Journal of Clinical Monitoring and Computing
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Journal of Clinical Monitoring and Computing
@jcmcsome.bsky.social
The JCMC is a clinical journal publishing articles related to technology in anaesthesia, IC, EM, periop medicine. https://youtube.com/@JcmcSoMe
🫀 In 183 patients, preoperative pulse rate variability poorly predicted the hemodynamic response to intubation (AUC 0.602). No index remained significant after multiple-testing correction.

🔗 (link.springer.com/article/10.1...)
Preoperative pulse rate variability and the hemodynamic response to tracheal intubation: a retrospective secondary analysis - Journal of Clinical Monitoring and Computing
Individual hemodynamic responses to tracheal intubation vary considerably. We examined whether preoperative pulse rate variability (PRV), a photoplethysmography-derived surrogate of heart rate variabi...
link.springer.com
October 6, 2026 at 4:52 AM
⌚ Wearable warning scores performed similarly to MEWS in 544 surgical admissions. Alerts rose 6–8h before deterioration, but accuracy remained modest. The challenge: turning continuous data into actionable alerts. 🔗 link.springer.com/article/10.1...
Transition from mandatory to discretionary nurse-measured MEWS assessment in a continuously monitored surgical ward: Diagnostic performance of wearable-derived early warning scores - Journal of Clinic...
Early detection of clinical deterioration on surgical wards is vital to prevent adverse outcomes. Conventional ward monitoring using the Modified Early Warning Score (MEWS) relies on intermittent nurs...
link.springer.com
September 5, 2026 at 5:49 AM
New in JCMC 🫀 NOL®-guided opioid titration during laparoscopic surgery for endometriosis/adenomyosis, within multimodal analgesia: ❌ no opioid reduction ❌ no pain improvement ❌ no shorter PACU stay. Context matters. link.springer.com/article/10.1...
Nociception-guided opioid administration within multimodal analgesia for laparoscopic endometriosis surgery: a randomized controlled trial - Journal of Clinical Monitoring and Computing
Women with endometriosis are at increased risk of severe postoperative pain due to nociceptive sensitization. While multimodal analgesia reduces opioid use, the added value of objective nociception mo...
link.springer.com
June 23, 2026 at 7:28 AM
🫁 New in JCMC: high-resolution manometry shows that esophageal pressure in ventilated patients varies with body position, PEEP and sensor location—key for interpreting respiratory mechanics during prone positioning. 🔗 link.springer.com/article/10.1...
Esophageal pressures in supine and prone position: evaluation using high-resolution manometry - Journal of Clinical Monitoring and Computing
Esophageal pressure (PES), used as a substitute for pleural pressure in calculations of respiratory mechanics, are complex and influenced by several factors. High-resolution manometry (HRM) provides p...
link.springer.com
June 22, 2026 at 8:28 AM
🤖 AI in anesthesiology should not only improve patient care, but also support clinician wellbeing.This Letter highlights operator wellbeing as a translational endpoint for AI, from reducing admin burden to supporting teams and cognitive workload.

link.springer.com/article/10.1...
Operator wellbeing as a translational endpoint: a dimension missing from the AI implementation framework in anesthesiology - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing -
link.springer.com
June 10, 2026 at 12:05 PM
🧠 GA targets the brain — yet brain monitoring is still often optional.
pEEG is not a magic number or just awareness detector. It is real-time cortical information to titrate hypnotics, detect excessive EEG suppression, and support safer, anesthesia.

link.springer.com/article/10.1...
Making brain monitoring routine: why processed EEG monitoring should be standard practice - Journal of Clinical Monitoring and Computing
Despite major technological advances and a growing evidence base, perioperative electroencephalographic (EEG) monitoring remains underused, even though general anaesthesia is fundamentally a brain-tar...
link.springer.com
June 5, 2026 at 1:21 PM
Steep Trendelenburg during robotic prostatectomy may increase cerebral oxygenation—but not necessarily as a “good” sign

New #JCMC study: NIRS + optic nerve sheath diameter suggest rising ΔHHb may reflect impaired cerebral venous outflow and congestion

link.springer.com/article/10.1...
NIRS monitoring during steep trendelenburg in robotic prostatectomy - Journal of Clinical Monitoring and Computing
Robotic-assisted laparoscopic prostatectomy (RALP) requires steep Trendelenburg positioning and CO₂ pneumoperitoneum, which may significantly influence cerebral hemodynamic homeostasis. While postoper...
link.springer.com
May 28, 2026 at 1:33 PM
🌡️ zero-heat-flux temperature monitoring showed moderate agreement with esophageal temperature in trauma OR resuscitation.
Useful for continuous non-invasive trend monitoring, but not fully interchangeable—especially in severe hypothermia or instability

link.springer.com/article/10.1...
Clinical agreement and physiological relevance of the zero-heat-flux temperature measurement in trauma patients during operating room resuscitation - Journal of Clinical Monitoring and Computing
Background Hypothermia is common in trauma patients and related to increased mortality; therefore, monitoring of core temperature is important. Conventional measuring methods have limitations in traum...
link.springer.com
May 23, 2026 at 11:50 AM
New in #JCMC 🚨
📹 Contactless video monitoring in ICU:
35 patients | 683.6 h recordings

