PubMed Health⌕ Search

PubMed · 6669099

Computers in anesthesiology--a look ahead.

Abstract

The anesthesiologist is the "systems" person in the operating room whose primary function is making decisions with respect to the patient's pharmacologic and physiologic status. The introduction of digital data processing equipment in the operating room must aid this decision-making function. Instruments that are used to monitor the anesthesia machine or patient variables will provide input to a digital computer. The computer will serve to aggregate and organize signals for data processing and display. Engineering a suitable display with appropriate interfacing with the anesthesiologist is one of the major problems to be solved. As higher levels of processing become available and as the display technique develops, the array of instruments in the operating room will become an integrated information system to better support and aid the anesthesiologist.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

W J Arnell, D G Schultz. Computers in anesthesiology--a look ahead.. https://pubmed.ncbi.nlm.nih.gov/6669099/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Perception of training needs and opportunities in advanced airway skills: a survey of British and Irish trainees.

BACKGROUND AND OBJECTIVE: We surveyed delegates at the Group of Anaesthetists in Training (UK) meeting to investigate evidence of a training-gap (number of fibreoptic intubations believed to bestow competence vs. number actually performed). METHODS: Questionnaires were distributed to and collected from delegates in person. Questions covered six areas, including experience of fibreoptic intubation and cricothyrotomy, fibreoptic intubation as a specialist skill and ethical issues. RESULTS: We received 221 replies (76%). All trainees believed competence to be achievable with 10 intubations (interquartile range (IQR) 10-20); the median number performed was 2 (IQR 0-4). This was statistically significant for the groups' senior house officers, 1st and 2nd year registrars and 3rd and 4th year registrars; P < 0.0001. Many final year trainees (12/20, 60%) also failed to achieve their competency target. Few trainees had seen or performed any cricothyrotomies (medians 0, IQRs 0-1 and 0-0). Most (195/208, 94%) believed that fibreoptic intubation was a core skill and 199/212 (94%) believed that all should be competent by completion of training. Ten percent (n = 208) felt it unethical to perform an awake training intubation with full consent and 10% believed it acceptable without explanation. Most (82.7%) would fibreoptically intubate an asleep patient (requiring intubation) without consent. CONCLUSION: Trainees reported a gap between their perception of competence and achievement in awake fibreoptic intubation. Simple and complex simulations and structured training programmes may help. Anaesthetists must address the ethics of clinical training in advanced airway management.

Anesthesiology↗