Telemedicine is a upcoming topic of interest, especially in pandemic times where remote places cannot be assesed telemedicine is a great oppurtunity in such circumstances.
anesthesia through telemedicine is possible.
new technique for pain management ,described by dr forero ,it can replace epidural anesthesia,paravertebral anesthesia and other regional blocks.it can be used for both acute and chronic painful conditions
Robotic surgeries are becoming most popular in field of surgical departments due to its precision of hand in many cancer surgeries. Anaesthesia in these places are quite challenging due to lack place to move , a meticulous vigilance is always required for safety of patient and conduct safe Anesthesia
new technique for pain management ,described by dr forero ,it can replace epidural anesthesia,paravertebral anesthesia and other regional blocks.it can be used for both acute and chronic painful conditions
Robotic surgeries are becoming most popular in field of surgical departments due to its precision of hand in many cancer surgeries. Anaesthesia in these places are quite challenging due to lack place to move , a meticulous vigilance is always required for safety of patient and conduct safe Anesthesia
Anaesthetic considerations for Robotic Surgery, What to expect, how to go ahead. An update and incite on the intricacies of Robotic Surgery and Anaesthetic implications.
Anaesthetic considerations for Robotic Surgery, What to expect, how to go ahead. An update and incite on the intricacies of Robotic Surgery and Anaesthetic implications.
Based on the recommendations of a committee set up by the Government of India, this document briefly present a set of guidelines of standard practice in Telemedicine in India.
IntroductionRemote monitoring, or telemonitoring, can be r.docxmariuse18nolet
Introduction
Remote monitoring, or telemonitoring, can be regarded
as a subdivision of telemedicine - the use of electronic
and telecommunications technologies to provide and
support health care when distance separates the
participants [1]. Telemonitoring involves the use of audio,
video, and other telecommunications and electronic
information processing technologies to monitor patient
status at a distance. Th e patient and the carer/system
surveying, analysing or interpreting the data could be a
few feet apart, but more often they will be in diff erent
areas of the same building, diff erent buildings or diff erent
towns. In theory, they could even be in diff erent countries
or continents. Th e fi rst case of direct transmission of a
patient variable was that of an electrocardiograph (ECG)
in 1905 by the inventor of the ECG, Einthoven [2].
However, the routine use of telemonitoring began in 1961
when the ECG, respiratory rate, electro-oculogram and
galvanic skin response of the fi rst human in space, Yuri
Gagarin, were continuously monitored by doctors on
earth. Figure 1 shows typical ECG tracings from Neil
Armstrong, Buzz Aldrin and Michael Collins, received at
the Mission Control Center approximately 384,467
kilometres away, during various periods of the Apollo 11
mission to the moon in 1969.
Th is review will provide a broad overview of this
resurgent fi eld of medical remote monitoring and will
describe the components of telemedicine, the current
clinical utilisation and the fi eld’s obvious challenges.
Where possible, the article provides the appropriate
references to allow the interested reader to obtain
additional information.
Components of telemonitoring
At its simplest, the monitoring of a person’s vital signs
involves an observer (usually a clinician) using their own
senses directly (that is, without any intervening
technology) to determine pulse rate, breathing rate, and
so on. Added sophistication is produced by introducing
simple technology such as a sphygmomanometer, stetho-
scope or thermometer, but still the act of monitoring is
Abstract
Recent developments in communications
technologies and associated computing and digital
electronics now permit patient data, including routine
vital signs, to be surveyed at a distance. Remote
monitoring, or telemonitoring, can be regarded as
a subdivision of telemedicine - the use of electronic
and telecommunications technologies to provide
and support health care when distance separates
the participants. Depending on environment and
purpose, the patient and the carer/system surveying,
analysing or interpreting the data could be separated
by as little as a few feet or be on diff erent continents.
Most telemonitoring systems will incorporate fi ve
components: data acquisition using an appropriate
sensor; transmission of data from patient to clinician;
integration of data with other data d.
A holistic rural telemedicine solution to connect the unserved and deprived communities with doctors and consultants in metropolitan areas through technology
Enhancing Critical Care with Portable Ultrasound_ A Technological Revolution.pdfAylaStarling
In the dynamic world of healthcare, technology is consistently driving innovation and reshaping patient care in critical settings. One transformative technological advancement in critical care is the application of portable ultrasound devices. These handheld devices have brought a multitude of clinical solutions to the bedside, enhancing diagnostic capabilities and improving patient outcomes. In this article, we will delve into the numerous ways in which portable ultrasound is revolutionizing critical care.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
2. The delivery of healthcare services, where
distance is a critical factor, by all healthcare
professionals
Using information and communication
technologies for the exchange of valid information
for diagnosis, treatment and prevention of
disease and injuries, research and evaluation
For the continuing education of healthcare
providers, all in the interests of advancing the
health of individuals and their communities
3. Telemedicine permits collaboration among
physicians in real time across many disciplines,
including the operating room.
Telemedicine provides effective solutions to solve
the problems associated with geographic isolation
by establishing a continuum of information and
collaboration
Shared patient data between distant sites could
permit anesthesia collaboration
4. Definition
TELEMONITORING :
Monitoring vital signs in remote locations and extreme
environments using wireless sensors and
transmitters.
TELEMENTORING :
The ability to mentor someone from a distant site
involves real-time teaching through video and audio
systems
Telementoring may be used during anesthesia to con-
firm real-time procedures such as endotracheal tube
placement
telementoring for anesthesia would find utility in
preoperative screening as well as intraoperative
intervention for vital sign derangement.
5.
6. Among many concerns, the anesthesiologist
places high priority on patient safety
ASA have shown that the greatest degree of
patient safety is achieved during general
anesthesia with routine mon-itoring of arterial
blood pressure, electrocardiogram(ECG), pulse
oximetry, and end-tidal CO2(ETco2)
7. Rapidly Deployable Telemedicine
Unit
(RDTU)
Patient monitoring
and data transmission
were conducted
This unit integrates
data from multiple
physiologic monitors
and sends the data
over a variety of
telecommunications
modalities
10. Patient monitoring was continuous throughout
administration of oxygen, surgery, and to tracheal
extubation.
Airway view through the TrachView fiberoptic
intubation system was available for all general
anesthesia, with confirmation of endotracheal
tube intubation verbally acknowledged by the
distant consultant and recorded on the anesthetic
record
11. conclusion
expect the need for lifesaving surgical procedures
without the availability of standard personnel.
skilled anesthesiologists may not be physically
present in all situations requiring their unique
skills.
Developing systems as presented here to travel
wherever there is need, or wherever humans
venture, should encourage exploration and
possibly provide better patient outcomes for those
who reside in remote places.
concept could be extremely helpful in disaster
situations, with the simple requirements of
qualified personnel and satellite connectivity