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3
A human factors analysis of cardiopulmonary bypass machines.心肺旁路机的人因分析
J Extra Corpor Technol. 2009 Jun;41(2):57-63.
4
A prospective observational study of human factors, adverse events, and patient outcomes in surgery for pediatric cardiac disease.一项关于小儿心脏疾病手术中人为因素、不良事件及患者预后的前瞻性观察研究。
J Thorac Cardiovasc Surg. 2008 Dec;136(6):1422-8. doi: 10.1016/j.jtcvs.2008.03.071. Epub 2008 Sep 6.
5
Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.将人为因素分析与分类系统方法应用于心血管外科手术室。
Ann Thorac Surg. 2007 Apr;83(4):1412-8; discussion 1418-9. doi: 10.1016/j.athoracsur.2006.11.002.
6
Prospective assessment of intraoperative precursor events during cardiac surgery.心脏手术期间术中前驱事件的前瞻性评估。
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建立呼吸机-心肺机通信桥以减少体外循环撤机时的错误。

Establishing a Ventilator-Heart Lung Machine Communication Bridge to Mitigate Errors when Weaning from Bypass.

作者信息

Rance Geoffrey, Arney David, Srey Rithy, Goldman Julian M, Zenati Marco A

机构信息

Veterans Affairs Boston Healthcare System, Division of Cardiac Surgery, Boston, Massachusetts.

Massachusetts General Hospital, Boston, Massachusetts; and.

出版信息

J Extra Corpor Technol. 2019 Mar;51(1):38-40.

PMID:30936587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6436169/
Abstract

If a perfusionist weans a patient off the heart lung machine (HLM) and the anesthesiologist has not re-started the ventilator, the patient will become hypoxic. The objective of this project was to create a redundant safety system of verbal and electronic communication to prevent failure to ventilate errors after cardiopulmonary bypass. This objective could be realized by building an electronic communication bridge directly between the HLM and ventilator. A software application was created to retrieve and interpret data from the pump and ventilator and trigger a programmed smart alarm. The software is able to interpret data from the pump and ventilator. When both are off simultaneously (defined as a pump flow of 0 L/min with a respiratory rate of 0 breaths/min), the application will raies an alarm. Communication between a pump and ventilator is possible, enabling the deployment of a safety system that could exist in the operating room (OR) as a standalone alarm. A device dataset can be used to optimize clinical performance of the alarm. The application could also be integrated into smart checklists and computer-assisted OR process models that are currently in development.

摘要

如果体外循环灌注师使患者脱离心肺机(HLM),而麻醉师尚未重新启动呼吸机,患者将出现低氧血症。本项目的目标是创建一个冗余的语言和电子通信安全系统,以防止体外循环后通气失败错误。通过在HLM和呼吸机之间直接建立电子通信桥梁可以实现这一目标。创建了一个软件应用程序,用于从泵和呼吸机检索和解释数据,并触发编程的智能警报。该软件能够解释来自泵和呼吸机的数据。当两者同时关闭时(定义为泵流量为0升/分钟,呼吸频率为0次/分钟),该应用程序将发出警报。泵和呼吸机之间可以进行通信,从而能够部署一个可作为独立警报器存在于手术室(OR)的安全系统。设备数据集可用于优化警报的临床性能。该应用程序还可以集成到目前正在开发的智能检查表和计算机辅助手术室流程模型中。