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Computer says 2.5 litres--how best to incorporate intelligent software into clinical decision making in the intensive care unit?


, : Computer says 2.5 litres--how best to incorporate intelligent software into clinical decision making in the intensive care unit?. Critical Care 13(1): 111-111

What will be the role of the intensivist when computer-assisted decision support reaches maturity? Celi's group reports that Bayesian theory can predict a patient's fluid requirement on day 2 in 78% of cases, based on data collected on day 1 and the known associations between those data, based on observations in previous patients in their unit. There are both advantages and limitations to the Bayesian approach, and this test study identifies areas for improvement in future models. Although such models have the potential to improve diagnostic and therapeutic accuracy, they must be introduced judiciously and locally to maximize their effect on patient outcome. Efficacy is thus far undetermined, and these novel approaches to patient management raise new challenges, not least medicolegal ones.

US$19.90

PMID: 19232073

DOI: 10.1186/cc7156


Other references

Shestsperov, E.L., 1936: Faunistic inspection in the neighbourhood of Tedjend. Bull Zool Sta Sci Res Turkomania Ashkabad-Baku, 1: 173-190

Neumerkel, W.; Martin, B., 1982: Silphium perfoliatum L. -- a new forage plant. S. perfoliatum is a tall perennial forage spp. with a productive life of 12-15 yr. In long-term trials it gave av. annual DM yields of up to 19 t/ha. Sowing without a cover crop at 10 kg seed/ha in rows 50 cm apart gave the best results. Irrigatio...

Tarran, R.; Gray, M.A.; Evans, M.J.; Colledge, W.H.; Ratcliff, R.; Argent, B.E., 1998: Basal chloride currents in murine airway epithelial cells: modulation by CFTR. We have isolated ciliated respiratory cells from the nasal epithelium of wild-type and cystic fibrosis (CF) null mice and used the patch-clamp technique to investigate their basal conductances. Current-clamp experiments on unstimulated cells indic...

Boffa, G.Maria.; Zaninotto, M.; Bacchiega, E.; Nalli, C.; Forni, M.; Tiso, E.; Cacciavillani, L.; Razzolini, R.; Plebani, M., 2005: Correlations between clinical presentation, brain natriuretic peptide, big endothelin-1, tumor necrosis factor-alpha and cardiac troponins in heart failure patients. The term "biochemical marker" of heart failure is used to define a biochemical substance whose plasma levels correlate with the clinical and hemodynamic status and predict the prognosis of patients with heart failure. The aim of this stu...

Kalmanson, G.M.; Harwick, H.J.; Turck, M.; Guze, L.B., 1975: Urinary-tract infection: localisation and virulence of Escherichia coli. Virulence of 15 strains of Escherichia coli from the human upper urinary tract was compared with that of 16 strains from the lower urinary tract, using an ascending infection in the mouse. No significant difference was found. There was no signific...

García-Alix Pérez, A.; de Lucas Laguna, R.; Quero Jiménez, J., 2005: The skin as an expression of neurological alterations in the neonate. The skin is involved in many different genetic syndromes and diseases with multiple organ involvement. Neurodevelopmental disorders appear in many of these entities and knowledge of these cutaneous alterations may provide clues to their diagnosis....

Kraemer, W.J.; Fragala, M.S.; van Henegouwen, W.R.H.Beijersbergen.; Gordon, S.E.; Bush, J.A.; Volek, J.S.; Triplett, N.Travis.; Dunn-Lewis, C.; Comstock, B.A.; Szivak, T.K.; Flanagan, S.D.; Hooper, D.R.; Luk, H-Ying.; Mastro, A.M., 2014: Responses of proenkephalin Peptide F to aerobic exercise stress in the plasma and white blood cell biocompartments. Proenkephalin Peptide F [107-140] is an enkephalin-containing peptide found predominantly within the adrenal medulla, co-packaged with epinephrine within the chromaffin granules. In vivo studies indicate that Peptide F has classic opioid analgesia...

Hunt, H.F.; Patterson, W.B.; Nicodemus, R.E., 1940: Placental infarction and eclampsia. There are 2 types of placental infarcts fibrin masses from fibrin formation about damaged villi; and true placental infarcts caused by thrombosis of a stem vessel. Placental infarcts may become organized by decidual cells or fibroblasts giving ris...

Zheng, W.; Jiang, C.; Li, R., 2016: Integrin and gene network analysis reveals that ITGA5 and ITGB1 are prognostic in non-small-cell lung cancer. Integrin expression has been identified as a prognostic factor in non-small-cell lung cancer (NSCLC). This study was aimed at determining the predictive ability of integrins and associated genes identified within the molecular network. A total of...

Yan, Z.; Buldyrev, S.V.; Giovambattista, N.; Stanley, H.Eugene., 2005: Structural order for one-scale and two-scale potentials. We perform molecular dynamics simulations to investigate the relationship between structural order and waterlike dynamic and thermodynamic anomalies in spherically symmetric potentials having either one or two characteristic length scales. Structu...