| Japanese |
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| Title | 患者情報管理システム導入前後における麻酔管理の変化-術中に生じた致死性不整脈への対応の比較- |
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| Subtitle | 症例 |
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| Authors | 石川岳彦*, 神田知枝*, 岡村篤**, 森本裕二*, 劔物修* |
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| Authors(kana) | |
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| Organization | *北海道大学医学部侵襲制御医学講座, **北海道大学医学部附属病院手術部 |
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| Journal | 循環制御 |
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| Volume | 20 |
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| Number | 3 |
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| Page | 299-309 |
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| Year/Month | 1999/ |
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| Article | 報告 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」最近, コンピュータを利用した自動麻酔記録装置が開発され, 実用システムとして医療機器メーカより発売されつつある. このようなシステムが従来の手書き麻酔記録に置き替わっていく際には, どのような影響を実際の麻酔診療に与えるか検討する必要がある. 北海道大学医学部附属病院において, 自動麻酔記録システムが導入される以前の術中に生じた致死性不整脈発生症例の1例と, 導入以後の同様な不整脈発生症例の1例を比較し, 担当麻酔科医の対応と処置などの差異を比較検討した. コンピュータ化される以前の麻酔記録は, 抗不整脈薬投与などの対応に追われる麻酔科医の手書き記録であり, 多忙な中での心拍数, 血圧, 投与された薬物などは記載されているが, 発症時の心電図などの情報は記録されていなかった. 自動麻酔記録導入後の術中不整脈の対応記録は周術期データベースの中に保管され, 手術部内のみならず麻酔科外来や研究室などでもコンピュータ端末から引きだすことが可能となった. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | |
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| English |
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| Title | Effects of Integrated OR Data Management System on Critical Anesthesia Management for Acute Cardiovascular Events during Surgery |
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| Subtitle | |
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| Authors | Takehiko Ishikawa*, Tomoe Kanda*, Atsushi Okamura**, Yuji Morimoto*, Osamu Kemmotsu* |
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| Authors(kana) | |
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| Organization | *Department of Anesthesiology and Intensive Care, Hokkaido University School of Medicine, **Surgical Center, Hokkaido University Hospital |
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| Journal | Circulation Control |
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| Volume | 20 |
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| Number | 3 |
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| Page | 299-309 |
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| Year/Month | 1999/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | In the last decade, many computer-based monitoring systems have been introduced into clinical anesthesia practice. Advantages and/or disadvantages of the expensive machines in clinical settings should be considered in terms of cost effectiveness. Educational contributions to the current training program in the university hospital is another key when we analyze 'effectiveness'. We have compared two cases who had cardiac event during anesthesia to evalutate the difference between each monitoring and anesthesia care; one was happened before the automated anesthesia record keeping system was introduced to the Hokkaido Uniiversity Hospital, in 1988, another was after the computerbased system, Hokudai Operative Data Management System (HODMS), was established in 1997. The first case was a 70-year-old male, diagnosed pancreatic tumor and scheduled for pancreaticoduodenectomy. During the operative procedures, his ECG suddenly showed wide QRS, severe bradycardia followed by ventricular fibrillation. |
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| Practice | Basic medicine |
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| Keywords | Integrated OR data management system, Cardiac events, Residant education |
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