Anesthesiology Point of Care project.
Journal - Studies in health technology and informatics (Netherlands )
We are developing a dynamic prototype visual communication system for the operating room environs. This has classically been viewed as an isolated and impenetrable workplace. All medical experiences and all teaching remain in a one to one closed loop with no recall or subsequent sharing for the training and education of other colleagues. The "Anesthesia Point of Care" (APOC) concept embraces the sharing of, recording of, and presentation of various physiological and pharmacological events so that real time memory can be shared at a later time for the edification of other colleagues who were not present at the time of the primary learning event. In addition it also provides a remarkably rapid tool for fellow faculty to respond to obvious stress and crisis events that can be broadcast instantly at the time of happening. Finally, it also serves as an efficient and effective means of paging and general communication throughout the daily routines among various healthcare providers in anesthesiology who work as a team unit; these include the staff, residents, CRNAs, physician assistants, and technicians. This system offers a unique opportunity to eventually develop future advanced ideas that can include training exercises, presurgical evaluations, surgical scheduling and improvements in efficiency based upon earlier than expected case completion or conversely later than expected case completion and even as a unique window to development of improved billing itemization and coordination.
|ISSN : ||0926-9630|
|Mesh Heading : ||Academic Medical Centers Anesthesiology California Computer Communication Networks Humans|
|Mesh Heading Relevant : ||Computers, Handheld Operating Room Information Systems Point-of-Care Systems User-Computer Interface instrumentation instrumentation|
Computed tomography-guided pudendal block for treatment of pelvic pain due to pudendal neuropathy.
Journal - Obstetrics and gynecology (UNITED STATES )
BACKGROUND: Severe pelvic pain secondary to pudendal neuropathy can be treated with repeated local anesthetic nerve blocks or with surgical decompression of the nerve. Computed tomographic (CT) needle guidance to identified reliable anatomic points might be useful for improved success rates. TECHNIQUE: A CT scan is used to determine baseline anatomy and identify the sacrospinous process. A metallic marker is used to create a perpendicular pathway from the sacrospinous process upward to the skin surface, where a local anesthetic is injected. A 22-gauge, 5-inch needle is inserted downward in a perpendicular direction to the target. Deep penetration and direction are confirmed by serial CT scans. Medication is injected and the needle is removed. EXPERIENCE: Twenty-six women with diagnoses of pudendal neuropathy were treated with injection therapy once per month, for five total treatments each. About three-quarters experienced improvement. There were no complications in this series. Outcomes were gratifying considering the complex patient population, all having failed multiple therapeutic trials. CONCLUSION: We believe this technique warrants further evaluation and application in instances where noninvasive therapy of pudendal neuropathy is indicated.
|ISSN : ||0029-7844|
|Mesh Heading : ||Female Humans Injections, Spinal Nerve Block Pain Measurement Pelvic Pain Peripheral Nervous System Diseases Questionnaires Treatment Outcome etiology radiography methods|
|Mesh Heading Relevant : ||Tomography, X-Ray Computed methods therapy complications|
Computer driven needle probe enables therapy for painful neuropathies.
Journal - Studies in health technology and informatics (NETHERLANDS )
Recent integration of spatial localization equipment with imaging systems presents more precise methods for the delivery of deep body nerve blocks. This technology builds on the already accepted use of CT as a guide for many currently used nerve blocks by delivering improved control, precision, and visualization of needle placement. This paper discusses the improvements and possibilities this technology brings to the treatment of neuropathies.
|ISSN : ||0926-9630|
|Mesh Heading : ||Biopsy, Needle Humans Image Processing, Computer-Assisted Nerve Block Neuralgia Tomography, X-Ray Computed instrumentation drug therapy pathology|
|Mesh Heading Relevant : ||User-Computer Interface instrumentation instrumentation instrumentation|