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TECHNOLOGY, COMPUTING, AND SIMULATION

Remote Anesthetic Monitoring Using Satellite Telecommunications and the Internet

Stephen W. Cone, MD^*, Lynne Gehr, MD, Russell Hummel, MS^*, and Ronald C. Merrell, MD, FACS^*

*Medical Informatics and Technology Applications Consortium, Department of Surgery, and Department of Pediatrics, Virginia Commonwealth University, Richmond, Virginia.

Address correspondence and reprint requests to Ronald C. Merrell, Medical Informatics and Technology Applications Consortium, Department of Surgery, Virginia Commonwealth University, P.O. Box 980480, 1101 E. Marshall Street, Richmond, VA 23298. Address e-mail to cyrobert{at}vcu.edu.

Remote collaboration for anesthesia requires considerable sharing of physiologic data, audio, and images on a consistent data platform. A low-bandwidth connection between Ecuador and the United States supported effective joint management of operative plan, airway, intraoperative decisions, and recovery. Transmission with a 64-Kbps InMarSat satellite telephone (Thrane & Thrane, Denmark) connection from hospitals in Macas and Sucúa, Ecuador, to Richmond, Virginia, included preoperative patient evaluations, video of endotracheal intubations, electrocardiogram waveforms, pulse oximetry measurements, arterial blood pressure readings, capnography readings, and auscultation of breath sounds.

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