Uchida O, Okumura F, Ohsumi H, Takaki O, Kuro M
Department of Anesthesiology, National Cardiovascular Center, Suita.
Masui. 1992 Apr;41(4):682-7.
A computerized anesthesia record system is in routine use for cardiovascular procedures in our operating rooms. This system is implemented on an NEC PC-9801 personal computer and automatically collects hemodynamic variables from a polygraph as well as from intraoperative laboratory reports via RS-232C ports. Events such as intubation can be entered manually using a standard keyboard. Since the introduction of the system in 1987, the system has been used in 90 percent of the total cases performed and 2941 electronic data files were recorded in a four-year period. Excluding some short procedures for which the system was not used, failure to store records on disks resulted from system errors due to power-line troubles in the operating rooms as well as users' omission to command the system. User-acceptance of event entry was poor. In 74 percent of the cases, not a single event was entered. Advantage of an automated anesthesia record system over a hand-written record is being recognized. Wide-spread use of such a system will require ergonomic design of the system and man-machine interfaces suitable for use in an operating room.
我们手术室在心血管手术中常规使用计算机化麻醉记录系统。该系统在NEC PC - 9801个人计算机上运行，通过RS - 232C端口自动从多道生理记录仪以及术中实验室报告中收集血流动力学变量。诸如插管等事件可使用标准键盘手动输入。自1987年该系统引入以来，在所有手术病例中有90%使用了该系统，在四年期间记录了2941个电子数据文件。排除一些未使用该系统的短手术，未能将记录存储到磁盘是由于手术室电源线故障导致的系统错误以及用户未对系统下达指令。用户对事件输入的接受度较差。在74%的病例中，没有输入任何一个事件。人们认识到自动化麻醉记录系统相对于手写记录的优势。广泛使用这样的系统将需要对系统以及适合在手术室使用的人机界面进行人体工程学设计。
