39 research outputs found

    Baseline characteristics in the dataset.

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    BackgroundReducing the duration of intraoperative hypoxemia in pediatric patients by means of rapid detection and early intervention is considered crucial by clinicians. We aimed to develop and validate a machine learning model that can predict intraoperative hypoxemia events 1 min ahead in children undergoing general anesthesia.MethodsThis retrospective study used prospectively collected intraoperative vital signs and parameters from the anesthesia ventilator machine extracted every 2 s in pediatric patients undergoing surgery under general anesthesia between January 2019 and October 2020 in a tertiary academic hospital. Intraoperative hypoxemia was defined as oxygen saturation ResultsIn total, 1,540 (11.73%) patients with intraoperative hypoxemia out of 13,130 patients’ records with 2,367 episodes were included for developing the model dataset. After model development, 200 (13.25%) of the 1,510 patients’ records with 289 episodes were used for holdout validation. Among the models developed, the GBM had the highest AUROC of 0.904 (95% confidence interval [CI] 0.902 to 0.906), which was significantly higher than that of the LSTM (0.843, 95% CI 0.840 to 0.846 P P P P ConclusionsMachine learning models can be used to predict upcoming intraoperative hypoxemia in real-time based on the biosignals acquired by patient monitors, which can be useful for clinicians for prediction and proactive treatment of hypoxemia in an intraoperative setting.</div

    Changes in pain scores and analgesic consumption for 48 hours after robotic thyroidectomy.

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    A: Postoperative pain is quantified by 11-point (0–11) numeric rating scale. Data are expressed as mean ± SD (symbol and error bar). B: The number of patients requiring analgesic for each hour is divided by the total number of patients. Data are expressed as incidence (%).</p

    Changes in pain scores, analgesic consumption, and incidence of treatment-requiring pain in two remifentanil groups for 48 hours after robotic thyroidectomy.

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    Postoperative pain was quantified by 11-point (0–11) numeric rating scale. Treatment-requiring pain was defined when numeric rating scale of the pain is greater than 4. A, B and C: Two remifentanil categories are not easily distinguishable in terms of pain scores, analgesic use and treatment-requiring pain incidence. D: Time dependent Cox proportional hazards regression analysis identified that the risk of treatment-requiring pain was 1.3 times higher in the high-dose remifentanil group than in the low-dose group after adjusting for analgesic consumption and its interaction with time.</p
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