Continuous Versus Intermittent Ward Monitoring

Launched by THE CLEVELAND CLINIC · Jan 22, 2024

Keywords

ClinConnect Summary

Postoperative cardiovascular mortality remains common,1 and a third occurs during the initial hospitalization. Deterioration occurs over many hours but is usually unrecognized because vital signs are evaluated a 4-6-hour intervals,2 just as they were a half-century ago when patient acuity was much lower. Recognition of even subtle changes in basic vital signs may allow clinicians to detect cardiopulmonary deterioration well before serious adverse events occur. Consequent clinical interventions may in turn prevent complications, or at least moderate their severity. The investigators therefor...

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Eligibility criteria

• Inclusion Criteria:
• • 1. Are admitted to one of the wards equipped with the Masimo Radius VSM solution;
• • 2. Are ≥18 years old;
• • 3. Are designated American Society of Anesthesiologists physical status 1-4;
• • 4. Had major noncardiac surgery lasting at least 1.5 hours;
• • 5. Are expected to remain hospitalized at least two postoperative nights;
• • 6. Had general anesthesia with or without neuraxial anesthesia.
• Exclusion Criteria:
• • 1. Have language, vision, or hearing impairments that may compromise continuous monitoring;
• • 2. Are designated Do Not Resuscitate, hospice, or receiving end of life care;
• • 3. Have previously participated in the study.