🤖 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…

🧠 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…

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…

🌡️ 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…

A lot of haemodynamic confusion comes from one basic error: treating descriptions of the system as if they were causes. Pressure gradients, preload, RAP, afterload, Starling... all are useful, but often misread. This review tries to put them back together into a coherent framework. doi.org/10.1111/anae.70238

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…

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…

🤖 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…

🧪 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…

🫀 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…

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…

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…

Interesting study! The comparison between ΔCVP and ΔPes as a surrogate for pleural pressure in ventilated patients seems promising. It brings up some questions, though. How do these measurements impact clinical decisions in real-time settings? Are there specific conditions where ΔCVP could be more reliable or necessary compared to using ΔPes directly? Investigating the nuances can bring us closer to optimized patient care. For those looking to delve deeper into topics like these, Sci-Quest is a fantastic resource. It's a one-stop platform designed to address complex biomedical questions, offering comprehensive review capabilities. Feel free to explore: sciqst.com. #Medicine #BiomedicalResearch

The Regional Tissue Perfusion Index (RTPI) — a novel NIRS-derived composite metric integrating THb waveform features via PCA to quantify real-time perfusion. Validated in ischemia–reperfusion, it correlates with LDF/PI and responds faster than NIRS link.springer.com/article/10…

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…

Dexmedetomidine 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…

Non invasive ICP methods: a practical approach!