JP6548125B2 - General anesthesia introduction support system, general anesthesia introduction support game device, and program for whole anesthesia introduction support game device - Google Patents

Description

  The present invention relates to a general anesthesia introduction support system, a general anesthesia introduction support game device, and a general anesthesia introduction support game for assisting a general anesthesia with a patient who needs a medical action of general anesthesia when introducing the general anesthesia. It relates to a program for the device.

  At present, when general anesthesia is given to pediatric patients, slow induction by inhalation anesthesia is common. At the time of this slow introduction, it is necessary to inhale the anesthetic with a mask, and the acceptance of the mask by the patient affects the possibility of the slow introduction. However, it is difficult for children to accept a mask in an unfamiliar environment, and in addition, since there is a pungent smell of inhaled anesthetics, this pungent smell may be disliked, and it may be difficult to accept the mask.

  And, when resistance to the acceptance of the mask was strong, the patient was forced to hold down and inhaled from the mask. According to statistics, without sedation, 25% of children cried and forced repression was necessary in order to get rid of the mask. In addition, more than 70% of children who have been forcibly introduced have negative behavioral abnormalities after surgery, and children with strong anxiety before surgery have sleep disorders and pain It has been reported. In addition, there are statistics that children with strong anxiety before surgery get excited at awakening, and they also start crying at night, have a lot of nausea and vomiting, and have many days of withdrawing from home.

  In order to cope with such problems, the inside of the anesthesia mask is covered with a delicious smell essence (vanilla, strawberry, lemon, etc. essence), and the child does not dislike the acceptance of the mask, even a little surgery It is devised so that the anxieties about Also, in recent years, it has been devised to show a video such as an animation that a child likes, distract and sleep while watching.

JP 2008-237495 A

  However, even if you listened to your child's preferences a few days before surgery and put on the child's favorite scent essence, or even if you distracted by showing the child's favorite video Because it is resistant to mask acceptance, and the natural irritating odor of anesthetics gradually develops during anesthesia inhalation, at first, it may dislike before going to sleep, and it is recommended to introduce anesthesia (inhalation of inhalation anesthetic). In many cases they did not cooperate, and in the end there was the problem that there was nothing but forced inhalation.

  The present invention has been made to solve the above-mentioned problems, and it is a whole body that assists the patient to take action in cooperation with inhalation of an anesthetic when the general anesthesia is introduced and the patient does not dislike the anesthesia mask. An anesthesia introduction support system, a general anesthesia introduction support game device, and a program for the general anesthesia introduction support game device are provided.

In order to achieve the above object, the present invention is a general anesthesia induction support system for assisting in introducing the general anesthesia to a patient who needs a medical action of general anesthesia, which is a general anesthesia introduction support system The video game apparatus includes a video game apparatus for capturing a respiration signal of the patient who inhales an anesthetic gas to be used, the video game apparatus includes a display unit, a respiration signal acquisition unit for acquiring the respiration signal, and the respiration signal acquisition unit Providing a display operation control unit that changes a display displayed on the display unit so as to cause a display operation to prompt the patient to take a further breath in conjunction with the size of the respiration signal. It features.

According to the general anesthesia induction support system of the present invention, the display displayed on the display unit of the video game device being shown to the patient requiring general anesthesia is based on the patient's respiration signal (the patient's respiration signal Interlocking with the size of the patient's body) and changing the display action to prompt the patient to take more breath, so that the patient does not dislike the anesthesia mask at the time of general anesthesia induction and the patient himself inhales the anesthetic Because it cooperates and breathes, it is possible to support the induction of anesthesia for the patient.

