Edema and injury quantification

This study examined past CT scan information and compared it to data representing the patient’s function prior to and following a traumatic brain injury (TBI). It compared this data to the severity of the TBI sustained in order to determine an algorithm for predicting the child’s functioning following injury. The goal of this study was to select an analysis tool that can read CT scans and compare patterns, providing the clinicians with the ability to better assess the outcome of patient recovery.

Lab members involved in the study:

Image of a CT Scanner used to monitor brain activity

Music Response Study

Girl listening to music through headphones

The goal of this study is to understand how critically ill children and neonates respond to music using multimodal physiological and cerebral monitoring. The response to music is investigated by measuring autonomic and central nervous system activity. Brain activity is monitored using transcranial Doppler of the middle cerebral artery and near-infrared spectroscopy of the prefrontal cortex. Using these non-invasive brain monitors and additional heart rate and blood pressure monitors the physiological response to music can be investigated. This study will document the physiological and cerebral correlates of music exposure. Existing evidence suggests that music is useful as a non-invasive means of reducing stress in critically ill adults. Bed-side neuro-monitoring may provide a unique means of discerning the effect of music on neonates and children who may be non-verbal. Identifying physiological and cerebral correlates of music will inform future investigations of music as a non-invasive means of improving quality of care in paediatric ICU. This research is sponsored by CREMS

Lab members involved in the study:

NIRS Usability Study

This study seeks to identify and repair the barriers to entry posed on near infrared spectroscopy (NIRS) equipment at the bedside in the critical care unit (CCU). The study aims to find an answer that accommodates the multifaceted requirements of the CCU by collaborating with representatives of each discipline in order to identify barriers from their perspectives and to develop effective and feasible solutions. Ideally, this research will ensure that the necessary equipment is always available at the bedside and that data can be recorded reliably and continuously to support clinical decision-making and patient care.

Lab members involved in the study:

Graphic illustrating NIRS operation - an led emits light through the skull to the brain which reflects the light absorbed by the sensors on the other side of the probe

T3 usability study

User looking at a desktop computer with a medical computer program on the screen

Tracking, Trajectory, Trigger (T3) is a multi-modal monitoring software developed by Etiometry to record and visualize physiological signals and track patients’ progress in the critical care unit (CCU). The program was recently launched at SickKids as a tool for MDs, RNs and RTs. A human factors engineering approach was used to assess the user-friendliness of the software. In simulation trials, doctors, nurses, and respiratory therapists were asked to complete tasks using the software and provide feedback on their experience. This feedback was cycled back to Etiometry to inform iterative improvements to the software.

Lab members involved in the study: