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Automated Anesthesia Monitoring Systems

Automated Anesthesia Monitoring Systems. Updates and Advancements B. Tice N. Sapra T. George K. Braun L. Pinto. What is an Anesthesia Record?.

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Automated Anesthesia Monitoring Systems

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  1. Automated Anesthesia Monitoring Systems Updates and Advancements B. Tice N. Sapra T. George K. Braun L. Pinto

  2. What is an Anesthesia Record? An Anesthesia Record is a detailed account of the procedures performed and the anesthesia administered during the peri-operative period. The recorded information includes: • Vital Signs • Surgical Interventions (i.e. Tourniquets) • Anesthetics Administered (Types and Amounts)

  3. Why are Anesthesia Records Necessary? • To Smooth the Transition from the Operating Room to the Recovery Room • Guide for Future Procedures • Legal Documentation of Events

  4. The Earliest System; Hand-kept Records These were a problem because they were: • Subjective • Often Illegible • Distracting to the Anesthesiologist During the Procedure, Especially During Crises

  5. Early Automated Systems; General Instrumentation • Central Processing Unit • A/D Converter • Serial Board • Keypad

  6. Automated Systems; General Functions • Touch-Screen/Keypad User Interface • Alarms • Read Out, Recorded Blood Gasses • Plotted Vital Statistics-- Heart Rate, Blood Pressure, Etc. • Record of Procedures and Times when Each Occurred • Record of Who Performed the Procedure • Billing Information • Anesthesia Totals: Types Ordered and Amounts Delivered

  7. Criteria for Judging a System • Board Approval (FDA) • System Outputs/User Inputs • Cost • Compatibility with Existing Instrumentation • Training Involved in Implementing the System/User Interface • Software Modification and Updates • Additional Features

  8. Datex-Ohmeda AS/3 Anesthesia System

  9. Datex-Ohmeda AS/3 • Records and stores vital signs • Records with preconfigured and customized record layouts • Two way communication system (remote access) • Reporting package (cost & outcome analysis) • Electronic Anesthesia archive and database for reporting and analysis

  10. Saturn Information System

  11. Saturn Information System • 32-bit for use with Windows NT • User friendly • Highly adaptable • Security to prevent unauthorized access • Timed movements of records from local level to servers • Very expensive

  12. Anesthesia Component Monitoring System

  13. ACMS • Component Modularity • Data Transfer Module: transferring patient’s vital signs and demographic info • Recorder Module: patient data documentation • Vue Link Module: interfacing to external devices • Advanced alarm system of sounds and colors

  14. Conclusions • We recommend the ACMS because of its high modularity, easy integration into current environment, plenty of adaptations

  15. Forecasts • Units will become readily accessible from remote locations (ie. The home) • The open architecture allows the system to be extended well into the future • Will become more compact and mobile • More customization to the individual or the doctor

  16. References • King, P.H.; Smith, B.E. “Automated Record-Keeping Systems Used in Anesthesia” Hospimedica. April 1992, p.p. 34-39. • Company homepages on the internet.

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