计算机在心脏外科手术中的应用
William L Holman1, James E Davies
1From the Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
概括
早期的计算机系统自动化了心脏手术患者管理,整合了数据采集和输液控制. 这一创新为在重症监护室 (ICU) 及其他地方使用计算机铺平了道路.
科学领域:
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
- 心血管外科心血管外科
背景情况:
- 20世纪60年代,计算机整合到医疗保健的新生阶段开始出现.
- 探索了自动化系统来管理复杂的患者数据和生理参数.
研究的目的:
- 描述早期用于心脏外科患者管理的自动化系统的实施和能力.
- 突出这一系统在重症监护中采用计算机技术方面的基本作用.
主要方法:
- 开发和部署一个使用IBM Model 1800的基于计算机的系统.
- 整合患者监测设备 (心电图,压力线,导管) 和定制测量系统 (尿液/血液体积).
- 基于医生定义的参数,实施血液制品的自动输液系统.
主要成果:
- 成功实施心脏手术的综合自动化患者管理系统.
- 实现实时数据收集,存档和精确控制流体管理和输注.
- 在关键环境中展示了基于计算机的患者护理的可行性和好处.
结论:
- 该UAB系统代表了计算机技术应用于心脏外科患者护理的开创性努力.
- 建立了计算机在重症监护室 (ICU) 广泛使用的先例,用于数据管理和患者监控.
- 在质量保证和编码和计费等行政功能方面为进一步应用奠定了基础.
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