caa a22 4500 475748751 CHVBK 20180406123521.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1023/A:1005535224082 doi (NATIONALLICENCE)springer-10.1023/A:1005535224082 Development of a Decision Support System to Assist Anesthesiologists in Operating Room [Elektronische Daten] [Marina Krol, David Reich] The complexity of modern anesthesia procedures requires the development of decision-support systems functioning in a smart-alarm capacity. We developed computer algorithms to detect critical conditions during surgery (light anesthesia or unstable blood pressure), based on computerized anesthesia records containing hemodynamic data (heart rate, mean arterial pressure and systolic arterial pressure). Our analysis indicated that a ≥12% change in mean arterial blood pressure (MAP), compared with the median value of MAP over the preceding 10-min interval, may be chosen as the criterion for detecting LA, with a sensitivity of 96% and a specificity of 91%. The best agreement between human and computer ratings of blood pressure lability (correlation coefficient 0.78) was achieved when we used the absolute value of the fractional change of the mean arterial pressure (|FCM|) between one 2-min epoch and the next 2-min epoch. Work is under progress to develop a decision-support system to alert clinicians in the operating room environment to critical events. Plenum Publishing Corporation, 2000 modern anesthesia nationallicence smart-alarm capacity nationallicence computer algorithms nationallicence Krol Marina Department of Anesthesiology, The Mount Sinai-School of Medicine, One Gustave L. Levy Place, Box 1010, 10029, New York, New York aut Reich David Department of Anesthesiology, The Mount Sinai-School of Medicine, One Gustave L. Levy Place, Box 1010, 10029, New York, New York aut Journal of Medical Systems Kluwer Academic Publishers-Plenum Publishers 24/3(2000-06-01), 141-146 0148-5598 24:3<141 2000 24 10916 https://doi.org/10.1023/A:1005535224082 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1005535224082 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Krol Marina Department of Anesthesiology, The Mount Sinai-School of Medicine, One Gustave L. Levy Place, Box 1010, 10029, New York, New York aut NATIONALLICENCE 700 1- Reich David Department of Anesthesiology, The Mount Sinai-School of Medicine, One Gustave L. Levy Place, Box 1010, 10029, New York, New York aut NATIONALLICENCE 773 0- Journal of Medical Systems Kluwer Academic Publishers-Plenum Publishers 24/3(2000-06-01), 141-146 0148-5598 24:3<141 2000 24 10916 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer