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Computing in Anesthesia and Intensive Care

  • Book
  • © 1983

Overview

Editors:
  1. Omar Prakash

    1. Thoraxcentrum, Academic Hospital Dijkzigt, Erasmus University, Rotterdam, Netherlands

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Part of the book series: Developments in Critical Care Medicine and Anaesthesiology (DCCA, volume 5)

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Table of contents (33 chapters)

  1. Front Matter

    Pages i-xiv
    Download chapter PDF

  2. Computer Operating Systems for Patient Monitoring

    • Allen K. Ream
    Pages 1-10

  3. On the Use of Computers in the Practice of Anaesthesia

    • D. Daub, K. A. Lehmann
    Pages 11-24

  4. Computerized Data Acquisition and Display in Anesthesia

    • J. E. W. Beneken, J. A. Blom, A. P. Meijler, P. Cluitmans, Joh. Spierdijk, A. Nandorff et al.
    Pages 25-43

  5. Microcomputer Based Automatic Capture of Signals from Non-Invasive Instruments

    • N. H. Naqvi
    Pages 44-60

  6. Physiologic Monitoring of Critically Ill Patients: Computerized data acquisition, outcome prediction, organization of therapy and prospective clinical trials

    • William C. Shoemaker
    Pages 61-77

  7. Set Up and Results ICU Database

    • J. A. Leusink, R. Van Staden
    Pages 78-85

  8. An Interactive Information System for Anaesthesia

    • G. L. Olsson
    Pages 86-95

  9. Automated Analysis of the Esophageal Accelerogram as a Minimally Invasive Monitor of Manifest Contractile State

    • Ralph S. Wiley, Lee S. Shepard, Lewis B. Wolfenson
    Pages 96-106

  10. Information Transfer from Operating Room to ICU

    • Richard M. Peters
    Pages 107-115

  11. Energy Metabolism

    • S. Bursztein, Z. Bshouty
    Pages 116-120

  12. Gas Distribution and Ventilation-Perfusion Relationships during Anaesthesia and in Acute Respiratory Failure. Clinical Implications

    • G. Hedenstierna, S. Baehrendtz
    Pages 121-140

  13. Continuous Monitoring of Intrathoracic Fluid

    • H. H. M. Korsten, J. H. Meijer, S. J. Hengeveld, J. B. V. M. Delemarre, J. A. Leusink, G. A. Schurink et al.
    Pages 141-152

  14. The Potential of Computer Modelling Techniques in Intensive Care Medicine

    • C. J. Hinds, C. J. Dickinson
    Pages 153-169

  15. An Interactive Program for Intravenous Drug Infusion Management

    • Michael N. Skaredoff, Paul J. Poppers
    Pages 170-183

  16. Computer Assisted Learning in Anaesthesiology

    • J. W. R. Mclntyre
    Pages 184-192

  17. Teaching With “Attending”: Tutorial Use of an Expert System

    • Perry L. Miller, Denise Angers, J. Robert Keefer, Nalin Sudan, Guy Tanner
    Pages 193-201

  18. Introductory Courses in Computing for Anaesthetists

    • J. H. Kerr, B. J. Harrison, W. L. Davies
    Pages 202-213

  19. The Use of Computer-Generated Numbers in Interpreting the EEG

    • N. Ty. Smith, Ira J. Rampil
    Pages 214-226

  20. Automatic EEG Monitoring During Anesthesia

    • A. J. R. Simons, R. A. F. Pronk
    Pages 227-257
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Keywords

About this book

There is a tendency of an increasing number of signals and derived variables to be incorporated in the monitoring of patients during anesthesia and in intensive care units. The addition of new signals hardly ever leads to thedeletion of other signals. This is probably based on a feeling of insecurity. We must realize that each new signal that is being monitored brings along its cost, in terms of risk to the patient, investment and time. It is therefore essential to assess the relative contribution of this new signal to the quality of the monitoring process; i. e. given the set of signals already in use, what is the improvement when a new signal is added? Beyond a certain point the addition of new information leads to new uncertainty and degrades the result (Ream, 1981) In the diagnostic process, it is possible to evaluate "result" in an objective, qualitative way. The changes in the sensitivity and specificity of the diagnosis as a result of the addition or deletion of a certain variable can be calculated on the basis of false negative, false positive, correct negative and false negative scores. Different methods for multiple regression analysis have been implemented on computers (Gelsema, 1981) which can support such decision processes. In monitoring, the situation is much more complex. Many definitions of monitoring have been given; the common denominator is that monitoring is a continuous diagnostic process based upon a (semi)continuous flow of information. This makes simple assessment methods useless.

Reviews

`...the book is stronly recommended to the tyro who wishes to obtain a general view of the subject and the more knowledgeable reader who will find something to pique his or her interest.'
Canadian Anaesthetists' Society Journal (September 1984)

Editors and Affiliations

  • Thoraxcentrum, Academic Hospital Dijkzigt, Erasmus University, Rotterdam, Netherlands

    Omar Prakash

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