Key result
A digital computer system was established at a specialized clinical research facility to monitor cardiovascular function and improve the management of seriously ill patients in clinical shock.
This historical paper describes the early implementation of digital computer systems for monitoring cardiovascular function in critically ill patients.
Early digital monitoring in shock; leaves open its translation to modern critical care systems.
Article1 September 1966Efficient Monitoring with a Digital Computer of Cardiovascular Function in Seriously Ill PatientsHERBERT SHUBIN, M.D., F.A.C.P., MAX HARRY WEIL, M.D., PH.D., F.A.C.P.HERBERT SHUBIN, M.D., F.A.C.P., MAX HARRY WEIL, M.D., PH.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-65-3-453 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe shock research unit was established as a specialized clinical research facility of the School of Medicine of the University of Southern California at the Los Angeles County General Hospital in 1961. This unit was initially planned to improve understanding of mechanisms and on that basis to evaluate and improve current treatment of various forms of clinical shock. In the initial phases of this project, we recognized the great need for fundamental improvements in efficiency as well as in the clinical competence with which very ill patients, and particularly patients in shock are routinely managed. A quantitative assessment of the...References1. SPENCERVALLBONA WAC: Application of computers in clinical practice. JAMA 191: 917, 1965. CrossrefMedlineGoogle Scholar2. WILBERDERRICK SAUS: Patient monitoring and anesthetic management. Ibid., p. 893. Google Scholar3. WEILSHUBINJENSENMEAGHER MHHREPF: On-line computer monitoring of the seriously ill patient. Med. Electr. Biol. Engr. In press. Google Scholar4. ROCKWELLSHUBINWEILMEAGHER MAHMHPF: Shock III, a computer system as an aid in the management of the critically ill patient. Commun. Ass. Comput. Mach. 9: 355, 1966. Google Scholar5. SHUBINWEILROCKWELL HMHMA: Automated measurement of arterial pressure in patients by use of a digital computer. Unpublished information. Google Scholar6. SHUBINWEILROCKWELL HMHMA: Automated measurement of cardiac output in patients by use of a digital computer. Unpublished information. Google Scholar7. MEAGHERJENSENPEARCYWEILSHUBIN PFREMGMHH: Automatic urinometer for on-line monitoring of patients with circulatory shock. Med. Electr. In press. Google Scholar8. MEAGHERJENSENWEILSHUBIN PFREMHH: Measurement of respiration rate from central venous pressure in the critically ill patient. Institute of Electrical and Electronics Engineers, Inc. Trans. Bio-Med. Engineers. In press. Google Scholar9. NICHOLESWARNERWOODS KKHREH: A study of dispersion of an indicator in the circulation. Ann. N. Y. Acad. Sci. 115: 721, 1964. CrossrefMedlineGoogle Scholar10. MOERHEINBOLTABILDSKOV GKWCJA: A computer model of atrial fibrillation. Amer. Heart J. 67: 200, 1964. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Los Angeles, CaliforniaFrom the Shock Research Unit, Department of Medicine, University of Southern California School of Medicine and the Los Angeles County General Hospital, Los Angeles, Calif.This investigation was supported by the John A. Hartford Foundation, Inc., New York, and research grants HE-05570 and HE-07811, the National Heart Institute, National Institutes of Health, Bethesda, Md.This paper was presented at the 47th Annual Session of the American College of Physicians, April 18, 1966, New York, N. Y.Requests for reprints should be addressed to Max Harry Weil, M.D., University of Southern California School of Medicine, 2025 Zonal Ave., Los Angeles, Calif. 90033. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByThe critical care data exchange format: a proposed flexible data standard for combining clinical and high-frequency physiologic data in critical careThe Society of Critical Care Medicine at 50 Years: ICU Organization and ManagementPatient Monitoring SystemsInformation Technology in Critical CareSpecialized High-Intensity Clinical Settings: A Brief ReviewInformation Technology in Critical Care: Review of Monitoring and Data Acquisition Systems for Patient Care and ResearchPatient Monitoring SystemsPatientendatenmanagementsystemeComputers in the ICU: Where we started and where we are nowChaos, computers, and critical care *CRITICAL CARE COMPUTINGComputers in Critical Care: A Historical PerspectiveStandardized Acquisition of Bedside Data: The IEEE P1073 Medical Information BusStandardized acquisition of bedside data: The IEEE P1073 medical information busComputer systems for facilitating management of the critically illA distributed computer network using microcomputers for on-line data processing in clinical monitoring and medical researchVascular interface system for automation of haemodynamic monitoring and therapyEvaluation of computer-aided monitoring of patients after heart surgeryRelationship between Pulmonary Hemodynamics and Arterial pH and Carbon Dioxide Tension in Critically III PatientsAutomated infusion pumpShort-term survival after acute myocardial infarction predicted by hemodynamic parameters.Automated Calibration of Blood Pressure Signal ConditionersWater, creatinine and sodium excretion following circulatory shock with renal failureMonitoring techniques in shockPatient monitoring: on-line computingComputers in the ICU: Fasten Your Seatbelts!Changes in Urinary Output and Free Water Clearance In Patients With Acute Circulatory Failure (Shock)Temperature of the Great Toe as an Indication of the Severity of ShockThe current status of instrumentation systems for the coronary care unitElda: Un sistema per l'elaborazione automatica di dati analogici 1 September 1966Volume 65, Issue 3Page: 453-460KeywordsCardiology and cardiovascular diseasesComputersElectrocardiographyHeartHospital medicineResearch facilitiesResearch grantsScientistsShockSoftware tools Issue Published: 1 September 1966 PDF DownloadLoading ...
No takes yet. Share an insight, caveat, or question.
Herbert Shubin (1966) studied Clinical shock. Digital computer monitoring was evaluated. A digital computer system was established at a specialized clinical research facility to monitor cardiovascular function and improve the management of seriously ill patients in clinical shock.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: