Ubc brockhouse gala final


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Ubc brockhouse gala final

  1. 1. 18-May-11When Medicine meets Engineering Bertram Neville Brockhouse Improving safety in the operating room and beyond 1918 – 2003 Guy Dumont 1994 Nobel Prize in and Physics Mark Ansermino Departments of Electrical and Computer Engineering and Anesthesiology, Pharmacology & Therapeutics, NSERC Prize for Interdisciplinary Research in Science and Engineering The University of British Columbia, Vancouver, Canada. Thank You Chronology • NSERC for awarding us the 2010 • 1999: Initial contacts Brockhouse Canada Prize • 2000: Work in sensing and control starts • NSERC and CIHR for supporting our work • 2002: Peter Wall Institute of Advanced over the years Studies Exploratory Workshop on • UBC FFaculties of A li d S i l i f Applied Science and of d f Automation and Robotics in the OR Medicine • 2002: GD-MA collaboration starts • Departments of Electrical & Computer • 2003: Founding of ECEM Engineering and of Anesthesiology, Pharmacology & Therapeutics Funding via NSERC/CIHR CHRP Grants • 2003-05: Online monitoring of physiological parameters • 2005-07:Tactile display of physiological monitoring • 2008 10 Cl 2008-10: Closed-loop control of anesthesia d l l f h i • 2011-13:The phone oximeter 1
  2. 2. 18-May-11Delivery of FastanII main backing store for the 418/III. Capacity 132MB. London Hospital 1970 2
  3. 3. 18-May-11 • Information overdose • Limits to human vigilance • Complexity Trend DetectionChange Matters ??Detecting physiological trend changesMeet IAN: The Intelligent Anesthesia Navigator Trend Detection Patient-adapted change detection 3
  4. 4. 18-May-11 Trend Detection iAssist in the ORVibrotactile Display Vibrotactile Display Vibrotactile Display 4
  5. 5. 18-May-11 Automation Modern Anesthesia Closed-Loop Control of IntravenousThe Anesthesia Process Anesthesia 5
  6. 6. 18-May-11Control of Neuromuscular Blockade Monitoring of Cortical Activity Clinical Tests Monitoring of Nociception • Pupillometry • SPI based on heart rate and plethysmograph • Heart rate variability (HF/LF) • Respiratory sinus arrhythmia (RSA) 6
  7. 7. 18-May-11Portable Anesthesia Control System Global Health The mHealth Revolution The Phone Oximeter iPleth Block Diagram Pleth Nonin RR extraction Sensor Xpod  interface SpO2+HR RR Decision  OpenGL Support Engine Engine User Input Interface smartphone 7
  8. 8. 18-May-11 Global Applications• In Burundi (pop 8M): • Two anesthesiologists • Thirty-four anesthesia nurses • One closed-circuit anesthesia machineThe lung is a WINDOW to the body Infant Pneumonia (ALRI) Two million deaths a year Why do they die? Infant PneumoniaNo TreatmentInappropriate treatmentInadequate treatment Simple Treatments! 8
  9. 9. 18-May-11Neonatal Infection SpO2 will change the world! Impact Early diagnosis (screening) Lay health worker diagnosis Follow response to antibiotics Reduced antibiotic use Early referral Manage oxygen therapyOne million a year die Technology for Healthy Living 9