麻酔学および疼痛研究ジャーナル

Intensive Care Units (ICUs) play a vital role in the care and treatment of critically ill patients, often involving continuous monitoring of their vital signs and conditions. With the advancement of technology, there has been a growing interest in avatar-based patient monitoring, where digital representations of patients are created to enhance real-time data visualization and clinical decision-making. This article presents an international investigation into user views of avatar-based sequential mixed-methods patient monitoring in ICUs, exploring the potential benefits, challenges, and ethical considerations associated with this innovative approach.

Intracranial aneurysms, a potentially life-threatening condition, require surgical intervention to prevent rupture and associated neurological complications. The choice of anesthetic agents and techniques during intracranial aneurysm repair is of paramount importance, as they can impact patient outcomes, including postoperative neurological function. This article presents a comparative study examining the maintenance of anesthesia with propofol and/or volatile anesthetics during the repair of intracranial aneurysms, focusing on their respective effects on neurological results.

Patients with critical heart illnesses often present a unique set of challenges in the administration and management of oral medications. The absorption and disposition of oral medications can be significantly altered by the pathophysiological changes associated with heart diseases, the use of concomitant medications, and the need for rapid and effective therapy. This article explores the complexities of oral medication absorption and disposition in patients with critical heart conditions, shedding light on the factors that influence drug pharmacokinetics and the strategies to optimize drug therapy. Heart failure is a common critical heart condition that affects millions of individuals worldwide. In heart failure, the heart's ability to pump blood efficiently is compromised, leading to a decrease in systemic perfusion and oxygen delivery to vital organs. This condition often requires multiple medications to manage symptoms, improve cardiac function, and reduce mortality.

The delivery of comprehensive healthcare in any clinical setting involves assessing the multifaceted needs of patients. In recent years, a holistic approach to patient care has gained increasing recognition, focusing on not only the medical aspect of a patient's condition but also their psychological, social, and economic needs. The SPARC Holistic Needs Assessment Instrument has emerged as a valuable tool to facilitate this approach. This article discusses the development and application of a joint approach to implement the SPARC Holistic Needs Assessment Instrument in the clinical settings of Colombia.