Department of Emergency Medicine, University of Arizona, Tucson, Arizona 85750, USA.
Telemed J E Health. 2013 Feb;19(2):95-8. doi: 10.1089/tmj.2012.0093. Epub 2012 Dec 7.
Since the first remote intubation with telemedicine guidance, wireless technology has advanced to enable more portable methods of telemedicine involvement in remote airway management.
Three voice over Internet protocol (VoIP) services were evaluated for quality of image transmitted, data lag, and audio quality with remotely observed and assisted intubations in an academic emergency department. The VoIP clients evaluated were Apple (Cupertino, CA) FaceTime(®), Skype™ (a division of Microsoft, Luxembourg City, Luxembourg), and Tango(®) (TangoMe, Palo Alto, CA). Each client was tested over a Wi-Fi network as well as cellular third generation (3G) (Skype and Tango).
All three VoIP clients provided acceptable image and audio quality. There is a significant data lag in image transmission and quality when VoIP clients are used over cellular broadband (3G) compared with Wi-Fi.
Portable remote telemedicine guidance is possible with newer technology devices such as a smartphone or tablet, as well as VoIP clients used over Wi-Fi or cellular broadband.
自首次远程使用远程医疗指导插管以来，无线技术已经发展到可以采用更便携的远程医疗方式参与远程气道管理。
在学术急救部门，我们对三种互联网语音协议（VoIP）服务进行了评估，评估内容包括传输图像质量、数据延迟和音频质量，同时对远程观察和辅助插管进行了评估。所评估的 VoIP 客户端有苹果（加利福尼亚州库比蒂诺）FaceTime(®)、Skype™（微软公司，卢森堡市，卢森堡）和 Tango(®)（TangoMe，加利福尼亚州帕洛阿尔托）。每个客户端均在 Wi-Fi 网络和第三代蜂窝网络（Skype 和 Tango）上进行了测试。
所有三个 VoIP 客户端都提供了可接受的图像和音频质量。与 Wi-Fi 相比，当 VoIP 客户端通过蜂窝宽带（3G）使用时，图像传输和质量会出现明显的数据延迟。
具有智能手机或平板电脑等新技术设备以及通过 Wi-Fi 或蜂窝宽带使用的 VoIP 客户端，可实现便携式远程远程医疗指导。
