Hellekes D, Hettich R
Klinik für Verbrennungs- und Plastische Wiederherstellungschirurgie, Klinikum der RWTH Aachen.
Biomed Tech (Berl). 1994 Jul-Aug;39(7-8):176-80. doi: 10.1515/bmte.1994.39.7-8.176.
Instrumental monitoring is being increasingly employed in the postoperative phase after microsurgery. For this purpose, laser Doppler flowmetry has proven to be very useful. Monitoring of the perfusion of tissue with blood is mainly by clinical examination, which, however, requires the physical presence of the observer, and this is generally not possible on a continuous basis. By connecting up a laser Doppler unit with a computer and telephone modem and making use of the in-house radio system, it proved possible to produce an automatic emergency call system that responds to a worsening of perfusion and alerts the responsible doctor. For this purpose, the software program "call-doc" was developed, which provides the necessary monitoring and control functions. A general perfusion-independent emergency call can also be triggered at the touch of a button.
仪器监测在显微外科手术后的阶段中越来越多地被采用。为此，激光多普勒血流仪已被证明非常有用。对组织血液灌注的监测主要依靠临床检查，然而，这需要观察者亲自在场，而这通常无法持续进行。通过将激光多普勒装置与计算机和电话调制解调器连接，并利用内部无线电系统，事实证明可以创建一个自动应急呼叫系统，该系统能对灌注恶化做出反应并提醒负责的医生。为此，开发了软件程序“呼叫医生”，它提供必要的监测和控制功能。也可以通过按下按钮触发一个与灌注无关的通用应急呼叫。
