Two computer-based anesthetic monitors: The duke automatic monitoring equipment (Dame) system and the microdame

Frank E. Block, Larry W. Burton, Marc D. Rafal, Karen Burton, Carolyn Newey, Larry Dowell, Fritz F. Klein, David A. Davis, Merel H. Harmel

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

From 1972 to 1983 the Duke University Department of Anesthesiology designed, built, and maintained most of its own operating room patient monitoring equipment. Construction of a new hospital facility in 1980 provided the opportunity to design and test a new computer-based system, the Duke Automatic Monitoring Equipment (DAME) System. The system consists of microcomputer-based instrumentation on monitoring carts, which communicate with a central minicomputer that allows selection ot different software monitoring packages based on the needs of the patient. Multiple problems, including frequent total monitoring failures during surgery, plagued the DAME System in its first year of operation. Despite resolution of many of these problems, user acceptance was poor because of the large size and weight of the monitoring carts, the inadequate quality of displayed physiological waveforms, and inability to overcome the difficulties of the man-machine interface. Because the remaining problems could not be rectified with the existing monitoring carts, a new generation of monitors was designed. The smaller, multiprocessor microDAME was designed to be as automatic and user tolerant as possible. It would omit much of the flexibility that had proved undesirable in the DAME system. When the microDAME was nearly completed, however, departmental research in that area ceased. It remains for others to apply our experiences to further improve operating room patient monitors.

Original languageEnglish (US)
Pages (from-to)30-51
Number of pages22
JournalJournal of Clinical Monitoring
Volume1
Issue number1
DOIs
StatePublished - Jan 1 1985

Fingerprint

Anesthetics
Equipment and Supplies
Operating Rooms
Minicomputers
Anesthesiology
Computer Systems
Microcomputers
Physiologic Monitoring
Software
Weights and Measures
Research

Keywords

  • Anesthesia monitoring systems
  • Anesthesia records, Computers, Data management
  • Automated systems
  • Monitoring
  • Record-keeping
  • Surgical anesthesia

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Block, F. E., Burton, L. W., Rafal, M. D., Burton, K., Newey, C., Dowell, L., ... Harmel, M. H. (1985). Two computer-based anesthetic monitors: The duke automatic monitoring equipment (Dame) system and the microdame. Journal of Clinical Monitoring, 1(1), 30-51. https://doi.org/10.1007/BF02832686

Two computer-based anesthetic monitors : The duke automatic monitoring equipment (Dame) system and the microdame. / Block, Frank E.; Burton, Larry W.; Rafal, Marc D.; Burton, Karen; Newey, Carolyn; Dowell, Larry; Klein, Fritz F.; Davis, David A.; Harmel, Merel H.

In: Journal of Clinical Monitoring, Vol. 1, No. 1, 01.01.1985, p. 30-51.

Research output: Contribution to journalArticle

Block, FE, Burton, LW, Rafal, MD, Burton, K, Newey, C, Dowell, L, Klein, FF, Davis, DA & Harmel, MH 1985, 'Two computer-based anesthetic monitors: The duke automatic monitoring equipment (Dame) system and the microdame', Journal of Clinical Monitoring, vol. 1, no. 1, pp. 30-51. https://doi.org/10.1007/BF02832686
Block, Frank E. ; Burton, Larry W. ; Rafal, Marc D. ; Burton, Karen ; Newey, Carolyn ; Dowell, Larry ; Klein, Fritz F. ; Davis, David A. ; Harmel, Merel H. / Two computer-based anesthetic monitors : The duke automatic monitoring equipment (Dame) system and the microdame. In: Journal of Clinical Monitoring. 1985 ; Vol. 1, No. 1. pp. 30-51.
@article{c0b9293555df4ea4b8762bb27ac8705e,
title = "Two computer-based anesthetic monitors: The duke automatic monitoring equipment (Dame) system and the microdame",
abstract = "From 1972 to 1983 the Duke University Department of Anesthesiology designed, built, and maintained most of its own operating room patient monitoring equipment. Construction of a new hospital facility in 1980 provided the opportunity to design and test a new computer-based system, the Duke Automatic Monitoring Equipment (DAME) System. The system consists of microcomputer-based instrumentation on monitoring carts, which communicate with a central minicomputer that allows selection ot different software monitoring packages based on the needs of the patient. Multiple problems, including frequent total monitoring failures during surgery, plagued the DAME System in its first year of operation. Despite resolution of many of these problems, user acceptance was poor because of the large size and weight of the monitoring carts, the inadequate quality of displayed physiological waveforms, and inability to overcome the difficulties of the man-machine interface. Because the remaining problems could not be rectified with the existing monitoring carts, a new generation of monitors was designed. The smaller, multiprocessor microDAME was designed to be as automatic and user tolerant as possible. It would omit much of the flexibility that had proved undesirable in the DAME system. When the microDAME was nearly completed, however, departmental research in that area ceased. It remains for others to apply our experiences to further improve operating room patient monitors.",
keywords = "Anesthesia monitoring systems, Anesthesia records, Computers, Data management, Automated systems, Monitoring, Record-keeping, Surgical anesthesia",
author = "Block, {Frank E.} and Burton, {Larry W.} and Rafal, {Marc D.} and Karen Burton and Carolyn Newey and Larry Dowell and Klein, {Fritz F.} and Davis, {David A.} and Harmel, {Merel H.}",
year = "1985",
month = "1",
day = "1",
doi = "10.1007/BF02832686",
language = "English (US)",
volume = "1",
pages = "30--51",
journal = "Journal of Clinical Monitoring and Computing",
issn = "1387-1307",
publisher = "Springer Netherlands",
number = "1",

