Heldt Thomas, Long Bill, Verghese George C, Szolovits Peter, Mark Roger G
Laboratory for Electromagntic & Electronic Systems, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Conf Proc IEEE Eng Med Biol Soc. 2006;2006:350-3. doi: 10.1109/IEMBS.2006.259734.
Modern intensive care units (ICUs) employ an impressive array of technologically sophisticated instrumentation to provide detailed measurements of the pathophysiological state of each patient. Providing life support in the ICU is becoming an increasingly complex task, however, because of the growing volume of relevant data from clinical observations, bedside monitors, mechanical ventilators, and a wide variety of laboratory tests and imaging studies. The enormous amount of ICU data and its poor organization makes its integration and interpretation time-consuming and inefficient. There is a critical need to integrate the disparate clinical information into a single, rational framework and to provide the clinician with hypothesis-driven displays that succinctly summarize a patient's trajectory over time. In this paper, we present our recent efforts towards the development of such an advanced patient monitoring system that aims to improve the efficiency, accuracy, and timeliness of clinical decision making in intensive care.
现代重症监护病房(ICU)配备了一系列令人印象深刻的技术先进的仪器设备,以对每位患者的病理生理状态进行详细测量。然而,由于来自临床观察、床边监测仪、机械通气机以及各种实验室检查和影像学研究的相关数据量不断增加,在ICU提供生命支持正变得越来越复杂。ICU数据量巨大且组织混乱,使得其整合和解读既耗时又低效。迫切需要将不同的临床信息整合到一个统一、合理的框架中,并为临床医生提供基于假设的显示,以便简洁地总结患者随时间的病程。在本文中,我们介绍了我们最近在开发这样一种先进的患者监测系统方面所做的努力,该系统旨在提高重症监护中临床决策的效率、准确性和及时性。