Concept and development of a telemedical supervision system for anesthesiology in operating rooms using the interoperable communication standard ISO/IEEE 11073 SDC.

Abstract

Discussion of a telemedical supervision system for anesthesiology in the operating room using the interoperable communication protocol SDC. Validation of a first conceptual demonstrator and highlight of strengths and weaknesses. The system includes relevant medical devices, a central anesthesia workstation (AN-WS), and a remote supervision workstation (SV-WS) and the concept uses the interoperability standard ISO/IEEE 11073 SDC. The validation method involves a human patient simulator, and the system is tested in an intervention study with 16 resident anesthetists supervised by a senior anesthetist. This study presents a novel tele-supervision system that enables remote patient monitoring and communication between anesthesia providers and supervisors. It is composed of connected medical devices via SDC, a central AN-WS and a mobile remote SV-WS. The system is designed to handle multiple ORs and route the data to a single SV-WS. It enables audio/video connections and text chatting between the workstations and offers the supervisor to switch between cameras in the OR. Through a validation study the feasibility and usefulness of the system was assessed. Validation results highlighted, that such system might not replace physically present supervisors but is able to provide supervision for scenarios where supervision is currently not available or only under adverse circumstances.