72; 95% CI, 1.27-2.32) than the CVC group. There was no significant intergroup difference in catheter infection (OR, 1.09; 95% CI, 0.39-3.04). CONCLUSIONS Patients with PICCs had a significantly greater incidence of complications than did those with CVCs. Further research is necessary to explore the factors contributing to these complications.
{"title":"Complications after peripherally inserted central catheter versus central venous catheter implantation in intensive care unit: propensity score analysis using a nationwide database.","authors":"Toshiaki Takahashi, K. Morita, K. Uda, H. Matsui, Hideo Yasunaga, G. Nakagami","doi":"10.1080/17434440.2024.2346191","DOIUrl":"https://doi.org/10.1080/17434440.2024.2346191","url":null,"abstract":"BACKGROUND\u0000It remains unclear whether peripherally inserted central catheters (PICCs) are superior to central venous catheters (CVCs); therefore, we compared post-implantation complications between CVC and PICC groups.\u0000\u0000\u0000RESEARCH DESIGN AND METHODS\u0000Patients who received CVCs or PICCs between April 2010 and March 2018 were identified from the Diagnosis Procedure Combination database, a national inpatient database in Japan. The outcomes of interest included catheter infection, pulmonary embolism, deep vein thrombosis, and phlebitis. Propensity score overlap weighting was used to balance patient backgrounds. Outcomes were compared using logistic regression analyses.\u0000\u0000\u0000RESULTS\u0000We identified 164,185 eligible patients, including 161,605 (98.4%) and 2,580 (1.6%) in the CVC and PICC groups, respectively. The PICC group was more likely to have overall complications (odds ratio [OR], 1.70; 95% confidence interval [CI], 1.32-2.19), pulmonary embolism (OR, 2.32; 95% CI, 1.38-3.89), deep vein thrombosis (OR, 1.86; 95% CI, 1.16-2.99), and phlebitis (OR, 1.72; 95% CI, 1.27-2.32) than the CVC group. There was no significant intergroup difference in catheter infection (OR, 1.09; 95% CI, 0.39-3.04).\u0000\u0000\u0000CONCLUSIONS\u0000Patients with PICCs had a significantly greater incidence of complications than did those with CVCs. Further research is necessary to explore the factors contributing to these complications.","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-24DOI: 10.1080/17434440.2024.2344667
J. Sastre, M. Gómez-Ríos, Teresa López, U. Gutiérrez-Couto, Rubén Casans-Francés
INTRODUCTION This systematic review and meta-analysis aimed to compare the efficacy of dynamic versus standard bougies to achieve tracheal intubation. METHODS We searched MEDLINE, Embase, CENTRAL, Web of Science, Scopus and Google Scholar on 10 October 2023. We included clinical trials comparing both devices. The primary outcome was the first-attempt intubation success rate. The secondary outcome was the time required for tracheal intubation. RESULTS Eighteen studies were included. Dynamic bougies do not increase first-attempt success rate (RR 1.11; p = 0.06) or shorten tracheal intubation time (MD -0.30 sec; p = 0.84) in clinical trials in humans. In difficult airways, first-attempt success intubation rate was greater for dynamic bougies (RR 1.17; p = 0.002); Additionally, they reduced the time required for intubation (MD -4.80 sec; p = 0.001). First-attempt intubation success rate was higher (RR 1.15; p = 0.01) and time to achieve intubation was shorter when using Macintosh blades combined with dynamic bougies (MD -5.38 sec; p < 0.00001). Heterogeneity was high. CONCLUSION Dynamic bougies do not increase the overall first-pass success rate or shorten tracheal intubation time. However, dynamic bougies seem to improve first-attempt tracheal intubation rate in patients with difficult airways and in those intubated with a Macintosh blade. Further research is needed for definitive conclusions. REGISTRATION OF PROSPERO CRD42023472122.
