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© 1983

Computing in Anesthesia and Intensive Care

  • Omar Prakash
Book

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

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

  • Book Title Computing in Anesthesia and Intensive Care
  • Editors Omar Prakash
  • Series Title Developments in Critical Care Medicine and Anesthesiology
  • 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
  • Hardcover ISBN 978-0-89838-602-8
  • Softcover ISBN 978-94-009-6749-6
  • eBook ISBN 978-94-009-6747-2
  • Series ISSN 0924-5294
  • Edition Number 1
  • Number of Pages , 448
  • Number of Illustrations 0 b/w illustrations, 0 illustrations in colour
  • Topics Intensive / Critical Care Medicine
    Biomedical Engineering and Bioengineering
  • Buy this book on publisher's site
Industry Sectors
Biotechnology
Health & Hospitals
Internal Medicine & Dermatology
Pharma

Reviews

`...the book is stronly recommended to the tyro who wishes to obtain a general view of the subject and the more knowledgeable reader who will find something to pique his or her interest.'
Canadian Anaesthetists' Society Journal (September 1984)