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Intensive Care Window Real time monitoring and analysis in the Intensive Care environment

Intensive Care Window Real time monitoring and analysis in the Intensive Care environment. Introduction. Intensive Care Units (ICUs) treat patients that are in a critical (life-threatening) physiological state.

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Intensive Care Window Real time monitoring and analysis in the Intensive Care environment

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  1. Intensive Care WindowReal time monitoring and analysis in the Intensive Care environment nstylianides@gmail.com

  2. Introduction nstylianides@gmail.com • Intensive Care Units (ICUs) treat patients that are in a critical (life-threatening) physiological state. • More than 4.000.000 people are admitted each year in ICUs in the U.S. alone – 500.000 of them do not survive. (The Leapfrog group, 2000) • 12%

  3. Motivation nstylianides@gmail.com • Human factor (on call ICU nurse) still is the invaluable tool in the ICU setting. • Clinical systems commercially available utilize proprietary code and interface protocols. • High cost to purchase, deploy and manage commercially systems.

  4. Challenges nstylianides@gmail.com • A plethora of medical devices are used in the ICU to monitor the patients. • The vast majority of medical device vendors utilize proprietary communication interfaces and languages to export information. • Large volumes of produced data (physiological parameters, vital signs, medical images) that hospitals infrastructures cannot store for large periods of time. • Personal and sensitive data.

  5. Intensive Care Unit nstylianides@gmail.com Monitor Device Ventilator Drug infusion–administration pumps Portable Devices Laboratory Information Systems Numerous other medical devices, diagnostic equipment, …

  6. Medical Record Information nstylianides@gmail.com Radiology Laboratories Patient Registration/ Admissions Payers DICOM & HL7 ASC X12N NCPDP Retail ASC X12N Hospital Pharmacy HL7 HL7 HL7 Billing Pharmacy Benefits Mgrs HL7 PMRI Knowledge Bases HL7 NCPDP Retail X12N Clinical Content Retail Pharmacies IEEE 1073 ISO 11073 Physiological Monitors HL7 Orders & Results IEEE NCPDP script Medical Devices Bedside Computer Provider IEEE 1073 ISO 11073

  7. ICW System nstylianides@gmail.com

  8. ICW bedside controller nstylianides@gmail.com • Automatic & semi automatic medical device configuration • Standard compliant communication paths • Hides proprietary protocol complexity

  9. ICW major contributions nstylianides@gmail.com Real time monitoring and supervision Data collection annotation Local search capability Playback functionality

  10. ICW visual tools nstylianides@gmail.com

  11. Real life scenarios deployment nstylianides@gmail.com Multiple Organ Dysfunction Syndrome SCENARIO A: Mean blood pressure Blood glucose SaO2 - Oxygen Saturation Traumatic Brain Injury SCENARIO B: Cerebral perfusion pressure Blood glucose SjO2 - Jugular Bulb Oxygen Saturation

  12. Scenario Statistics nstylianides@gmail.com • Philips MP70 • Arterial blood pressure diastolic, Arterial mean blood pressure, Arterial blood pressure systolic, … (in total 14 parameters) • Puritan Bennett Ventilator 840 • Exhaled minute volume, Exhaled tidal volume, .. (in total 18 parameters) • ABL 800 Flex • Jugular bulb oxygen saturation (SjO2), blood glucose • 3 Months period • 10 Patients • 2 ICW bedside settings • 2 ICW system users • 72 hours average session duration • 0,5 MB average information stored per hour per patient

  13. Near future work nstylianides@gmail.com • Full scale deployment for longer period of time. • This will rise new needs and feature requests • Initiate an open source project. • Enhance local search functionality. • Introduce ICU scoring functionality (Acute Physiology and Chronic Health Evaluation , Simplified Acute Physiology Score, …). • Extend the medical device driver library.

  14. nstylianides@gmail.com • Thank you for your Attention Questions ?

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