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When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
When Medicine meets Engineering
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When Medicine meets Engineering

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Improving safety in the operating room and beyond. Authors: Guy Dumont and Mark Ansermino

Improving safety in the operating room and beyond. Authors: Guy Dumont and Mark Ansermino

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  • The team. Working on updating these. I will make an engineering team too…
  • ADD example story of contribution…
  • Tell a story – sample Simon Ford…
  • Thank you by Guy
  • Introduction to importance of information in healthcare
  • Marks graduate studies in Health Informatics
  • Celebration of me leaving…
  • What I do every day. Video of monitoring in the OR
  • First presentation I gave at UBC. Introduce problem of change detection. Leads on from my Masters thesis
  • Thank you by Mark
  • Basic experiments
  • Technical aspects of tactile display
  • Closed loop slides here
  • Transcript

    • 1. When Medicine meets Engineering 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 Dumont and Mark Ansermino
    • 2. Bertram Neville Brockhouse NSERC Prize for Interdisciplinary Research in Science and Engineering 1918 – 2003 1994 Nobel Prize in Physics
    • 3. Thank You <ul><li>NSERC for awarding us the 2010 Brockhouse Canada Prize </li></ul><ul><li>NSERC and CIHR for supporting our work over the years </li></ul><ul><li>UBC Faculties of Applied Science and of Medicine </li></ul><ul><li>Departments of Electrical & Computer Engineering and of Anesthesiology, Pharmacology & Therapeutics </li></ul>
    • 4. Chronology <ul><li>1999: Initial contacts </li></ul><ul><li>2000: Work in sensing and control starts </li></ul><ul><li>2002: Peter Wall Institute of Advanced Studies Exploratory Workshop on Automation and Robotics in the OR </li></ul><ul><li>2002: GD-MA collaboration starts </li></ul><ul><li>2003: Founding of ECEM </li></ul>
    • 5. Funding via NSERC/CIHR CHRP Grants <ul><li>2003-05: Online monitoring of physiological parameters </li></ul><ul><li>2005-07:Tactile display of physiological monitoring </li></ul><ul><li>2008-10: Closed-loop control of anesthesia </li></ul><ul><li>2011-13:The phone oximeter </li></ul>
    • 6.  
    • 7.  
    • 8.  
    • 9.  
    • 10. Delivery of FastanII main backing store for the 418/III. Capacity 132MB. London Hospital 1970
    • 11.  
    • 12.  
    • 13.  
    • 14. <ul><li>Information overdose </li></ul><ul><li>Limits to human vigilance </li></ul><ul><li>Complexity </li></ul>
    • 15. Change Matters ?? Detecting physiological trend changes
    • 16. Trend Detection
    • 17. Meet IAN: The Intelligent Anesthesia Navigator
    • 18. Trend Detection <ul><li>Patient-adapted change detection </li></ul>
    • 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 <ul><li>Pupillometry </li></ul><ul><li>SPI based on heart rate and plethysmograph </li></ul><ul><li>Heart rate variability (HF/LF) </li></ul><ul><li>Respiratory sinus arrhythmia (RSA) </li></ul>
    • 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 <ul><li>In Burundi (pop 8M): </li></ul><ul><ul><li>Two anesthesiologists </li></ul></ul><ul><ul><li>Thirty-four anesthesia nurses </li></ul></ul><ul><ul><li>One closed-circuit anesthesia machine </li></ul></ul>
    • 44.  
    • 45. The lung is a WINDOW to the body
    • 46. Infant Pneumonia (ALRI) <ul><li>Two million deaths a year </li></ul>
    • 47. Why do they die? <ul><li>No Treatment </li></ul><ul><li>Inappropriate treatment </li></ul><ul><li>Inadequate treatment </li></ul>
    • 48. Infant Pneumonia <ul><li>Simple Treatments! </li></ul>
    • 49. Neonatal Infection <ul><li>One million a year die </li></ul>
    • 50. SpO 2 will change the world! <ul><li>Impact </li></ul><ul><ul><li>Early diagnosis (screening) </li></ul></ul><ul><ul><li>Lay health worker diagnosis </li></ul></ul><ul><ul><li>Follow response to antibiotics </li></ul></ul><ul><ul><li>Reduced antibiotic use </li></ul></ul><ul><ul><li>Early referral </li></ul></ul><ul><ul><li>Manage oxygen therapy </li></ul></ul>
    • 51.  
    • 52. Technology for Healthy Living

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