世界上首例远程麻醉系统成功开发 - 新青年麻醉论坛

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2010-9-12 08:43 上传

　　意大利Pisa 大学和McGill 大学的Hemmerling 医师团队开发出了世界上首例远程麻醉系统，并在8月30日那天实施了世界上第一次远程麻醉手术，患者在千里之外被Hemmerling 医生来一次甲状腺手术。
　　他们称这个技术为Teleanesthesia ，它需要一系列专业人员并通过远程自动化系统进行控制。整套系统包括N个摄像（用于监视病人各方面的情况）以及一个 remote computer station（也就是实施远程麻醉的基站）。
# 未来的远程手术，就像是NDSi 上的医生游戏。
　　这是视讯医疗的一项新突破，Hemmerling 希望将此方法用于患者术前检测与评估（虽然可以远程麻醉，但除非特殊情况，一般并不会远程手术），通过远程看病消除患者手术前的压力。
当然，也可以用于偏远地区紧急手术。
World's first transcontinental anesthesia

September 10, 2010 (video-real stream )

　　Videoconferences may be known for putting people to sleep, but never like this. Dr. Thomas Hemmerling and his team of McGill's Department of Anesthesia achieved a world first on August 30, 2010, when they treated patients undergoing thyroid gland surgery in Italy remotely from Montreal. The approach is part of new technological advancements, known as 'Teleanesthesia', and it involves a team of engineers, researchers and anesthesiologists who will ultimately apply the drugs intravenously which are then controlled remotely through an automated system.

　　This achievement is a product of an on-going scientific collaboration between Dr. Hemmerling's team and the Italian team of Dr. Zaouter of the Department of Anesthesia of Pisa University (Chairman Prof. Giunta).

　　"The practice has obvious applications in countries with a significant number of people living in remote areas, like Canada, where specialists may not be available on site," Hemmerling said. "It could also be used for teaching purposes, allowing the resident to perform tasks without the physical presence of a tutor, thus increasing his or her confidence level."

　　Four strategically placed video cameras monitored every aspect of patient care in Pisa, Italy, in real time. Ventilation parameters (such as the patient's breathing rate), vital signs (ECG, heart rate, oxygen saturation) and live images of the surgery are monitored by each camera, with the fourth used for special purposes. A remote computer station ('anesthesia cockpit') is required, as is a workstation that handles the audio-video link between the two centres. "Obviously, local anesthesiologists can override the process at any time," Hemmerling explained. Prior to the operation, an assessment of the patient's airway and medical history is also performed via video-conferencing.

　　The researchers are also looking at the possibility of preoperative assessment of patients at home. It used to be that invasive blood tests or other tests were required in preparation for many surgeries, but that's no longer the case. Many patients take very long journeys and often wait hours to see an anesthesiologist who will ask them specific questions, but video-conferencing could eliminate these logistical problems and probably reduce the preoperative stress of the patients coming into the hospital before surgery. "The next steps will be to confirm the results of this pilot experience with further studies," Hemmerling said.

Provided by McGill University

http://www.medicaldaily.com/news/20100910/1865/worlds-first-transcontinental-anesthesia.htm

作者: tyh111888 时间: 2010-9-12 10:19
几年前的设想，老外又抢在我们前面了------

http://www.xqnmz.com/thread-9727-1-1.html

作者: haojinle0503 时间: 2010-9-12 20:45
以后麻醉医生就可以改行干别的了

作者: xyz-cn99 时间: 2010-9-19 14:18