By Annejet P. Meijler, J.E.W. Beneken
Describes a knowledge Acquisition and reveal approach (DADS) for sufferer tracking in the course of anesthesia. It combines versatile info presentation on colour displays with a brand new alarm me- chanism and automatic checklist keeping.
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Extra resources for Automation in Anesthesia — A Relief?: A Systematic Approach to Computers in Patient Monitoring
Peters (1979) formulates the advantages of CO 2 measurement as follows: "A monitor that can track in real time the concentration of CO2 in the in- and expired air [permits], as no other signal can, the [supervision] of both the ventilatory and the metabolic systems. In addition, in patients with normal pulmonary function, the end-expired PC02 is a reflection of the arterial PC02 and thus of adequacy of cell respiration". The capnogram is monitored to detect a disconnected ventilator, problems with oxygenation when inspired O2 is not measured, pulmonary embolization, hyperventilation or hypoventilation (e.
12a). The vertical scaling of a bar is linear. The normal value is always positioned in the middle of the screen. The alarm limit furthest apart from the norm value is placed at an extreme of the bar. The other alarm limit is positioned proportionally closer. The course of a variable is given by a small time plot (7 dots) on a logarithmic scale against the background of these five fields. The dot on the far right represents the most recent (present) value which is updated every 15 seconds. The second point from the left represents the average value over the previous interval (from 15 to 45 seconds ago).
Besides, the quality of the ECG may be strongly impaired by the electrocautery signal. 1980). - The efficacy of monitoring also depends on the parameters included in the monitoring. The risk to the patient caused by an additional monitoring device (catheter) should always be weighed against the additional value to the quality of monitoring. For example the decision to use the pulmonary arterial catheter should always be taken with great care (Kaplan 1983). - Another indistinctness concerns the subject of derived variables; there is a never-ending discussion about the additional value/redundancy of these, for example: when systolic and diastolic pressures are determined, what is the contribution of the mean arterial pressure?
Automation in Anesthesia — A Relief?: A Systematic Approach to Computers in Patient Monitoring by Annejet P. Meijler, J.E.W. Beneken