Landais A, Lauret R, Lebeau L, Huguenin M, Castiaux C
Service d'Anesthésie-Réanimation, Centre hospitalier Victor-Dupouy, Argenteuil.
Cah Anesthesiol. 1992;40(2):113-21.
The first anaesthetic record was introduced into medical practice in 1940. Since then few changes have been made to it and it remains a rudimentary memorandum. However, since the beginning of the 1980s, interest in automatic recording of the anaesthetic file has been increasing and numerous arguments can be put forward in its favour. Apart from theoretical and experimental arguments, in practice one has to master the automatic collection of data, management of alarms and the technology of the networks involved in order to manage the flow of information by channelling it and organizing it into a hierarchy. Four other objectives can be added to the clinical recording and its medico-legal applications: anaesthetic cost evaluation, quality of care, research and clinical teaching which will provide the basis of anaesthetic epidemiological research.
1940年,第一份麻醉记录被引入医疗实践。从那时起,它几乎没有什么变化,仍然是一份基本的备忘录。然而,自20世纪80年代初以来,人们对麻醉文件自动记录的兴趣不断增加,并且可以提出许多支持它的论据。除了理论和实验方面的论据外,在实践中,为了通过引导和组织信息流将其纳入层次结构来管理信息流,人们必须掌握数据的自动收集、警报管理以及相关网络技术。临床记录及其法医学应用还可以增加其他四个目标:麻醉成本评估、护理质量、研究和临床教学,这些将为麻醉流行病学研究提供基础。