方法我们检索了 2023 年 10 月 10 日的 MEDLINE、Embase、CENTRAL、Web of Science、Scopus 和 Google Scholar。我们纳入了对两种设备进行比较的临床试验。主要结果是首次尝试插管的成功率。结果共纳入 18 项研究。在人体临床试验中，动态缓冲器不会提高首次尝试成功率（RR 1.11；P = 0.06）或缩短气管插管时间（MD -0.30秒；P = 0.84）。在困难气道中，首次尝试成功插管率更高的是动态弹力袜（RR 1.17；p = 0.002）；此外，动态弹力袜还缩短了插管所需的时间（MD -4.80 秒；p = 0.001）。首次尝试插管成功率更高（RR 1.15；p = 0.01），使用 Macintosh 刀片和动态弹弓时，插管时间更短（MD -5.38 秒；p < 0.00001）。结论动态推杆并不能提高总的首次插管成功率或缩短气管插管时间。但是，对于困难气道患者和使用 Macintosh 刀插管的患者，动态推杆似乎能提高首次尝试气管插管的成功率。要得出确切结论，还需要进一步研究。
{"title":"Dynamic versus standard bougies for tracheal intubation with direct or indirect laryngoscopy in simulated or real scenarios: a systematic review and meta-analysis.","authors":"J. Sastre, M. Gómez-Ríos, Teresa López, U. Gutiérrez-Couto, Rubén Casans-Francés","doi":"10.1080/17434440.2024.2344667","DOIUrl":"https://doi.org/10.1080/17434440.2024.2344667","url":null,"abstract":"INTRODUCTION\u0000This systematic review and meta-analysis aimed to compare the efficacy of dynamic versus standard bougies to achieve tracheal intubation.\u0000\u0000\u0000METHODS\u0000We searched MEDLINE, Embase, CENTRAL, Web of Science, Scopus and Google Scholar on 10 October 2023. We included clinical trials comparing both devices. The primary outcome was the first-attempt intubation success rate. The secondary outcome was the time required for tracheal intubation.\u0000\u0000\u0000RESULTS\u0000Eighteen studies were included. Dynamic bougies do not increase first-attempt success rate (RR 1.11; p = 0.06) or shorten tracheal intubation time (MD -0.30 sec; p = 0.84) in clinical trials in humans. In difficult airways, first-attempt success intubation rate was greater for dynamic bougies (RR 1.17; p = 0.002); Additionally, they reduced the time required for intubation (MD -4.80 sec; p = 0.001). First-attempt intubation success rate was higher (RR 1.15; p = 0.01) and time to achieve intubation was shorter when using Macintosh blades combined with dynamic bougies (MD -5.38 sec; p < 0.00001). Heterogeneity was high.\u0000\u0000\u0000CONCLUSION\u0000Dynamic bougies do not increase the overall first-pass success rate or shorten tracheal intubation time. However, dynamic bougies seem to improve first-attempt tracheal intubation rate in patients with difficult airways and in those intubated with a Macintosh blade. Further research is needed for definitive conclusions.\u0000\u0000\u0000REGISTRATION OF PROSPERO\u0000CRD42023472122.","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-24DOI: 10.1080/17434440.2024.2347412
Ahmed Maraey, Paul Chacko, G. Moukarbel
{"title":"Thoracic impedance monitoring in heart failure: from theory to practice.","authors":"Ahmed Maraey, Paul Chacko, G. Moukarbel","doi":"10.1080/17434440.2024.2347412","DOIUrl":"https://doi.org/10.1080/17434440.2024.2347412","url":null,"abstract":"","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140661804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-17DOI: 10.1080/17434440.2024.2343421
Johannes Sarnthein, Marian C. Neidert
During intraoperative neurophysiological monitoring in neurosurgery, brain electrodes are placed to record electrocorticography or to inject current for direct cortical stimulation. A low impedance...
{"title":"A profile on the WISE cortical strip for intraoperative neurophysiological monitoring","authors":"Johannes Sarnthein, Marian C. Neidert","doi":"10.1080/17434440.2024.2343421","DOIUrl":"https://doi.org/10.1080/17434440.2024.2343421","url":null,"abstract":"During intraoperative neurophysiological monitoring in neurosurgery, brain electrodes are placed to record electrocorticography or to inject current for direct cortical stimulation. A low impedance...","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140611258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-17DOI: 10.1080/17434440.2024.2343824
Mario D’Oria, Anders Wanhainen, Tilo Kolbel, William Yoon, Kevin Mani
Endovascular treatment of type B aortic dissections (TBAD) has currently acquired a primary therapeutic role when anatomically feasible. The main issue with thoracic endovascular aortic repair (TEV...
{"title":"Novel insights into thoracic endografts technology for prevention of distal stent-graft induced new entry (dSINE) following endovascular repair of type B aortic dissections: from bench to bedside","authors":"Mario D’Oria, Anders Wanhainen, Tilo Kolbel, William Yoon, Kevin Mani","doi":"10.1080/17434440.2024.2343824","DOIUrl":"https://doi.org/10.1080/17434440.2024.2343824","url":null,"abstract":"Endovascular treatment of type B aortic dissections (TBAD) has currently acquired a primary therapeutic role when anatomically feasible. The main issue with thoracic endovascular aortic repair (TEV...","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140610915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-16DOI: 10.1080/17434440.2024.2343423
Navdeep Kaur, Suman Saini, Anju Gupta
A videolaryngoscope may decrease the high incidence of aberrant positioning of supraglottic airway devices (SAD) inserted with blind techniques. We aimed to compare Igel insertion characteristics b...
{"title":"Comparative evaluation of blind supraglottic airway device insertion versus videolaryngoscope-guided technique in adults undergoing laparoscopic cholecystectomy","authors":"Navdeep Kaur, Suman Saini, Anju Gupta","doi":"10.1080/17434440.2024.2343423","DOIUrl":"https://doi.org/10.1080/17434440.2024.2343423","url":null,"abstract":"A videolaryngoscope may decrease the high incidence of aberrant positioning of supraglottic airway devices (SAD) inserted with blind techniques. We aimed to compare Igel insertion characteristics b...","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140563926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-15DOI: 10.1080/17434440.2024.2342508
Alberto Savino, Emanuele Rondonotti, Simone Rocchetto, Alessandra Piagnani, Niccolò Bina, Pasquale Di Domenico, Francesco Segatta, Franco Radaelli
The identification of early-stage colorectal cancers (CRC) and the resection of pre-cancerous neoplastic lesions through colonoscopy allows to decrease both CRC incidence and mortality. However, co...
{"title":"GI genius endoscopy module: a clinical profile","authors":"Alberto Savino, Emanuele Rondonotti, Simone Rocchetto, Alessandra Piagnani, Niccolò Bina, Pasquale Di Domenico, Francesco Segatta, Franco Radaelli","doi":"10.1080/17434440.2024.2342508","DOIUrl":"https://doi.org/10.1080/17434440.2024.2342508","url":null,"abstract":"The identification of early-stage colorectal cancers (CRC) and the resection of pre-cancerous neoplastic lesions through colonoscopy allows to decrease both CRC incidence and mortality. However, co...","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-09DOI: 10.1080/17434440.2024.2341109
P Korovessis, Vasileios Syrimpeis, Alkis Korovesis
Surgical outcomes of open anterior and open posterior approaches, for thoracolumbar A3 to C3/AO type fractures, are compared.A PubMed search was conducted from 1990 to 2024 related to anterior, pos...
对胸腰椎 A3 至 C3/AO 型骨折的开放式前路和开放式后路手术效果进行了比较。
{"title":"Is open anterior advantageous to posterior decompression and reconstruction in fresh A3 to C3/AO type thoracolumbar junction fractures? A systematic review","authors":"P Korovessis, Vasileios Syrimpeis, Alkis Korovesis","doi":"10.1080/17434440.2024.2341109","DOIUrl":"https://doi.org/10.1080/17434440.2024.2341109","url":null,"abstract":"Surgical outcomes of open anterior and open posterior approaches, for thoracolumbar A3 to C3/AO type fractures, are compared.A PubMed search was conducted from 1990 to 2024 related to anterior, pos...","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-08DOI: 10.1080/17434440.2024.2339414
Guido Grassi
Published in Expert Review of Medical Devices (Ahead of Print, 2024)
发表于《医疗器械专家评论》（2024 年提前出版）
{"title":"Devices-based treatment of hypertension: the position of the European Society of Hypertension (ESH) 2023 guidelines","authors":"Guido Grassi","doi":"10.1080/17434440.2024.2339414","DOIUrl":"https://doi.org/10.1080/17434440.2024.2339414","url":null,"abstract":"Published in Expert Review of Medical Devices (Ahead of Print, 2024)","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140564081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-04DOI: 10.1080/17434440.2024.2337298
Benjamin Davidson, Artur Vetkas, Jürgen Germann, David Tang-Wai, Andres M. Lozano
Alzheimer’s disease (AD) requires novel therapeutic approaches due to limited efficacy of current treatments.This article explores AD as a manifestation of neurocircuit dysfunction and evaluates de...
由于目前的治疗方法疗效有限，阿尔茨海默病（AD）需要新的治疗方法。
{"title":"Deep brain stimulation for Alzheimer’s disease – current status and next steps","authors":"Benjamin Davidson, Artur Vetkas, Jürgen Germann, David Tang-Wai, Andres M. Lozano","doi":"10.1080/17434440.2024.2337298","DOIUrl":"https://doi.org/10.1080/17434440.2024.2337298","url":null,"abstract":"Alzheimer’s disease (AD) requires novel therapeutic approaches due to limited efficacy of current treatments.This article explores AD as a manifestation of neurocircuit dysfunction and evaluates de...","PeriodicalId":12330,"journal":{"name":"Expert Review of Medical Devices","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140563978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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