1. Automated Anesthesia Monitoring Systems Updates and Advancements B. Tice N. Sapra T. George K. Braun L. Pinto

2. What is an Anesthesia Record? An Anesthesia Record is a detailed account of the procedures performed and the anesthesia administered during the peri- operative period. The recorded information includes: –Vital Signs –Surgical Interventions (i.e. Tourniquets) –Anesthetics Administered (Types and Amounts)

3. Why are Anesthesia Records Necessary? To Smooth the Transition from the Operating Room to the Recovery Room Guide for Future Procedures Legal Documentation of Events

4. The Earliest System; Hand-kept Records These were a problem because they were: –Subjective –Often Illegible –Distracting to the Anesthesiologist During the Procedure, Especially During Crises

5. Early Automated Systems; General Instrumentation –Central Processing Unit –A/D Converter –Serial Board –Keypad

6. Automated Systems; General Functions Touch-Screen/Keypad User Interface Alarms Read Out, Recorded Blood Gasses Plotted Vital Statistics-- Heart Rate, Blood Pressure, Etc. Record of Procedures and Times when Each Occurred Record of Who Performed the Procedure Billing Information –Anesthesia Totals: Types Ordered and Amounts Delivered

7. Criteria for Judging a System Board Approval (FDA) System Outputs/User Inputs Cost Compatibility with Existing Instrumentation Training Involved in Implementing the System/User Interface Software Modification and Updates Additional Features

8. Datex-OhmedaAS/3 Anesthesia System

9. Datex-Ohmeda AS/3 Records and stores vital signs Records with preconfigured and customized record layouts Two way communication system (remote access) Reporting package (cost & outcome analysis) Electronic Anesthesia archive and database for reporting and analysis

10. Saturn Information System

11. 32-bit for use with Windows NT User friendly Highly adaptable Security to prevent unauthorized access Timed movements of records from local level to servers Very expensive

12. Anesthesia Component Monitoring System

13. ACMS Component Modularity Data Transfer Module: transferring patient’s vital signs and demographic info Recorder Module: patient data documentation Vue Link Module: interfacing to external devices Advanced alarm system of sounds and colors

14. Conclusions We recommend the ACMS because of its high modularity, easy integration into current environment, plenty of adaptations

15. Forecasts Units will become readily accessible from remote locations (ie. The home) The open architecture allows the system to be extended well into the future Will become more compact and mobile More customization to the individual or the doctor

16. References King, P.H.; Smith, B.E. “Automated Record-Keeping Systems Used in Anesthesia” Hospimedica. April 1992, p.p. 34-39. Company homepages on the internet.