RESUMO
Remote collaboration for anesthesia requires considerable sharing of physiologic data, audio, and images on a consistent data platform. A low-bandwidth connection between Ecuador and the United States supported effective joint management of operative plan, airway, intraoperative decisions, and recovery. Transmission with a 64-Kbps InMarSat satellite telephone (Thrane & Thrane, Denmark) connection from hospitals in Macas and Sucúa, Ecuador, to Richmond, Virginia, included preoperative patient evaluations, video of endotracheal intubations, electrocardiogram waveforms, pulse oximetry measurements, arterial blood pressure readings, capnography readings, and auscultation of breath sounds.
Assuntos
Anestesia/métodos , Internet , Monitorização Intraoperatória/métodos , Comunicações Via Satélite , Telemedicina/métodos , Equador , Eletrocardiografia/instrumentação , Eletrocardiografia/métodos , Humanos , Internet/instrumentação , Monitorização Intraoperatória/instrumentação , Comunicações Via Satélite/instrumentação , Telemedicina/instrumentação , Estados Unidos , Gravação em Vídeo/instrumentação , Gravação em Vídeo/métodosRESUMO
UNLABELLED: We report a case supporting the use of telecommunications technology from a remote location to monitor anesthetic events. Vital signs, data, and video were transmitted from surgery conducted in the remote Amazonian rainforests of Ecuador to Richmond, VA. This application of telemedicine technologies makes available expert advice from remote locations during surgical procedures. IMPLICATIONS: This study validates the use of telecommunications technology from a remote location to monitor an anesthetic event. This type of work makes expert advice available during surgical procedures.