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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
    • 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
    • 1999: Initial contacts
    • 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
    • 2003: Founding of ECEM
  • 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.
    • Information overdose
    • Limits to human vigilance
    • Complexity
  • 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
    • Pupillometry
    • 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
    • In Burundi (pop 8M):
      • Two anesthesiologists
      • Thirty-four anesthesia nurses
      • 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?
    • No Treatment
    • Inappropriate treatment
    • Inadequate treatment
  • 48. Infant Pneumonia
    • Simple Treatments!
  • 49. Neonatal Infection
    • One million a year die
  • 50. SpO 2 will change the world!
    • Impact
      • Early diagnosis (screening)
      • Lay health worker diagnosis
      • Follow response to antibiotics
      • Reduced antibiotic use
      • Early referral
      • Manage oxygen therapy
  • 51.  
  • 52. Technology for Healthy Living