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A pilot study of tele-anaesthesia by virtual private network between an island hospital and a mainland hospital in Japan


, : A pilot study of tele-anaesthesia by virtual private network between an island hospital and a mainland hospital in Japan. Journal of Telemedicine and Telecare 21(2): 73-79

We studied the use of tele-anaesthesia between Sado General Hospital (SGH) located on Sado Island and Yokohama City University Hospital (YCUH) located in mainland Japan. The two sites were connected via a virtual private network (VPN). We investigated the relationship between the bandwidth of the VPN and both the frame rate and the delay time of the tele-anaesthesia monitoring system. The tool used for communication between the two hospitals was free videoconferencing software (FaceTime), which can be used over Wi-Fi connections. We also investigated the accuracy of the commands given during teleanaesthesia: any commands from the anaesthetist at the YCUH that were not carried out for any reason, were recorded in the anaesthetic records at the SGH. The original frame rate and data rate at the SGH were 5 fps and approximately 18 Mbit/s, respectively. The frame rate at the transmission speeds of 1, 5 and 20 Mbit/s was 0.6, 1.6 and 5.0 fps, respectively. The corresponding delay time was 12.2, 4.9 and 0.7 s. Twenty-five adult patients were enrolled in the study and tele-anaesthesia was performed. The total duration of anaesthesia was 37 hours. All 888 anaesthetic commands were completed. There were 7 FaceTime disconnections, which lasted for 10 min altogether. Because no commands needed to be given during the FaceTime disconnection, the telephone was not used. The anaesthesia assistance system might form part of the solution to medical resource shortages.

US$19.90

PMID: 25488187

DOI: 10.1177/1357633X14562735


Other references

Szucs, E.; Molnar, I.; Keresztes, M., 1973: Methods in metabolism studies on calves. 2. Results of studies on nitrogen metabolism. 2. With the traditional method and from daily N balances the results for the 4 groups of 3 Hungarian Pied calves described above, aged from 45 to 54, 58 to 67, 73 to 82 and from 91 to 100 days, were tabulated for experimental periods of 10, 8 and...

Lancellotti, D.; Glowa, J.R.; Bayer, B.M.; Houghtling, R.A.; Riley, A.L., 2000: Morphine-induced conditioned taste aversions in LEW/N and F344/N rat strains. Drug & Alcohol Dependence 60(Suppl 1): S120, 1 December

Desmet, A-Sofie.; Cirillo, C.; Tack, J.; Vandenberghe, W.; Vanden Berghe, P., 2017: Live calcium and mitochondrial imaging in the enteric nervous system of Parkinson patients and controls. Parkinson's disease (PD) is a neurodegenerative disease with motor and non-motor symptoms, including constipation. Therefore, several studies have investigated the gastrointestinal tract, and more specifically the enteric nervous system (ENS)...

Steinke, J.; Symons, N.; Watson, A.; Cuming, T., 2014: Migrated colonic stent removal from the rectum at examination under anaesthesia. Annals of the Royal College of Surgeons of England 96(7): 553-554

Horng, S.; Goss, F.R.; Chen, R.S.; Nathanson, L.A., 2012: Prospective pilot study of a tablet computer in an Emergency Department. The recent availability of low-cost tablet computers can facilitate bedside information retrieval by clinicians. To evaluate the effect of physician tablet use in the Emergency Department. Prospective cohort study comparing physician workstation u...

Cole J.O., 1975: Drug treatments of depressive illnesses a view of the future. Fielding, Stuart And Harbans Lal (Ed ) Industrial Pharmacology, Vol 2 Antidepressants Xxxii+378p Illus Futura Publishing Company: Mount Kisco, N Y , U S A Isbn 0-87993-061-6 361-364

Coblentz, A.; Fossier, E.; Ignazi, G.; Mollard, R., 1988: Habitability design of European spacecraft Hermes--ergonomic aspects. First results of a 3-D human body model conception adapted to C.A.D. studies is presented. This parametric model incorporating specific constraints due to weightlessness is well adapted to bring valuable answers to Human Factors Engineers, designi...

Kesaniemi, M.; Virtanen, K., 2017: Direct Least Square Fitting of Hyperellipsoids. This paper presents two new computationally efficient direct methods for fitting n-dimensional ellipsoids to noisy data. They conduct the fitting by minimizing the algebraic distance in subject to suitable quadratic constraints. The hyperellipsoid...

Lundberg, M.S., 2013: Cardiovascular tissue engineering research support at the National Heart, Lung, and Blood Institute. Tissue engineering aims at building 3-dimensional living substitutes that are equal to or better than the damaged tissue to be replaced. The development of such a tissue replacement requires a multidisciplinary approach and careful attention to th...

Savchenko, EN., 1976: Molophilus (s. str.) ermolenkoi Sav. - a new species of the limoniid-flies (Diptera, Limoniidae) from the Ukrainian Carpathians. Dopovidi Akad Nauk ukr RSR (Ser B): 4: 370-373