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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

275
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
275
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

490
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
490
Stages of General Anesthesia01:22

Stages of General Anesthesia

645
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
645
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

552
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
552
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

481
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
481
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

744
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
744

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Development and usage of an anesthesia data warehouse: lessons learnt from a 10-year project.

Antoine Lamer1,2, Mouhamed Djahoum Moussa3, Romaric Marcilly4,5

  • 1Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, Lille, France. antoine.lamer@univ-lille.fr.

Journal of Clinical Monitoring and Computing
|August 6, 2022
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Summary

This study details a decade-long anesthesia data warehouse project at Lille University Hospital, offering implementation guidance. The project successfully integrated over 636,000 anesthesia records, enhancing data accuracy and accessibility for research.

Keywords:
Anesthesia information management systemData reuseData warehouseDatabaseRetrospective studies

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Area of Science:

  • Health Informatics
  • Clinical Data Management
  • Anesthesiology Research

Background:

  • Developing robust clinical data warehouses is crucial for advancing medical research and improving patient care.
  • Anesthesia information management systems generate vast amounts of data that require structured storage and analysis.
  • Hospital discharge reports provide valuable administrative and clinical context for patient outcomes.

Purpose of the Study:

  • To describe the development and implementation of a ten-year anesthesia data warehouse at Lille University Hospital.
  • To share lessons learned and provide guidance for similar data warehouse projects.
  • To enhance data accessibility and facilitate faster, easier querying for research and clinical insights.

Main Methods:

  • Integration of data from an anesthesia information management system and hospital discharge reports.
  • Implementation of a data warehouse with high accuracy for administrative (daily) and monitoring (secondly) data.
  • Utilization of datamarts for faster query execution and secondary data computation.

Main Results:

  • Successfully integrated 636,784 anesthesia records for 353,152 patients between 2010 and 2021.
  • Identified and reported key concerns and barriers encountered during the project development.
  • Provided 8 practical tips for overcoming implementation challenges.
  • Implemented the data warehouse within the OMOP (Observational Medical Outcomes Partnership) common data model.

Conclusions:

  • The developed anesthesia data warehouse provides a valuable resource for research and clinical analysis.
  • The OMOP common data model integration facilitates broader data standardization and interoperability.
  • Future work includes disseminating OMOP model use in anesthesia and critical care and exploring federated learning for multicenter studies.