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Biomedical subjects

P L Reichertz

Publications and source records attributed to P L Reichertz.

At least 19 recordsLinked to original sources
PubMed1980

Medical informatics: developments in West Germany and South Africa.

Comparisons are made between medical information systems in West Germany and South Africa. In both countries the costs and importance of medical information systems dictate that a methodological approach is essential in order to obtain a solution for a particular environment. The special implications for South Africa are (i) to work from user requirements to computer system, rather than the reverse; (ii) to institute training programmes for the professionals required to organize and staff such systems; and (iii) to prepare the groundwork for medical information systems by scrutinizing the existing types, amounts, flows and uses of medical information.

Computers↗
PubMed1977

Three years' experience with computer-based intensive care of patients following open heart and major vascular surgery.

The authors present their experiences with the Roche-5000 Computer-Based Intensive Care System in the management of 100 consecutive patients who have undergone open heart or major vascular surgery. The system performs the following junctions: (1) numerical and graphic display, out-of-limits alarms, storage and printout of 12 biological and surgical parameters, including chest drainage and urine output, by on-line direct monitoring; (2) display, storage, and printout of all additional laboratory and clinical data by manual input; (3) automatic demand-regulated transfusion and infusion program; (4) a program of medical logic, which includes situation analysis based on the above, two way dialogue with the computer, treatment recommendations to the physician, selective nursing and laboratory orders, acid-base analysis, and instructions for respirator setting. It was found that the computer-monitored patients recovered faster and smoother, with fewer fluctuations in the measured parameters and fewer postoperative complications than did those treated by conventional methods. One additional important effect of the system was that the nurse, relieved of the mechanical tasks of measuring, charting, and recording, was left with a greater amount of time for the care of the patient's personal needs. It seems ironic that such a technical advancement in electronics not only made the recovery faster and safer but also created a more humanistic approach in patient care, through better application of basic nursing techniques.

Cardiac Surgical Procedures↗