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一种用于手术麻醉期间监测和记录保存的麻醉信息系统。

An anesthesia information system for monitoring and record keeping during surgical anesthesia.

作者信息

Klocke H, Trispel S, Rau G, Hatzky U, Daub D

出版信息

J Clin Monit. 1986 Oct;2(4):246-61. doi: 10.1007/BF02851173.

DOI:10.1007/BF02851173
PMID:3783196
Abstract

We have developed an anesthesia information system (AIS) that supports the anesthesiologist in monitoring and recording during a surgical operation. In development of the system, emphasis was placed on providing an anesthesiologist-computer interface that can be adapted to typical situations during anesthesia and to individual user behavior. One main feature of this interface is the integration of the input and output of information. The only device for interaction between the anesthesiologist and the AIS is a touch-sensitive, high-resolution color display screen. The anesthesiologist enters information by touching virtual function keys displayed on the screen. A data window displays all data generated over time, such as automatically recorded vital signs, including blood pressure, heart rate, and rectal and esophageal temperatures, and manually entered variables, such as administered drugs, and ventilator settings. The information gathered by the AIS is presented on the cathode ray tube in several pages. A main distributor page gives an overall view of the content of every work page. A one-page record of the anesthesia is automatically plotted on a multicolor digital plotter during the operation. An example of the use of the AIS is presented from a field test of the system during which it was evaluated in the operating room without interfering with the ongoing operation. Medical staff who used the AIS imitated the anesthesiologist's recording and information search behavior but did not have responsibility for the conduct of the anesthetic.

摘要

我们开发了一种麻醉信息系统(AIS),该系统可在外科手术过程中辅助麻醉医生进行监测和记录。在系统开发过程中,重点在于提供一种麻醉医生与计算机的接口,使其能够适应麻醉过程中的典型情况以及个体用户行为。该接口的一个主要特点是信息的输入与输出实现了整合。麻醉医生与AIS之间唯一的交互设备是一个触摸感应式高分辨率彩色显示屏。麻醉医生通过触摸屏幕上显示的虚拟功能键来输入信息。一个数据窗口会显示随时间生成的所有数据,比如自动记录的生命体征,包括血压、心率以及直肠和食管温度,还有手动输入的变量,如所使用的药物以及呼吸机设置等。AIS收集到的信息会在阴极射线管上分几页呈现。一个主分布页面会给出每个工作页面内容的总体视图。在手术过程中,麻醉记录会自动在一台多色数字绘图仪上绘制出来。文中给出了一个该AIS在现场测试中的使用示例,在此测试中,该系统在手术室进行了评估,且未干扰正在进行的手术。使用AIS的医护人员模仿了麻醉医生的记录和信息搜索行为,但不对麻醉操作负责。

相似文献

1
An anesthesia information system for monitoring and record keeping during surgical anesthesia.一种用于手术麻醉期间监测和记录保存的麻醉信息系统。
J Clin Monit. 1986 Oct;2(4):246-61. doi: 10.1007/BF02851173.
2
Automated anesthesia data management and recordkeeping.自动化麻醉数据管理与记录保存。
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Data processing at the anesthesia workstation: from data entry to data presentation.麻醉工作站的数据处理:从数据录入到数据呈现。
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So you are about to buy a computer for your department. What not to do?那么你打算为你的部门购置一台电脑。不该做什么呢?
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Anatomy of an anesthesia information management system.麻醉信息管理系统剖析
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引用本文的文献

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Measurement of user performance and attitudes assists the initial design of a computer user display and orientation method.对用户性能和态度的测量有助于计算机用户显示器及定位方法的初始设计。
J Clin Monit. 1994 Jul;10(4):251-63. doi: 10.1007/BF02899511.
2
Microcomputer-based data acquisition system for clinical research.
J Clin Monit. 1990 Apr;6(2):141-6. doi: 10.1007/BF02828292.

本文引用的文献

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Ergonomic design aspects in interaction between man and technical systems in medicine.医学中人与技术系统交互的人体工程学设计方面。
Med Prog Technol. 1982;9(2-3):153-9.
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Automated anesthesia data management and recordkeeping.自动化麻醉数据管理与记录保存。
Med Instrum. 1982 Nov-Dec;16(6):279-82.
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Design and evaluation of a semiautomatic anesthesia record system.半自动麻醉记录系统的设计与评估
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Man-machine interface: the position of the anaesthetic machine in the operating room.
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Operating room event analysis.手术室事件分析
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Computerized speech recognition for anesthesia recordkeeping.用于麻醉记录保存的计算机语音识别
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Computers in anesthesiology--a look ahead.麻醉学中的计算机——展望未来。
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System integration--the need in future anesthesia delivery systems.系统集成——未来麻醉输送系统的需求。
Med Instrum. 1983 Nov-Dec;17(6):389-92.
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Microcomputer-based anaesthetic record system.
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The computer-based anesthetic monitors: the Duke Automatic Monitoring Equipment (DAME) system and the microDAME.基于计算机的麻醉监测仪:杜克自动监测设备(DAME)系统和微型DAME。
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