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Computing in Anesthesia and Intensive Care

  • Omar Prakash

Part of the Developments in Critical Care Medicine and Anesthesiology book series (DCCA, volume 5)

Table of contents

  1. Front Matter
    Pages i-xiv
  2. D. Daub, K. A. Lehmann
    Pages 11-24
  3. J. E. W. Beneken, J. A. Blom, A. P. Meijler, P. Cluitmans, Joh. Spierdijk, A. Nandorff et al.
    Pages 25-43
  4. J. A. Leusink, R. Van Staden
    Pages 78-85
  5. Richard M. Peters
    Pages 107-115
  6. S. Bursztein, Z. Bshouty
    Pages 116-120
  7. H. H. M. Korsten, J. H. Meijer, S. J. Hengeveld, J. B. V. M. Delemarre, J. A. Leusink, G. A. Schurink et al.
    Pages 141-152
  8. Michael N. Skaredoff, Paul J. Poppers
    Pages 170-183
  9. J. W. R. Mclntyre
    Pages 184-192
  10. Perry L. Miller, Denise Angers, J. Robert Keefer, Nalin Sudan, Guy Tanner
    Pages 193-201
  11. J. H. Kerr, B. J. Harrison, W. L. Davies
    Pages 202-213
  12. N. Ty. Smith, Ira J. Rampil
    Pages 214-226
  13. A. J. R. Simons, R. A. F. Pronk
    Pages 227-257
  14. H. L. Edmonds Jr., Y. K. Yoon, S. I. Sjogren, H. T. Maguire, C. P. McGraw
    Pages 258-268
  15. Dwayne R. Westenskow, William S. Jordan, John K. Hayes, Thomas D. East
    Pages 269-278
  16. J. M. Evans, A. Fraser, C. C. Wise, W. L. Davies
    Pages 279-291
  17. Stuart F. Sullivan
    Pages 316-327
  18. Mark Yelderman, James Corenmen
    Pages 328-341
  19. P. M. Osswald, J. Bernauer, H. J. Bender, H. J. Hartung
    Pages 342-353
  20. W. Russ, D. Kling, B. Von Bormann, G. Hempelmann
    Pages 366-386
  21. M. Hilberman, V. Harihara Subramanian, L. Gyulai, B. Chance
    Pages 387-401
  22. J. W. Bellville, L. Arena, O. Brovko, D. M. Wiberg
    Pages 402-415
  23. T. H. Stanley
    Pages 423-430

About this book

Introduction

There is a tendency of an increasing number of signals and derived variables to be incorporated in the monitoring of patients during anesthesia and in intensive care units. The addition of new signals hardly ever leads to thedeletion of other signals. This is probably based on a feeling of insecurity. We must realize that each new signal that is being monitored brings along its cost, in terms of risk to the patient, investment and time. It is therefore essential to assess the relative contribution of this new signal to the quality of the monitoring process; i. e. given the set of signals already in use, what is the improvement when a new signal is added? Beyond a certain point the addition of new information leads to new uncertainty and degrades the result (Ream, 1981) In the diagnostic process, it is possible to evaluate "result" in an objective, qualitative way. The changes in the sensitivity and specificity of the diagnosis as a result of the addition or deletion of a certain variable can be calculated on the basis of false negative, false positive, correct negative and false negative scores. Different methods for multiple regression analysis have been implemented on computers (Gelsema, 1981) which can support such decision processes. In monitoring, the situation is much more complex. Many definitions of monitoring have been given; the common denominator is that monitoring is a continuous diagnostic process based upon a (semi)continuous flow of information. This makes simple assessment methods useless.

Keywords

Elektroenzephalografie Infusion Monitor intensive care medicine surgery

Editors and affiliations

  • Omar Prakash
    • 1
  1. 1.Thoraxcentrum, Academic Hospital DijkzigtErasmus UniversityRotterdamNetherlands

Bibliographic information

  • DOI https://doi.org/10.1007/978-94-009-6747-2
  • Copyright Information Springer Science+Business Media B.V. 1983
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-009-6749-6
  • Online ISBN 978-94-009-6747-2
  • Series Print ISSN 0924-5294
  • Buy this book on publisher's site
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