J Med Syst
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Long waiting times for emergency operations increase a patient's risk of postoperative complications and morbidity. Reserving Operating Room (OR) capacity is a common technique to maximize the responsiveness of an OR in case of arrival of an emergency patient. This study determines the best way to reserve OR time for emergency surgery. ⋯ Working in overtime was reduced by 20%, and overall OR utilisation can increase by around 3%. Emergency patients are operated upon more efficiently on elective Operating Rooms instead of a dedicated Emergency OR. The results of this study led to closing of the Emergency OR in the Erasmus MC (Rotterdam, The Netherlands).
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In this study, a fuzzy logic-based anesthetic depth decision support system (ADDSS) was realized for anesthetic depth control to help anesthetists in surgeries. Depth of anesthesia for a patient can change according to anesthetic agent and characteristic properties of a patient such as age, weight, etc. During the surgery, depth of anesthesia of a patient is determined by the experience of anesthetist controlling of systolic arterial pressure (SAP) and heart pulse rate (HPR) parameters. ⋯ By the help of this system, precise anesthetic depth could have provided. Thus, the anesthetist will spend less time to provide anesthetic and the patient will have a safer and less expensive operation. This study was performed under sevoflurane anesthetic.