Intelligent equipment makes perioperative hypotension predictable Expert: More anesthesiologists can be put into ICU

This article is transferred from: China News Network

China News Service, Shanghai, August 4th (Reporter Chen Jing) In recent years, with the continuous progress of medical technology, the safety of surgery has been greatly improved , the occurrence of hypotension during the perioperative period is a risk factor affecting the quality of patients’ rehabilitation.

Professor Yu Buwei, President of the Anesthesiologists Branch of the Chinese Medical Doctor Association and President of the Anesthesiologists Branch of the Shanghai Medical Doctor Association, said in an interview on the 4th that with the development of artificial intelligence technology, low blood pressure during surgery will be more likely to occur in the future. The direction of management should be prediction, prevention and individualized management. He pointed out that establishing the concept of individualized management of perioperative blood pressure requires more and larger-scale clinical studies, as well as more advanced technologies.

The expert told reporters that the vast majority of anesthesia, whether it is general anesthesia or half-body anesthesia, will lead to low blood pressure. He further explained that when a person is awake, vascular tone is maintained by the sympathetic nerves. Anesthesia first prevents the peripheral chain of the sympathetic nerve and the sympathetic chain on both sides of the spinal cord. The direct impact is that the blood vessels from the neck down will expand, and the effective circulating blood volume will be insufficient, manifested as hypotension.

Hypotension is strongly associated with acute kidney injury, myocardial injury, stroke and other related postoperative complications and 30-day mortality. Therefore, reducing the occurrence of perioperative hypotensive events is still a huge challenge for anesthesiologists and needs to be solved urgently. It is understood that low blood pressure and insufficient blood supply to the heart muscle can lead to death. Therefore, early anesthesia mortality is high. Yu Buwei said that hypotension produced by anesthesia is also closely related to the patient’s preoperative state. He told reporters that using vasopressors to solve low blood pressure was effective in a short time, but “sacrificed” the lungs and kidneys. Because the kidney is very sensitive to ischemia, it is prone to renal failure.

The patient monitor HemoSphere, a new generation of hemodynamic monitoring platform, which was recently launched in China, has attracted the attention of clinical medical experts. During the interview, the reporter learned that the monitor contains HPI hypotension prediction index technology, which can predict perioperative hypotension. The HemoSphere patient monitor incorporates advanced algorithms, and the related software is based on artificial intelligence (AI) technology, which can predict the possibility of hypotension in advance, assist clinicians to take timely treatment measures, and reduce acute renal failure that may be caused by hypotension. Injury, myocardial injury and other related postoperative complications, thereby improving the quality of patient prognosis.

Professor Yu Buwei believes that the launch of the monitor will bring revolutionary changes to the field of intensive care and surgical monitoring in China. The expert pointed out that these new technologies can assist clinicians in better individualized management of perioperative blood pressure and improve the quality of clinical management, so as to better develop and strengthen perioperative disciplines and truly realize patient-centered anesthesia. The concept of “treatment” continues the safety of patients’ lives.

At present, with the continuous availability of artificial intelligence equipment, the discipline of anesthesiology is facing the transformation of the times, and will shift from humanization to intelligence. Professor Yu Buwei said bluntly that intelligence must be better than manual work. He pointed out that the successful research and development of intelligent equipment can help medical resources sink, carry out remote treatment, and guide grass-roots doctors to rescue patients. “Intelligence will subvert the working model of our anesthesiology department,” he said. The expert said that in order for hospitals to keep up with the trend of the times in equipment, intelligent equipment should be promoted in remote areas to help improve the level of local medical treatment. Through telemedicine and remote early warning, the level of grass-roots areas can be rapidly improved. Doctors in big cities can guide local doctors and provide real-time rescue instructions when there is a critical state.

“The popularization of intelligent equipment will make the phenomenon of overworked anesthesiologists gone forever.” He is very pleased to say that the new technology can help save manpower, improve efficiency, and alleviate the shortage of doctors’ resources. question. Professor Yu Buwei believes that releasing more manpower of anesthesiologists can be used in the rescue of more critically ill patients.