For automated record keeping of syringe pump operations with the intravenous anesthetic to anesthesia information management system (AIMS), we investigated its five needs for users from ergonomic view point. Those five needs include (1) automatic bolus recognition, (2) automatic tracking of the dosage units or configuration changes, (3) un-anticipated communication hardware trouble (ex. communication cable removal, etc.), (4) wireless connection, (5) automatic billing calculation for drug. Each was subjected to precisions evaluation or surveys verification. For (1), maximum error of bolus regardless of the various conditions for Remifentanil is ± 10μg, not malfunction in (2) (3), wireless connection (4) is desirable among users in the surveys verification, For (5), billing of Propofol, it was found to result in a high concordance rate of payout ratio 0.999, introduced by pharmacodynamics algorithm, if it is installed on the AIMS. We conclude that usability of the automatic recording comparable to inhalation anesthesia has been found possible to intravenous anesthesia with ergonomic considerations of five user needs.
The author developed the computer guide software for neonatal resuscitation programed by 4th Dimension® script. The program having an intuitive interface can be operated by a touch-screen device and guides the attendants to take the appropriate procedures based on 2015 NCPR (neonatal cardiopulmonary resuscitation) guideline and automatically records the main events and times in a course of resuscitation. Additionally, it provides an illustration of resuscitation flow as the algorism and a summary of involuntarily unattained procedures for later debriefing and improvement of the resuscitation. It also supports some useful utilities of the early skin-to-skin contact intervention with their mothers for healthy newborn infants without any requirement of its resuscitation guidance. The software seems to have the possibility to be introduced to the general clinical use as one of the delivery room equipment and might decrease the neonatal death from birth asphyxia with prevalence of the practical resuscitation skills training.
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