BRIEF DESCRIPTION OF THE DRAWINGS It is a figure which shows schematic structure of the general anesthesia induction support system in Embodiment 1 of this invention. It is an appearance explanatory view of an anesthesia mask used for inhalation anesthesia induction in Embodiment 1 of this invention. It is a block diagram which shows an example of a function structure of the video game device in Embodiment 1 of this invention. It is explanatory drawing which shows a mode that anesthesia induction by an inhalation anesthetic is performed, showing the display part of the video game apparatus in Embodiment 1 of this invention to the pediatric patient who needs general anesthesia. It is a figure which shows an example of the display screen of the game displayed on the display part of the video game apparatus in Embodiment 1 of this invention. It is a figure which shows another example of the display screen of the game displayed on the display part of the video game apparatus in Embodiment 1 of this invention. It is a figure which shows schematic structure of the general anesthesia induction support system in Embodiment 2 of this invention. It is a figure which shows schematic structure of the general anesthesia induction support system in Embodiment 3 of this invention.

The present invention relates to a general anesthesia introduction support system, a general anesthesia introduction support game device, and a general anesthesia introduction for supporting a patient who needs medical action of general anesthesia when introducing the general anesthesia. The present invention relates to a program for a support game device.
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  When general anesthesia is given to a pediatric patient, slow induction by inhalation anesthesia is generally used, but at the time of this slow introduction, it is necessary to inhale the anesthetic with a mask, and acceptance of the mask by the patient is slow induction Affect the availability of However, it is difficult for children to accept a mask in an unfamiliar environment, and in addition, since there is a pungent smell of inhaled anesthetics, this pungent smell may be disliked, and it may be difficult to accept the mask.

  Therefore, for example, a few days before surgery, for example, listen to the preference of the child in advance, keep the essence of the child's favorite scent on the inside of the anesthesia mask, or show the child's favorite video But there is also a pungent odor because the act of sniffing the favorite scent and watching the favorite video and the act of accepting the mask and inhaling the anesthetic are independent It is only distracting from the act of inhaling an anesthetic, and at first she hated before going to sleep at best, and still did not cooperate with induction of anesthesia (inhalation of inhaled anesthetics), and the child patient himself There was a problem that it was difficult to breathe firmly (inhale) and get the anesthetic into the body.

  Therefore, if the resistance to the mask was strong, the patient had to be forced down and inhaled from the mask. How to introduce such anesthesia is called "Stormy Induction". However, if such an anesthesia is introduced, it will adversely affect the patient's mental behavior etc. after the operation is over. It is desirable to avoid the stormy induction as much as possible and to help the patient to introduce anesthesia by himself, as it is statistically understood.

  Therefore, in the embodiment of the present invention, a game for prompting breathing to cause an anesthetic to be taken into the patient's body is displayed, and the game proceeds in conjunction with breathing (the display operation is changed in conjunction with breathing). By doing this, the patient who wants to advance the game can breathe on his own, and as a result, the uptake of anesthetic into the patient's body is promoted.

Embodiment 1
FIG. 1 is a diagram showing a schematic configuration of a general anesthesia induction support system 1 according to a first embodiment of the present invention. As shown in FIG. 1, the general anesthesia introduction support system 1 includes an anesthesia machine 11, an anesthesia mask 12 for inhaling an anesthetic gas used by the patient 10 and used in general anesthesia, and an anesthesia machine 11 to the anesthesia mask 12 An anesthesia circuit 13 for sending inhaled anesthetic gas and returning exhaled gas from the patient 10 to the anesthesia machine 11 and a video game device 14 for capturing the breathing signal of the patient 10 through the anesthesia mask 12 are provided. A dashed arrow from the anesthesia mask 12 to the video game device 14 in FIG. 1 indicates a respiration signal of the patient 10 through the anesthesia mask 12 when anesthesia is introduced. That is, the video game device 14 takes in the respiration signal of the patient 10 who inhales the anesthetic gas used in general anesthesia.

  Here, the “respiratory signal” is a signal indicating that the patient 10 breathes (exhales or inhales), and is necessary for an anesthetic to be inhaled into the patient's 10 lung via the anesthesia mask. It is a signal generated as the patient 10 breathes. The same applies to the following embodiments. Although respiration required for induction of anesthesia (inhalation of inhalation anesthetics) is inhalation, if the amount of exhalation is increased by blowing breath, the amount of inhalation will naturally be increased, so either exhalation or inhalation Breathing may be taken as a breathing signal.

