The anesthesia clinical information system is centered on serving the development of perioperative clinical business work and provides a process-based, information-based, automated, and intelligent comprehensive clinical business management platform for medical staff, business managers, and hospital-level leaders.
The data processed by the anesthesia information system includes the patient's surgical information, anesthesia information, data collected from the monitor during the patient's surgery, and the patient's condition.
1. What is full anesthesia and what is “semi-anesthesia”?
Anesthesia is divided into general anesthesia and regional anesthesia (i.e. semi-anesthesia) according to its impact on the whole body.
General anesthesia refers to an anesthesia method in which the patient loses consciousness, has no pain throughout the body, and temporarily and reversibly loses memory when using intravenous or inhaled general anesthesia. Assisted tracheal intubation, ventilator-assisted ventilation and other operations are often required. Generally safe and comfortable. Suitable for most surgeries.
Regional anesthesia includes neuraxial anesthesia, nerve block anesthesia and local anesthesia. The most commonly used neuraxial anesthesia is also commonly known as "semi-anesthesia". "Semi-anesthesia" requires puncture in the spinal space on the patient's back. As long as the patient can cooperate with the puncture position and assist with local anesthesia, the patient will generally not feel pain or much discomfort. However, patients may remain awake during semi-anesthesia. The surgeon's operations and the sound of machinery in the operating room often make patients feel fearful and uncomfortable. Anesthesiologists can assist patients with sedatives to help them sleep quietly according to their condition and surgical needs, so most patients can feel safe and comfortable. "Semi-anesthesia" is suitable for most lower limb and lower abdominal surgeries. However, there are also some cases where "semi-anesthesia" cannot be used, such as when the patient's coagulation function is abnormal; when the patient cannot coordinate the posture, etc.
2. Peripheral connection equipment (anesthesia machine, monitor)
The anesthesia information system client can access monitoring equipment such as monitors, anesthesia machines, ventilators, and infusion pumps. A variety of vital sign parameters can be collected, including heart rate, respiration, blood oxygen, pulse, ETCO2, central venous pressure, etc. The anesthesiologist can set the interval for automatic data collection based on the patient's condition during the perianaesthesia period (that is, how often the system automatically collects and saves data). The anesthesiologist conducts a preoperative visit one day or a period of time before the operation, and checks the patient's medical records, examinations, test results, medical images, doctor's orders and other information through the HIS system and the PACS system to determine whether the operation can be performed and to select the best anesthesia method and position. And pay attention to relevant matters, etc. The patient who needs surgery is transferred into the operation. During the operation, the anesthesiologist records the operation information, anesthesia records (including physical signs, events, etc.), anesthesia summary, and prints an anesthesia record sheet.
3. The significance of anesthesia information system
1 Serving anesthesiologists The anesthesia information system reduces the pressure on anesthesiologists to record the anesthesia process and write medical documents, allowing anesthesiologists to conveniently query patient-related information before surgery and formulate a more scientific anesthesia plan. Since most of the data is collected automatically and continuously, the anesthesiologist can concentrate on the patient's anesthesia operation itself during the operation. The superiority of the anesthesia information system is further highlighted during intraoperative emergencies. The system's automatic collection of patient vital information can not only more objectively record the changes in the condition at that time, but also prevent the anesthesiologist from missing some important information due to being busy recording; it also saves money. Time allows the anesthetist to more fully analyze and judge the condition, and also avoids errors when the doctor writes down the record after the matter is handled. Significantly reduce the labor intensity of anesthesiologists, improve work efficiency, and improve the accuracy and objectivity of anesthesia management. It can also help anesthesiologists conduct a more scientific evaluation of anesthesia after surgery, which is helpful for summarizing anesthesia experience.
2. The anesthesia information system for clinical nursing staff realizes computer management of the reception of surgical applications, surgical anesthesia arrangements, surgical anesthesia pricing, surgical anesthesia statistics, anesthesia reports/summaries and other services, freeing staff from arduous manual records and cumbersome manual statistics. free from it.
3 Serving scientific research management The anesthesia information system supports statistical queries of various clinical information, such as surgical queries, medication statistics, anesthesia method statistics, etc. At the same time, various documents and reports can be generated, such as statistics on the number of surgical cases, workload statistics, anesthesia quality statistics, etc., which greatly facilitates department management.
4 To provide economic management services, the cost information incurred by patients for surgical anesthesia can be directly generated through the anesthesia record sheet. At the same time, additional fees can also be entered. All costs are automatically calculated and generated in the anesthesiology department, thereby improving the real-time and accuracy of surgical anesthesia pricing. This avoids missed payments and arrears and facilitates cost accounting for hospitals.
4. Development language
Development language: PHP
Technical architecture: mysql+laravel+vue2
Development tools: oh-storm
Front-end framework: vue2 element
Backend framework: laravel
Database: mysql 8.0