Improving safety in the operating room and beyond. Authors: Guy Dumont and Mark Ansermino
- 1. When Medicine meetsEngineering Departments of Electrical and
Computer Engineering and Anesthesiology, Pharmacology &
Therapeutics,The University of British Columbia, Vancouver, Canada.
Improving safety in the operating room and beyond Guy DumontandMark
Ansermino
2. Bertram Neville Brockhouse NSERC Prize for Interdisciplinary
Research in Science and Engineering 1918 20031994 Nobel Prize in
Physics 3. Thank You
- NSERC for awarding us the 2010 Brockhouse Canada Prize
- NSERC and CIHR for supporting our work over the years
- UBC Faculties of Applied Science and of Medicine
- Departments of Electrical & Computer Engineering and of
Anesthesiology, Pharmacology & Therapeutics
4. Chronology
- 2000: Work in sensing and control starts
- 2002: Peter Wall Institute of Advanced Studies Exploratory
Workshop on Automation and Robotics in the OR
- 2002: GD-MA collaboration starts
5. Funding via NSERC/CIHR CHRP Grants
- 2003-05: Online monitoring of physiological parameters
- 2005-07:Tactile display of physiological monitoring
- 2008-10: Closed-loop control of anesthesia
- 2011-13:The phone oximeter
6. 7. 8. 9. 10. Delivery of FastanII main backing store for the
418/III. Capacity 132MB.London Hospital 1970 11. 12. 13. 14.
- Limits to human vigilance
15. Change Matters ?? Detecting physiological trend changes 16.
Trend Detection 17. Meet IAN: The Intelligent Anesthesia Navigator
18. Trend Detection
- Patient-adapted change detection
19. Trend Detection 20. iAssist in the OR 21. Vibrotactile
Display 22. Vibrotactile Display 23. 24. Vibrotactile Display 25.
26. Automation 27. 28. Modern Anesthesia 29. The Anesthesia Process
30. Closed-Loop Control of Intravenous Anesthesia 31. Control of
Neuromuscular Blockade 32. Monitoring of Cortical Activity 33. 34.
35. Clinical Tests 36. Monitoring of Nociception
- SPI based on heart rate and plethysmograph
- Heart rate variability (HF/LF)
- Respiratory sinus arrhythmia (RSA)
37. Portable Anesthesia Control System 38. 39. Global Health 40.
The mHealth Revolution 41. The Phone Oximeter 42. iPleth Block
Diagram Nonin Xpod interface Sensor smartphone RR extraction
Decision Support Engine OpenGL Engine User Input Interface Pleth RR
SpO2+HR 43. Global Applications
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- Thirty-four anesthesia nurses
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- One closed-circuit anesthesia machine
44. 45. The lung is a WINDOW to the body 46. Infant Pneumonia
(ALRI)
- Two million deaths a year
47. Why do they die?
48. Infant Pneumonia
49. Neonatal Infection
50. SpO 2will change the world!
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- Early diagnosis (screening)
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- Lay health worker diagnosis
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- Follow response to antibiotics
51. 52. Technology for Healthy Living