}

TY - JOUR

T1 - Two computer-based anesthetic monitors

T2 - The duke automatic monitoring equipment (Dame) system and the microdame

AU - Block, Frank E.

AU - Burton, Larry W.

AU - Rafal, Marc D.

AU - Burton, Karen

AU - Newey, Carolyn

AU - Dowell, Larry

AU - Klein, Fritz F.

AU - Davis, David A.

AU - Harmel, Merel H.

PY - 1985/1/1

Y1 - 1985/1/1

N2 - From 1972 to 1983 the Duke University Department of Anesthesiology designed, built, and maintained most of its own operating room patient monitoring equipment. Construction of a new hospital facility in 1980 provided the opportunity to design and test a new computer-based system, the Duke Automatic Monitoring Equipment (DAME) System. The system consists of microcomputer-based instrumentation on monitoring carts, which communicate with a central minicomputer that allows selection ot different software monitoring packages based on the needs of the patient. Multiple problems, including frequent total monitoring failures during surgery, plagued the DAME System in its first year of operation. Despite resolution of many of these problems, user acceptance was poor because of the large size and weight of the monitoring carts, the inadequate quality of displayed physiological waveforms, and inability to overcome the difficulties of the man-machine interface. Because the remaining problems could not be rectified with the existing monitoring carts, a new generation of monitors was designed. The smaller, multiprocessor microDAME was designed to be as automatic and user tolerant as possible. It would omit much of the flexibility that had proved undesirable in the DAME system. When the microDAME was nearly completed, however, departmental research in that area ceased. It remains for others to apply our experiences to further improve operating room patient monitors.

AB - From 1972 to 1983 the Duke University Department of Anesthesiology designed, built, and maintained most of its own operating room patient monitoring equipment. Construction of a new hospital facility in 1980 provided the opportunity to design and test a new computer-based system, the Duke Automatic Monitoring Equipment (DAME) System. The system consists of microcomputer-based instrumentation on monitoring carts, which communicate with a central minicomputer that allows selection ot different software monitoring packages based on the needs of the patient. Multiple problems, including frequent total monitoring failures during surgery, plagued the DAME System in its first year of operation. Despite resolution of many of these problems, user acceptance was poor because of the large size and weight of the monitoring carts, the inadequate quality of displayed physiological waveforms, and inability to overcome the difficulties of the man-machine interface. Because the remaining problems could not be rectified with the existing monitoring carts, a new generation of monitors was designed. The smaller, multiprocessor microDAME was designed to be as automatic and user tolerant as possible. It would omit much of the flexibility that had proved undesirable in the DAME system. When the microDAME was nearly completed, however, departmental research in that area ceased. It remains for others to apply our experiences to further improve operating room patient monitors.

KW - Anesthesia monitoring systems

KW - Anesthesia records, Computers, Data management

KW - Automated systems

KW - Monitoring

KW - Record-keeping

KW - Surgical anesthesia

UR - http://www.scopus.com/inward/record.url?scp=0021997269&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021997269&partnerID=8YFLogxK

U2 - 10.1007/BF02832686

DO - 10.1007/BF02832686

M3 - Article

C2 - 4093787

AN - SCOPUS:0021997269

VL - 1

SP - 30

EP - 51

JO - Journal of Clinical Monitoring and Computing

JF - Journal of Clinical Monitoring and Computing

SN - 1387-1307

IS - 1

ER -