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Archive for month: August, 2020
EHRs: why are we waiting?
The promise of the Electronic Health Record (EHR) could only be disputed by today
Multigas monitoring: real-time breath-by-breath monitoring of inspired and expired gas concentration
Measuring real-time, in-line breath-by-breath of inspired and expired gas concentrations has become standard of care during general anaesthesia and intensive care. The increasing interest in low and minimal flow anaesthesia has further stimulated interest in multigas monitoring during anaesthesia. Today both conventional sidestream and a compact mainstream multigas monitor are available which provide inspired and expired, end-tidal, oxygen, carbon dioxide and anaesthetic gas concentrations.
by Prof. Jan Jakobsson
Vital function
Adequate ventilation, proper oxygenation and eliminating carbon dioxide are fundamental elements to ensure vital functioning. Oxygen saturation assessed by pulse oximetry, SpO2, has become one of the vital signs along with heart rate, blood pressure, respiratory rate and body temperature. Monitoring end-tidal carbon dioxide is a similar non-invasive simple way to gain real time information about ventilation. The end-tidal carbon dioxide reflects the arterial CO2 tension, which in patients without profound lung pathology, is an accepted way to follow and adjust ventilation, for instance during anaesthesia. End-tidal carbon dioxide concentrations are measured directly at a patient
Scientific literature review : anaesthesiology
The number of peer-reviewed papers covering the field of anaesthesiology is huge, to such an extent that it is frequently difficult for healthcare professionals to keep up with the literature. As a special service to our readers, International Hospital presents a few key literature abstracts from the clinical and scientific literature chosen by our editorial board as being particularly worthy of attention.
Regional anaesthesia with sedation protocol to safely debride sacral pressure ulcers
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Consolidation in PACS: explicit strategy by hospital and IT managers
Picture Archiving and Communication Systems (PACS) must lose its status as a dedicated application that is primarily controlled by the radiology department. PACS projects will increasingly require a strategic vision by IT and hospital management. This article focuses on ‘consolidation’ both in the technological infrastructure and at application level.
by Erwin Bellon, Jan Demey, Tom Deprez, Willem Van Damme, Michel Feron, Reinoud Reynders and Bart Van den Bosch
About a decade ago, digitally acquired images on workstations replaced light boxes with diagnostic film mounted on them. These impressive workstations are merely the visible part of the PACS which has to manage, present and distribute billions of images. Due to its special technological requirements, a PACS was often viewed as a separate system for radiology, on dedicated servers with dedicated storage, maybe even managed by the radiology department. With today