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Cutting The Fat

Reply from: ironjustice
Date: 02 May 2008, 20:10
Cutting The Fat

This should get rid of some doctors.
------------------------
Researchers Develop Completely Automated Anesthesia System: A World
First
Article Date: 02 May 2008 - 2:00 PDT

Researchers at McGill University and the McGill University Health
Centre (MUHC) have performed the world's first totally automated
administration of an anesthetic. Nicknamed "McSleepy," the new system
developed by the researchers administers drugs for general anesthesia
and monitors their separate effects completely automatically, with no
manual intervention.

"We have been working on closed-loop systems, where drugs are
administered, their effects continuously monitored, and the doses are
adjusted accordingly, for the last 5 years," said Dr. Thomas M.
Hemmerling of McGill's Department of Anesthesia and the Montreal
General Hospital, who heads ITAG (Intelligent Technology in Anesthesia
research group), a team of anesthesiologists, biomedical scientists
and engineers. "Think of "McSleepy" as a sort of humanoid
anesthesiologist that thinks like an anesthesiologist, analyses
biological information and constantly adapts its own behavior, even
recognizing monitoring malfunction."

The anesthetic technique was used on a patient who underwent a partial
nephrectomy, a procedure that removes a kidney tumor while leaving the
non-cancerous part of the kidney intact, over a period of 3 hours and
30 minutes. To manipulate the various components of general
anesthesia, the automated system measures three separate parameters
displayed on a new Integrated monitor of anesthesia (IMATM): depth of
hypnosis via EEG analysis, pain via a new pain score, called
AnalgoscoreTM, and muscle relaxation via phonomyographyTM, all
developed by ITAG. The system then administers the appropriate drugs
using conventional infusion pumps, controlled by a laptop computer on
which "McSleepy" is installed. Using these three separate parameters
and complex algorithms, the automated system calculates faster and
more precisely than a human can the appropriate drug doses for any
given moment of anesthesia. "McSleepy" assists the anesthesiologist in
the same way an automatic transmission assists people when driving. As
such, anesthesiologists can focus more on other aspects of direct
patient care. An additional feature is that the system can communicate
with personal digital assistants (PDAs), making distant monitoring and
anesthetic control possible. In addition, this technology can be
easily incorporated into modern medical teaching programs such as
simulation centers and web-based learning platforms.

Anesthesia care is characterized by many biological and
pharmacological parameters to monitor record and analyze. "It will
probably take two years to perfect the system," Dr. Hemmerling said.
"Many people are reluctant to rely on automated systems, especially
when they are not visible - it is not clear what they are actually
doing or how - , the fear of a 'black box' which suddenly takes over".
In designing "McSleepy", we put in considerable research on the design
of an interface which is clear, easy to read, resembles displays of
our everyday practice but still provides a detailed clinical picture
of what is going on and what has happened.

Dr. Hemmerling hopes that a commercial system might be available
within the next 5 years.

----------------------------
Article adapted by Medical News Today from original press release.
----------------------------

This release is available in French.

Source: Pascal Zamprelli
McGill University

--------------------------------------------------

Anesthesiologist
From Wikipedia, the free encyclopedia
An anesthesiologist (American English), or anaesthetist (British
English), also "anaesthesiologist," is a medical doctor trained to
administer anesthesia and manage the medical care of patients before,
during, and after surgery.


Who loves ya.
Tom


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