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Zhang S, Li H, Jing Q, Shen W, Luo W, Dai R. Anesthesia decision analysis using a cloud-based big data platform. Eur J Med Res 2024; 29:201. [PMID: 38528564 DOI: 10.1186/s40001-024-01764-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 03/01/2024] [Indexed: 03/27/2024] Open
Abstract
Big data technologies have proliferated since the dawn of the cloud-computing era. Traditional data storage, extraction, transformation, and analysis technologies have thus become unsuitable for the large volume, diversity, high processing speed, and low value density of big data in medical strategies, which require the development of novel big data application technologies. In this regard, we investigated the most recent big data platform breakthroughs in anesthesiology and designed an anesthesia decision model based on a cloud system for storing and analyzing massive amounts of data from anesthetic records. The presented Anesthesia Decision Analysis Platform performs distributed computing on medical records via several programming tools, and provides services such as keyword search, data filtering, and basic statistics to reduce inaccurate and subjective judgments by decision-makers. Importantly, it can potentially to improve anesthetic strategy and create individualized anesthesia decisions, lowering the likelihood of perioperative complications.
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Affiliation(s)
- Shuiting Zhang
- Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
- Anesthesia Medical Research, Center Central, South University, Changsha, 410008, Hunan, China
| | - Hui Li
- Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
- Anesthesia Medical Research, Center Central, South University, Changsha, 410008, Hunan, China
| | - Qiancheng Jing
- Department of Otolaryngology Head and Neck Surgery, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South China, Changsha, 410000, Hunan, China
| | - Weiyun Shen
- Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
- Anesthesia Medical Research, Center Central, South University, Changsha, 410008, Hunan, China
| | - Wei Luo
- Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China
- Anesthesia Medical Research, Center Central, South University, Changsha, 410008, Hunan, China
| | - Ruping Dai
- Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
- Anesthesia Medical Research, Center Central, South University, Changsha, 410008, Hunan, China.
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Urdaneta F. Sedation and airway management for nonoperating-room anesthesia: next time it might be you wearing the patient gown. Minerva Anestesiol 2020; 86:485-487. [PMID: 32500986 DOI: 10.23736/s0375-9393.20.14440-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Edelman DA, Perkins EJ, Brewster DJ. Difficult airway management algorithms: a directed review. Anaesthesia 2019; 74:1175-1185. [PMID: 31328259 DOI: 10.1111/anae.14779] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/15/2019] [Indexed: 12/18/2022]
Abstract
The primary aim of this study was to identify, describe and compare the content of existing difficult airway management algorithms. Secondly, we aimed to describe the literature reporting the implementation of these algorithms. A directed search across three databases (MEDLINE, Embase and Scopus) was performed. All articles were screened for relevance to the research aims and according to pre-determined exclusion criteria. We identified 38 published airway management algorithms. Our results show that most facemask employ a four-step process as represented by a flow chart, with progression from tracheal intubation, facemask ventilation and supraglottic airway device use, to a rescue emergency surgical airway. The identified algorithms are overwhelmingly similar, yet many use differing terminology. The frequency of algorithm publication has increased recently, yet adherence and implementation outcome data remain limited. Our results highlight the lack of a single algorithm that is universally endorsed, recognised and applicable to all difficult airway management situations.
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Affiliation(s)
- D A Edelman
- Central Clinical School, Monash University, Melbourne, Vic., Australia
| | - E J Perkins
- Central Clinical School, Monash University, Melbourne, Vic., Australia
| | - D J Brewster
- Central Clinical School, Monash University, Melbourne, Vic., Australia
- Cabrini Hospital, Melbourne, Vic., Australia
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Charlesworth M, Mort M, Smith AF. An observational study of critical care physicians' assessment and decision-making practices in response to patient referrals. Anaesthesia 2016; 72:80-92. [DOI: 10.1111/anae.13667] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2016] [Indexed: 01/27/2023]
Affiliation(s)
- M. Charlesworth
- Lancaster Medical School; Lancaster University; Lancaster UK
| | - M. Mort
- Department of Sociology; Lancaster University; Lancaster UK
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