In collaboration with medical device manufacturers, the Lübeck Department of Anesthesiology and Intensive Care at UKSH developed new intelligent assistance systems. The clinic team of Professor Dr. Carla Nau is a member of the “Industry-In-Clinic platform Lübeck” not only in this research field.
40,000 Sugeries per Year
On the UKSH campus in Lübeck, more than 40,000 surgeries are taking place each year, with more than 4,000 patients having to undergo intensive medical treatment and and to be temporarily artificially ventilated. Particularly in this sensitive field of modern medicine, the quality of available technology is crucial. “We treat high-risk and critically ill patients, so we constantly try to improve our monitoring and treatment technologies and the quality of care”, explains Professor Nau, who has been running the Lübeck clinic since 2013. For this, the clinic team successfully co-operates with medical device manufacturers and the technological research institutes of the Lübeck BioMedTec campus.
New Technologies Improve Care and Diagnosis
An example of new developments thus opened up are improved monitoring technologies for respirators about to be tested in Lübeck. Let’s talk about a concrete application: In the case a patient is about to be separated from artificial ventilation and taken back to the natural spontaneous breathing, the normal procedure of today is the step-by-step method, whereby the patient’s reaction to progressively less supplied breathing support is being monitored. In this process, the medical doctor solely relies on his experience.
“In future, the physician will be supported by a real-time measurement data of an intelligent monitoring device”, says Carla Nau. “New software and sensor systems make it possible to increase the process safety, and completely non-invasive. The unit advises the doctor on the basis of constantly updated and feedback physiological data and recommends appropriate steps in the decrease of artificial ventilator.”
Even Smarter Devices In Future
According to Nau, such assistance systems are still far to be more “intelligent” in the future. The technological ability to integrate real-time data information from different devices and from the electronic medical record will allow to furnish the physician with custom-tailored, precise recommendation. “In mid-term, we are hoping that the Big Data topic will allow us, for example, to develop a monitoring system with a data integration function that automatically indicates risks, for example, of pneumonia or sepsis or exactly and individually predicts the period of waking up from anesthesia”, thus Nau.
Another issue to be addressed in the near future is seen by the 47-year-old in the technological improvement of simulators in medical training: “For our simulation and training surgeries, I wish for a full-scale puppet that allows physicians to realistically experience and handle physiological reactions of various emergency situations. , in the so, for example, also incorporating a lung model and a hemodynamic model. Last but not least, the Lübeck clinic is also expanding its activities in the field of telemedicine. “The consultancy of distant patients with secure camera transmission systems can and will improve the quality of diagnosis and treatment. And why should a sick person that is too sick to be transported not be consulted in his hospital bed or at home with the help of visual systems and thus talk to his anesthesiologist in the case the physical examination has already taken place?” concludes Carla Nau, rhetorically.