Automation in Anesthesia -- A Relief?: A Systematic Approach to Computers in Patient Monitoring

ISBN-13: 9783540182047 / Angielski / Miękka / 1987 / 180 str.

Annejet P. Meijler; Joannes Eleutherius Wil Beneken; J. E. W. Beneken

Opis

Describes a Data Acquisition and Display System (DADS) for patient monitoring during anesthesia. It combines flexible data presentation on two color screens with a new alarm me- chanism and automated record keeping.

Spis treści

1 General Introduction.- 1.1 Introduction and Survey.- 1.2 Historical Developments in Monitoring.- 2 The Anesthesiologist’s Work in the Operating Room.- 2.1 Introduction.- 2.2 General Task Description.- 2.3 The Operating Room: Layout, Equipment, and Information Presentation.- 2.4 Flowcharting Anesthesia.- 2.5 Conclusions.- 3 The Data Acquisition and Display System (DADS).- 3.1 Introduction.- 3.2 Configuration.- 3.3 Data How and Processing (Disturbance Detection).- 3.4 Data Presentation.- 3.5 Operation of the System.- 3.6 Datastorage.- 3.7 Off-Line Graph and Report Facilities.- 3.8 Planned Facilities.- 3.9 Concluding Remarks.- 4 The Evaluation Method.- 4.1 Introduction.- 4.2 Review of the Literature on Evaluation of Medical Equipment.- 4.3 Setup of the General Evaluation Method.- 4.4 Setup of the Evaluation Method as Applicable to DADS.- 4.5 Summary.- 5 Evaluation: The Tests on Performance of DADS.- 5.1 General Introduction.- 5.2 Efficiency of Warnings.- 5.2.1 Introduction.- 5.2.2 Method and Materials.- 5.2.3 Results.- 5.2.4 Discussion.- 5.3 Controllability of Anesthesia.- 5.3.1 Introduction.- 5.3.2 Method.- 5.3.3 Results.- 5.3.4 Case Studies.- 5.3.5 Discussion.- 5.4 Summary.- 6 Evaluation: Redesign Considerations.- 6.1 Introduction.- 6.2 Ergonomics: Man-Machine Interaction.- 6.2.1 The Interaction Facilities.- 6.2.2 The Interaction Protocol.- 6.2.3 Input Devices.- 6.2.4 Proposals for Improved Interaction.- 6.3 Ergonomics: Information Presentation.- 6.3.1 Legibility.- 6.3.2 Use and Function of Colors.- 6.4 DADS4: The Integrated Workstation.- 6.5 Summary.- 7 The Automated Anesthesia Record.- 7.1 Introduction.- 7.2 The Automated Anesthesia Record.- 7.3 Evaluation of the Automated Anesthesia Record.- 7.4 Discussion.- 8 Critical Incidents: A Postscript.- 8.1 Introduction.- 8.2 Critical Incidents as a Means.- 8.3 Discussion.- Summary.- Appendices.- 1. The Anesthesia Activity Chart.- 2. A Survey of Events During Coronary Bypass Surgery.- 3. The Disturbance Detection Algorithm: Backgrounds.- 4. Artifact Suppression.- References.