Abstract
In a collaborative effort to investigate the impact of computer supported and centralized data acquisition and display in anesthesia on the quality of care and on the task performance of the anesthesist, such a system has been designed and this will be described. A total of 32 primary variables can be handled. After data reduction and feature extraction a maximum of 64 derived variables are stored on floppy disk every 15 seconds. A variety of display formats are available showing subsets of all signals on two color displays in numerical or graphical form.
Selecting these subsets and their respective alarm limits is done by means of a standard keyboard using simple statements and is supported by a so called helpfile.
Interventions and other relevant information can be entered using the same keyboard, thus opening the possibility for eliminating manual record keeping.
A standard or special anesthesia record can be generated for accompanying the patient or for documentation.
The different approaches to the evaluation of the system will be described.
It is recognized that coupling of such bedside units both for remote surveillance and for communicating administrative and other not continuously available information, improves the versatility of the system.
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References
Baetz, W.R. Schneider, A.L.J., Apple, H., Fadel, J. and Katona, P. The anesthesia keyboard system in: Monitoring Surgical Patients in the operating Room. Eds. J.S. Gravenstein et al. Ch. Thomas, Springfield Ill. 1979 P. 197-212.
Beneken, J.E.W. Blom, J.A. An integrative patient monitoring approach in: Integrated approaches to monitoring Ed. J.S. Gravenstein et al Butterworth 1983 (in press).
Beneken, J.E.W., Blom, J.A. Saranummi, N. Accuracy in trend detection in: Integrated approaches to monitoring Eds. J.S. Gravenstein et al 1983 in press Butterworth.
Blom, J.A., Beneken, J.E.W. On line information and data reduction in patient monitoring in: Computing in medicine Eds. J.P. Paul et al. McMillan Press 1982.
Cooper, J.B., Newbower, R.S. Long, C.D., Buknam McPeek Preventable Anesthesia mxshans: A Study of human factors Anesthesiology 49: 399–406, 1978.
Demeester, M. Chronider = Système versatile de collecte automatique de memorisation et de monitoring de données physiologiques et de données cliniques. Personal communication.
Frazier, W.T. Paulsen, A.W, Harbort, R.A., Odom, S.H., Haygood, W.F., Integrated Anesthesia Delivery/Monitoring System with computer assisted anesthetic record generation. Presented at Scientific exhibit, 55th congress of the International Anesthesia Research Society, Atlanta, Georgia. March 8–12, 1981.
Gelsema, E.S. ISPAHAN users manual (4th edition) Dept. of Medical Informatics, Free University Amsterdam 1981.
Gravenstein, J.S., Newbower, R.S., Ream, A.K., Smith, N.Ty. Essential non invasive monitoring in anesthesia Grune and Stratton New York 1980.
Jorritsma, F.F., Gieles, J.P.M., Blom, J.A., Beneken, J.E.W. Nandorff, A. Bijnen, A. van, Spierdijk, J. Error detection in patient monitoring Biomedizinische Technik Band 24, 50–51, 1979.
Kennedy, P.K., Feingold, A., Wiener, E.L., Hosek, R.S. Analysis of tasks and human factors in anesthesia for coronary-artery by pass. Anesthesia and Analgesia 55: 374–377, 1976.
Kontron medical ltd. DPS 100 Data processing system for critical care Bernerstrasse süd 169, CH-8048 Zurich Switzerland.
Lunn, J.N., Mushin, W.W. Mortality Associated with Anesthesia Nuffield Provincial Hospitals Trust, London 1982.
Meijler, A.P., Beneken, J.E.W., Nandorff, A., Spierdijk, J. A data acquisition and display system for improved medical pattern recognition. in: Objective Medical Decision-making; systems approach in acute disease. Eds. J.E.W. Beneken and S.M. Lavelle Springer Verlag, 1983 in press.
Rau, G. Ergonomic design aspects in interaction between man and medical systems. in: Proceedings world congress on medical physics and biomedical engineering, 1982 sept. 5–11 Hamburg nr. 4.01.
Ream, A.K, Computer Assisted Multivariate Analysis in Cardiovascular Measurements. Presented in Punta Ala, Italy. September 1981 Frontiers for Cardiology in the Eighties.
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© 1983 Martinus Nijhoff Publishers, Boston
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Beneken, J.E.W. et al. (1983). Computerized Data Acquisition and Display in Anesthesia. In: Prakash, O. (eds) Computing in Anesthesia and Intensive Care. Developments in Critical Care Medicine and Anesthesiology, vol 5. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-6747-2_3
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DOI: https://doi.org/10.1007/978-94-009-6747-2_3
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