❤️ HR: bias 2.1 bpm; 81.9% within ±5 bpm
🫁 RR: bias −2.4/min; 63.5% within ±3/min
⚠️ Motion & ICU complexity remain key limits

link.springer.com/article/10.1...
Clinical validation of video-based vital sign monitoring in the intensive care unit: a prospective cohort study - Journal of Clinical Monitoring and Computing
Purpose Video-based monitoring technologies enable continuous and contactless monitoring of vital signs. This study evaluates the clinical concordance and determinants of performance of contactless vi...
link.springer.com
May 20, 2026 at 10:52 AM
New in #JCMC 🚨
Shen et al. present TrAcE, a Transformer-based temporal deep learning model predicting ICU extubation failure using dynamic clinical data.
Strong external performance and explainable outputs for ventilation weaning CDSS.
link.springer.com/article/10.1...
A temporal deep learning algorithm for prediction of extubation failures in critical care patients - Journal of Clinical Monitoring and Computing
Extubation failure in ICU patients is associated with poor outcomes. Existing prediction models often rely on static data, missing dynamic disease fluctuations. This study introduces TrAcE, a deep lea...
link.springer.com
May 15, 2026 at 9:44 PM
🤖 New in JCMC: AI in anesthesia must move beyond prediction toward validated, interpretable, workflow-integrated clinical tools. Data quality, interoperability, regulation, and clinician trust remain key barriers.
link.springer.com/article/10.1...
From prediction to practice: closing the translation gap in artificial intelligence for anesthesia - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing - Artificial intelligence (AI) and machine learning (ML) techniques are rapidly advancing in anesthesiology, showing promise in patient monitoring,...
link.springer.com
April 28, 2026 at 7:00 AM
🧪 New in JCMC: pilot study of AR-guided ultrasound venipuncture using a HoloLens 2 + Python/OpenCV/WebSocket pipeline. In a simulated model, AR showed similar procedure times to standard guidance, with better perceived ergonomics and gaze continuity

link.springer.com/article/10.1...
Augmented reality for ultrasound-guided venipuncture: a pilot study on a simulated vascular access model - Journal of Clinical Monitoring and Computing
To evaluate the feasibility of a low-cost augmented reality (AR) workflow for ultrasound-guided venipuncture and whether AR visualisation is non-inferior to conventional monitor guidance in total proc...
link.springer.com
April 16, 2026 at 4:28 AM
🫀 In elective TAVR, a randomized trial found different autonomic responses during induction with remimazolam vs propofol. HFVI fell more with remimazolam, while heart rate increased vs decreased with propofol. Similar hemodynamics otherwise

link.springer.com/article/10.1...
Effects of remimazolam and propofol on parasympathetic activity during general anesthesia induction in patients with severe aortic stenosis: a randomized controlled trial utilizing high-frequency vari...
Journal of Clinical Monitoring and Computing - In this study, we aimed to compare the effects of remimazolam and propofol on parasympathetic activity during general anesthesia induction in patients...
link.springer.com
April 12, 2026 at 12:40 PM
New in JCMC 🎧 During hepatectomy, the Acoustic Variability Index (AVI) from esophageal phonocardiography predicted fluid responsiveness with AUC 0.873 and cutoff >9.8%, with performance comparable to SVV/PPV in this exploratory study

link.springer.com/article/10.1...
Exploratory clinical trial on the acoustic variability index for predicting fluid responsiveness during hepatectomy - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing - The acoustic variability index (AVI), derived from continuous phonocardiographic analysis of heart sounds via an esophageal stethoscope, is a novel...
link.springer.com
March 23, 2026 at 8:44 AM
New in JCMC 🚨 A prospective exploratory study in kidney transplant recipients explores goal-directed hemodynamic management using pulse contour monitoring and flow–pressure coupling to support more individualized fluid and vasoactive therapy. 🫀🩺💧

link.springer.com/article/10.1...
Real-time flow–pressure coupling under pulse contour monitoring in kidney transplantation: prospective algorithm and retrospective phenotype assignment - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing - To prospectively evaluate a pulse contour–guided algorithm for real-time flow–pressure coupling to direct fluid versus vasoactive therapy...
link.springer.com
March 17, 2026 at 9:52 AM
Intermittent pneumatic compression (IPC) can induce rhythmic oscillations in pEEG (BIS) and cerebral oximetry (rSO₂), phase-locked to inflation cycles and associated with MAP fluctuations. Risk of misinterpreting DoA if unrecognized

link.springer.com/article/10.1...
Intermittent Pneumatic Compression as an Unrecognized Source of Neuromonitoring Oscillations - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing -
link.springer.com
February 28, 2026 at 1:15 PM
Dexmedetomidine-based procedural sedation for TAVI showed ~57% incidence of periodic limb movements (PLMs). PLMs occurred across wide sedation depths (OAA/S + BIS) and without EEG cortical arousal, suggesting a subcortical/spinal origin

link.springer.com/article/10.1...
Periodic limb movements during sedation and general anesthesia in elderly patients: a prospective observational study - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing - Dexmedetomidine sedation in elderly patients is associated with cognitive benefits due to its biomimetic non-rapid eye movement (NREM)...
link.springer.com
February 24, 2026 at 8:33 AM
🫁 A wireless wearable accelerometer (RespX) accurately measures respiratory rate in ward patients. ~83% agreement with capnography (±3 bpm) and 87.5% with manual counts → enabling continuous RR monitoring and earlier detection of deterioration.

