Saunders R J, Jewett W R
Med Instrum. 1983 Nov-Dec;17(6):389-92.
Although current anesthesia delivery systems possess the virtues of familiarity, ruggedness, reliability, and longevity, problems inherent in their design require remedy. These systems consist of discrete subsystems that are unrelated physically, functionally, or by communications. Production of derived values, as opposed to raw data, is almost unheard of, although transformed data may be much more useful in the clinical environment. Future anesthesia delivery systems will use microprocessors to integrate data from multiple sensors with calculation, display, and control functions--without removing the anesthesiologist from the control loop. New ergonomic data will promote design of equipment that can be optimally manufactured, marketed, and used in clinical care. The proliferation of new equipment with advanced design and application features creates challenges for a society conscious of rising health-care costs. Creative alternatives to conventional financing, ownership, and early obsolescence of anesthesia systems must be sought in order to ensure that the quality of and capability for anesthetic care will continue to advance.
尽管当前的麻醉输送系统具有为人熟知、坚固耐用、可靠且使用寿命长等优点，但其设计中固有的问题仍需解决。这些系统由在物理、功能或通信方面互不相关的离散子系统组成。几乎不存在生成派生值（相对于原始数据而言）的情况，尽管经过转换的数据在临床环境中可能更有用。未来的麻醉输送系统将使用微处理器来整合来自多个传感器的数据，并具备计算、显示和控制功能，同时不会将麻醉医生排除在控制回路之外。新的人体工程学数据将推动设备设计的发展，使其能够在临床护理中实现最优制造、销售和使用。具有先进设计和应用功能的新设备的大量涌现，给一个意识到医疗保健成本不断上升的社会带来了挑战。必须寻求传统融资、所有权及麻醉系统过早过时的创新替代方案，以确保麻醉护理的质量和能力能够持续提升。
