Journal of Medical Systems

, Volume 24, Issue 3, pp 141–146

Development of a Decision Support System to Assist Anesthesiologists in Operating Room

  • Marina Krol
  • David L. Reich

DOI: 10.1023/A:1005535224082

Cite this article as:
Krol, M. & Reich, D.L. Journal of Medical Systems (2000) 24: 141. doi:10.1023/A:1005535224082


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.

modern anesthesia smart-alarm capacity computer algorithms 

Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Marina Krol
    • 1
  • David L. Reich
    • 1
  1. 1.Department of AnesthesiologyThe Mount Sinai-School of MedicineNew York

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