麻醉模拟软件推荐：BIS Titration SimulatOR Experience - 新青年麻醉论坛

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2011-9-16 10:15 上传

　　一个非常专业的ＢＩＳ监测体验模拟器，适合初学的麻醉医生熟悉理解该监测仪器。
About The BIS Titration SimulatOR Experience:
The BIS Titration SimulatOR was developed as a creative learning exercise for anesthesia professionals to explore BIS-guided anesthesia titration during an animated simulation of surgery procedure. The simulator assumes that the user has basic knowledge regarding BIS monitoring.
For each patient, the user has the option of conducting the simulated anesthetic using either a volatile gas, TIVA, or TIVA-TCI technique. Regardless of technique, for a given scenario the user manages induction, intubation, ventilation, and fluids in addition to drug selection and titration. In conditions of inadequate anesthesia, analgesia, or muscle relaxant effect, surgical stimulation and pain thresholds determine patient somatic response and/or surgeon comments.
The data presented in the patient scenarios were derived from computer model simulations that were guided by published literature. For each scenario option, patient simulation software (“Body Simulation for Anesthesia” (BODY)) was used to create data for displaying numeric values and trends on the OR monitors (i.e., cardiovascular and other physiological parameters.) In addition, BODY calculated predicted volatile agent concentrations and predicted blood concentrations of intravenous agents, as well as the pharmacodynamic effects and interactions among the anesthetic agents on the cardiovascular, respiratory, and neuroendocrine systems in the simulated patient. Of note, BODY incorporates patient age, weight and co-morbidity in the modeled response
Anesthetic effect was calculated by estimating both net analgesic level and net hypnotic level, from drug interaction models, and Aspect’s extensive clinical database. Mean BIS values were calculated from the net hypnotic level. The time variation of BIS trends stems was modulated by the predicted analgesic level. Intensity of noxious stimulation (e.g., laryngoscopy, skin incision, abdominal surgery) was estimated using the relative anesthetic requirement to prevent movement response to each stimulation. The rise in BIS, EMG and cardiovascular parameters with intraoperative stimulation was modeled from published studies and Aspect’s clinical database. The train-of-four response was estimated from the predicted concentrations of muscle relaxant. The simulated response to “perceived” stimulation (i.e., pain) from intraoperative events was created by infusing epinephrine to achieve a hemodynamic response as guided by the literature. The train-of-four level was estimated from the predicted concentrations of muscle relaxant[. Patient recovery times from cessation of volatile agent were extrapolated from published studies on recovery from BIS guided anesthesia careTCI pharmacokinetics of remifentanil are based on the Minto model while the Schneider model is used for propofol infusion[.
The integrated simulation environment (vaporizers, syringes, infusion devices, simulated patient monitors) as well as animations used in the simulator were created by Moberg Multimedia.

　　软件下载地址和使用手册见附件内容。

275 Bytes, 下载次数: 362

作者: alisee 时间: 2011-9-16 12:55
看起来不错，可惜英文看不懂！

作者: mccoy619 时间: 2011-9-16 21:22
其实每位患者对于不同的剂量的BIS反应是不同的，只是用来对于学生的讲解还是不错的。

作者: mazuishi1818 时间: 2011-9-16 22:17
软件下载后解压不了，好像是文件损坏了。

作者: yddxld 时间: 2011-9-18 22:55
晕，全英文。。。

作者: hkkxd 时间: 2011-9-20 22:23
太贵了!!买不起啊这张

作者: 仁心 时间: 2011-9-21 15:28
很遗憾不懂英文，有没有中文破解版的啊？！

作者: frog_0612 时间: 2011-9-22 20:09
我了个去
真的假的
这个也能模拟？？？

作者: gabriella1002 时间: 2011-9-25 11:02
全是英文的，好！顺便督促自己学习一下英语~~我要好好学习学习这个用法

作者: realzl 时间: 2011-10-8 18:57
太贵了!!买不起啊这张

作者: gaoduan08 时间: 2011-11-6 11:57
好贵啦，没钱买。。。

作者: lovelychobits 时间: 2011-11-20 23:04
請教下課件中選擇TIVA麻醉 propofol和remifentanil中的剂量缩写 Cp: ug/ml Ce: ug/ml 是什麽意思

作者: freedomi 时间: 2013-3-20 00:31
惨了，下了打不开！

作者: 564608627 时间: 2013-4-22 20:32
怎么下载啊，我没有金币

作者: 564608627 时间: 2013-4-22 20:33
有谁传一个给我，我的QQ邮箱：[email protected]，谢谢

作者: 陈远辉 时间: 2013-9-17 13:15
下载了，怎打不开么

作者: 方丈爱飘柔 时间: 2013-9-19 21:24
我这种学渣对全英文的东西实在没有折啊

作者: huaiyi2012 时间: 2013-10-5 20:04
是不是中文破解版的啊？！如果要注册，等于没用

作者: wb2013 时间: 2013-11-26 19:29
回复 1# xyz-cn99

多好的软件啊。可惜我的级别太低。。。。。。。。。

作者: 只走伊步 时间: 2014-4-29 20:54
太忽悠人了，退钱

作者: 小v 时间: 2014-6-5 22:17
不能下载了~~我想把它推荐给科室年轻麻醉医生们！如果能行的话，麻烦留言我！谢谢了

作者: sujingkang 时间: 2014-6-14 17:23
喂什么打不开就弹出这样的窗口