Wiener F, Weil M H
Med Instrum. 1977 Sep-Oct;11(5):268-73.
The need for and development of computer-based monitoring in medical intensive care are discussed. The critical care ward system at the University of Southern California's Center for the Critically Ill is described. Basic monitoring routines include measurement of heart rate; arterial, venous, and pulmonary pressures; core and peripheral temperature; and urine output. Other application programs handle cardiac output determinations, laboratory tests, narrative data entry, and process control. Data retrieval provides for tabular, textual, and graphic displays both at the bedside and in hard copy, as well as data printouts for research purposes. Computer control covers the vascular interface, automated pressure calibration, peristaltic pumps for fluid infusion and blood sampling, and urine collection and disposal. Using automated fluid challenge as a prototype, servo operations should be extended to mechanical ventilation and fluid therapy.
讨论了医学重症监护中基于计算机监测的需求和发展。描述了南加州大学重症病中心的重症监护病房系统。基本监测程序包括心率测量；动脉、静脉和肺压力测量；核心体温和外周体温测量；以及尿量测量。其他应用程序用于心输出量测定、实验室检查、叙述性数据录入和过程控制。数据检索可在床边和硬拷贝上提供表格、文本和图形显示，以及用于研究目的的数据打印输出。计算机控制涵盖血管接口、自动压力校准、用于液体输注和血液采样的蠕动泵，以及尿液收集和处理。以自动液体激发作为原型，伺服操作应扩展到机械通气和液体治疗。
