Naslov
Telecardiology in coronary care unit

Autori
Ivanuša, Mario ; Čačija, Miroslav ml. ; Miličić, Davor

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
3rd Croatian & International Congress on Telemedicine and e-Health. Abstract book & Final programme / - : Croatian Telemedicine Society, 2006, 30-31

Skup
3rd Croatian & International Congress on Telemedicine and e- Health. „Telemedicine on Croatian Islands and in Costal Area – Real -Time Telehealthcare –Anytime –Anywhere“

Mjesto i datum
Hvar, Hrvatska, 31.05.2006. - 03.06.2006

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
coronary care unit ; acute myocardial infarction ; remote bedside monitoring

Sažetak
Coronary care units (CCU) and intensive care units (ICU) have taken a leading position in the use of high-level information and communications technology (ICT). Using the advantages of computerization, medical staff can control enormous quantity of data originated by processing of physiological signals (ECG, noninvasive blood pressure, oxygen saturation, etc) and have a real opportunity for fast and adequate reaction before complications begin. Results of evidence based medicine and demands for better quality of care for patients with acute myocardial infarction (AMI) regardless of living place, request more common usage of telecardiology in Croatia. Beside the telephone, which has been used in telecardiology since 1910, usage of fax is more and more often. That type of teleconsultation has been daily practice since 1997 in the purpose to improve decision making regarding thrombolysis in patients with AMI. The use of Internet and mobile phone for management of patient with AMI have been mentioned in literature as late as 1999, but in Croatia the frequent usage started in 2005 owing to the project “Croatian Primary Percutaneous Coronary Intervention Network” of Croatian Cardiac Society and Ministry of Health and Social Welfare. Now it is possible to record 12-lead ECG on defibrillators at patients’ home and send it to the central unit or fax it directly to CCU of the local hospital, where teleconsultations can be done with suggestions for optimal choice of therapy. Remote bedside monitoring as a new option creates presumption for televisite. Registered users after logging from distant computer in hospital network or via Internet, can have an access to each patient’s bedside monitor, permitting real time control to view cardiac rhythm, pressure tracings, and other physiologic data. As a response to the national shortage of critical care physicians in USA the usage of electronic ICU system (e-ICU) is more frequent. In this electronically monitored intensive care, the use of high- level ICT ensures the best possible care for critically ill patients. Using ICT through secure, high-speed data lines expert intensivists can monitor patients’ conditions from the central location and support physicians where the patients are located. The e-ICU concept does not diminish the importance of local staff on duty in ICU/CCU, but on the contrary, it provides an opportunity for better quality of care.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita

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