🔗 link.springer.com/article/10.1...
Clinical validation of a novel accelerometer-based respiratory rate monitor - Journal of Clinical Monitoring and Computing
Respiratory rate (RR) is a vital sign often unused in clinical practice due to labour-intensive manual counting or capnography limitations in spontaneously breathing patients. This study validated Res...
link.springer.com
February 13, 2026 at 1:45 PM
👁️💉 Can ultrasound confirm epidural blood patch success?

In 30 postpartum pts with PDPH, optic nerve sheath diameter ↑ after EBP strongly correlated with pain relief (AUC 0.96)

≥0.4 mm change predicted early response → objective biomarker?

🔗 link.springer.com/article/10.1...
Optic nerve sheath diameter as a real-time biomarker for epidural blood patch efficacy after post-dural puncture headache: a preliminary report - Journal of Clinical Monitoring and Computing
Post-dural puncture headache (PDPH) following epidural anesthesia remains a frequent obstetric complication. While epidural blood patch (EBP) is the reference treatment, its efficacy assessment still ...
link.springer.com
February 9, 2026 at 5:55 PM
🧠📊 New in JCMC: HRV identifies MODS in deeply sedated pediatric ICU patients (n=47). Higher HFnu + reduced global variability correlated with higher pSOFA → potential continuous bedside severity monitoring beyond labs

🔗 link.springer.com/article/10.1...
Heart rate variability as a marker of multiple organ dysfunction syndrome in deeply sedated, prepubescent patients: a secondary analysis - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing - Multiple organ dysfunction syndrome (MODS) is a frequent complication in critically ill patients. The objective of the present study in a pediatric...
link.springer.com
February 6, 2026 at 10:47 AM
🤖🏥 New content in JCMC on AI & perioperative care
A scoping review on AI-enabled decision support in preadmission testing: risk prediction, triage & workflow optimization

link.springer.com/article/10.1...

🚀 Big potential — clinical validation still key
Artificial intelligence-enabled clinical decision support systems in preadmission testing: a scoping review of risk prediction, triage, and perioperative workflows (2020–2025) - Journal of Clinical Mo...
Journal of Clinical Monitoring and Computing - Preadmission testing (PAT) is a critical step in perioperative care that supports risk stratification, triage, and optimization. Tools such as the...
link.springer.com
February 1, 2026 at 8:47 AM
📊 New JCMC study: In emergent critical cesarean delivery, intraoperative hypotension (MAP <65 mmHg)—across multiple metrics—is independently associated with postoperative AKI (~14%).

Highlights the importance of tight BP control

🔗 link.springer.com/article/10.1...
Client Challenge
link.springer.com
January 12, 2026 at 1:10 PM
📘 New review in Journal of Clinical Monitoring and Computing:

Hemodynamic monitoring ≠ chasing numbers. MAP ≠ perfusion. Physiology, patient context & bedside signs remain key—tech is only a tool

👉 link.springer.com/article/10.1...
Hemodynamic monitoring: basic principles in operation room and intensive care unit - Journal of Clinical Monitoring and Computing
Journal of Clinical Monitoring and Computing - To synthesize physiological principles and practical monitoring strategies for perioperative and intensive care hemodynamics, addressing two...
link.springer.com
January 6, 2026 at 4:07 PM
🧠🤖 AI for pre-op anesthesia triage: Transformer NLP models tested on ~1,700 pts. Best performance when combining ICD codes + clinical notes (AUC ~0.7+). RoBERTa outperformed clinical-specific models. Promising, but needs external validation

link.springer.com/article/10.1...
A pre-trained language model approach for triaging surgical patients for preoperative anesthesia clinics - Journal of Clinical Monitoring and Computing
Purpose Preoperative anesthesia evaluation is a crucial step in ensuring patient safety and optimizing perioperative care. A heterogenous patient population requiring varying levels of assessment ofte...
link.springer.com
December 29, 2025 at 5:09 PM
🧠📊 Personalized vs standard intraop BP targets (IMPROVE-pilot substudy): no significant differences in cerebral oxygenation, burst suppression, or early neurocognitive outcomes. Neuroprotection via individualized MAP still unproven—larger trials needed.
link.springer.com/article/10.1...
The effect of personalized perioperative blood pressure management on intraoperative cerebral oxygen saturation, burst suppression ratio and postoperative neurological outcomes in patients having majo...
Journal of Clinical Monitoring and Computing - It is not clear whether adopting personalized intraoperative blood pressure management could lead to better intraoperative regional cerebral...
link.springer.com
December 24, 2025 at 1:06 PM