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Computerized blood gas interpretation as tool for classroom and ICU.

作者信息

Frutiger A, Brunner J X

机构信息

Kantonsspital Chur, Chur, Switzerland.

出版信息

Intensive Care Med. 1993;19(4):209-14. doi: 10.1007/BF01694772.

DOI:10.1007/BF01694772
PMID:8366229
Abstract

OBJECTIVE

To describe structure and function of a PC based blood gas interpretation program (ABG-consultant) developed for nurses and physicians, and to test educational impact and user acceptance.

DESIGN

Prospective, blinded study

SETTING

Interdisciplinary ICU of a county hospital in Switzerland

PARTICIPANTS

Nurses specialized in intensive care

INTERVENTIONS

Exposure to the ABG-consultant program

MEASUREMENT AND RESULTS

A first group of nurses was subjected to a written examination, then the ABG-consultant was made available for them for 2 months, and finally the same examination was taken again. Additionally, they completed a questionnaire related to the performance of the ABG-consultant. A second group of nurses took the same sequence of examinations but had no access to the ABG-consultant. The score of the examinations increased by 4.8 points in the first group (p < 0.0001) and by 1.3 points (p < 0.16) in the second group. More than 400 consultations were conducted over a period of 2 months and the users themselves stated that the system was of help and easy to use.

CONCLUSION

The results have shown that exposure to the ABG-consultant has increased the blood gas knowledge of the ICU nurses. It therefore appears desirable and worthwhile to address other areas of clinical medicine by a similar teaching-consulting approach.

摘要

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本文引用的文献

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Anesthesiology. 1981 Sep;55(3):311-6. doi: 10.1097/00000542-198109000-00022.
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Interpretation of arterial blood gases by computer.用计算机解读动脉血气。
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Computerized medical reasoning in diagnosis and treatment of acid-base disorders.酸碱平衡紊乱诊断与治疗中的计算机化医学推理
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A computer program for the interpretation of blood-gas analysis.一款用于解读血气分析的计算机程序。
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Arterial blood gas derived variables as estimates of intrapulmonary shunt in critically ill children.动脉血气衍生变量作为危重症儿童肺内分流的评估指标
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Arterial/alveolar oxygen tension ratio: a critical appraisal.动脉血氧分压与肺泡氧分压比值:批判性评估
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Unreliability of oxygen tension-based indices in reflecting intrapulmonary shunting in critically ill patients.基于氧分压的指标在反映危重症患者肺内分流方面的不可靠性。
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