By Annejet P. Meijler, J.E.W. Beneken
Describes a knowledge Acquisition and exhibit procedure (DADS) for sufferer tracking in the course of anesthesia. It combines versatile info presentation on colour monitors 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
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. g. from obstruction in airway), but also abnormal blood flow in the lung. Many possible changes in the capnogram and their causes are described in an atlas composed by Smalhout and Kalenda (1975).
About ten years after the start of these developments in intensive care, comparable developments in the OR began. Rampil and Flemming started with the development of a system for trend presentation (1978); Nandorff et al. (1980) showed the usefulness of automation for trend presentation in monitoring; Mitchell et al. (1979) and Blom et al. (1981) developed a system with on-line display and pattern recognition facilities and applied color in the next version (Meijler et al. 1982 and this chapter); Frazier et al.
The idea of computer-assisted monitoring is not new. In the 1960s, developments for application in intensive care units were initiated. Cml and Payne (1970) formulated the advantages of computer assisted monitoring as follows : "Patient monitoring systems serve three main functions. 32 The Data Acquisition and Display System (DADS) First they protect the patient by ensuring that variations in a physiological variable beyond an acceptable range are immediately apparent to the attendant clinician; secondly, they indicate the pattern of response to treatment so that it can be modified as required; and thirdly, they provide data from which advances in therapeutics may be developed".