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Anesth Analg 2006;102:530-532
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000189583.93127.a5

ECONOMICS, EDUCATION, AND HEALTH SYSTEMS RESEARCH

An Assessment of a Point-of-Care Information System for the Anesthesia Provider in Simulated Malignant Hyperthermia Crisis

Haim Berkenstadt, MD, Yakov Yusim, MD, Amitai Ziv, MD, Tiberiu Ezri, MD, and Azriel Perel, MD

The Department of Anesthesiology and Intensive Care and M.S.R - The Israel Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, and the Department of Anesthesiology, Edith Wolfson Medical Center, Holon, Sackler School of Medicine, Tel Aviv University, Israel

Address correspondence and reprint requests to Haim Berkenstadt, MD, Director of Neuroanesthesia, Department of Anesthesiology and Intensive Care, Deputy Director, The Israeli Center for Medical Simulation, Sheba Medical Center, Tel Hashomer, 52621 Israel. Address e-mail to berken{at}netvision.net.il.

In this prospective, controlled study we compared the ability of anesthesia residents to diagnose and treat a simulated malignant hyperthermia (MH) scenario with and without the ability to use the On-Line Electronic Help (OLEH) information system or any other written guidelines. The OLEH is a point-of-care information system for the anesthesia provider in the operating room. The score for MH treatment after diagnosis based on clinical actions was significantly higher (P = 0.018) in the OLEH-user group (21.5 ± 4.9) compared with a control group (15.5 ± 7.6). This study demonstrates the possible value of a point-of-care information system in patient care; however, the significance of the results may be limited by the participants’ anticipation of an acute event during training requiring the use of the OLEH.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.