  And in this Embodiment 1, the sound of breathing of patient 10 which occurs when patient 10 breathes is detected by microphone 24 (refer to Drawing 2) as a respiration signal of patient 10 (microphone 24) To obtain the respiration signal of the patient 10 via the anesthesia mask 12 and to send it to the video game device 14.

  FIG. 2 is an appearance explanatory view of an anesthesia mask 12 used for induction of inhalation anesthesia in Embodiment 1 of the present invention. The anesthesia mask 12 has a main port 21 to which the anesthesia circuit 13 is connected, and a subport 22 for monitoring the amount of carbon dioxide of the patient 10 during the operation. In addition, when the patient 10 applies the anesthesia mask 12 to the mouth, the artificial nose filter 23 is located between the mouth of the patient 10 and the main port 21 and between the mouth of the patient 10 and the subport 22. Is equipped. In addition, since the mask used by normal surgery has a thing of such a structure in general, detailed description is abbreviate | omitted here.

  According to the first embodiment of the present invention, the microphone 24 is inserted into the subport 22 for monitoring the amount of carbon dioxide contained in the exhalation of the patient 10 during surgery before the operation. Sound of respiration of the patient 10 can be acquired as a respiration signal. The microphone 24 is connected to the video game device 14 by wire, so that the video game device 14 can acquire a respiration signal of the patient 10.

  FIG. 3 is a block diagram showing an example of a functional configuration of the video game apparatus 14 according to Embodiment 1 of the present invention. As shown in FIG. 3, the video game apparatus 14 includes a respiration signal acquisition unit 41, a display operation control unit 42, and a display unit 43.

The respiration signal acquisition unit 41 acquires a sound generated when the patient 10 breathes as a respiration signal of the patient 10 from the microphone 24 inserted in the subport 22 of the anesthesia mask 12 worn by the patient 10.
The display operation control unit 42 displays the video game displayed on the display unit 43 based on the respiration signal of the patient 10 acquired by the respiration signal acquisition unit 41 (in conjunction with the magnitude of the respiration signal of the patient). Is a control unit that changes so as to cause a display operation to prompt the patient 10 to breathe further.

FIG. 4 is an explanatory view showing a state in which anesthesia introduction by an inhalation anesthetic is performed while showing the display unit 43 of the video game apparatus 14 in Embodiment 1 of the present invention to the pediatric patient 10 who needs general anesthesia. .
5 and 6 are diagrams showing an example of a display screen of a game displayed on display unit 43 of video game device 14 according to the first embodiment of the present invention. That is, it is an example of a display screen of the game which the pediatric patient 10 shown in FIG. 4 actually looks at.

  FIG. 5 is an example of a display screen of a game in which the child displayed on the display unit 43 can eat a lot of sweets if the patient 10 breathes a lot. As shown in FIG. 4, the pediatric patient 10 looking at the display screen of this game breathes so hard that the child displayed on the display unit 43 can eat all the sweets. It is possible to support the induction of anesthesia by inhaled anesthetics.

  Further, FIG. 6 is an example of a display screen of a game in which, if the patient 10 breathes a lot, a large number of soap bubbles of soap bubbles played by the child displayed on the display unit 43 appear. As shown in FIG. 4, the pediatric patient 10 looking at the display screen of this game breathes so hard that the displayed child can take out a lot of soap bubbles. It is possible to support the induction of anesthesia by medicine.

  These FIGS. 5 and 6 are just examples, and in addition to this, for example, when the patient 10 breathes a lot, a game in which the image of the game displayed on the display unit 43 changes to an enjoyable image one after another, A game such as a game in which the helicopter or plane is displayed higher on the display unit 43, a game in which dead leaves displayed on the display unit 43 are blown high, a game in which a windmill displayed on the display unit 43 turns vigorously, etc. Various games can be considered as a game in which the display operation changes in conjunction with the size of the respiration signal.

  That is, the object displayed on the display unit 43 operates in accordance with the respiration of the patient 10 to urge the patient 10 to breathe, that is, by operating in conjunction with the magnitude of the respiration signal of the patient 10, Any game may be used as long as it continuously encourages the patient 10 to take a larger breath.

  As described above, the fun action for many children called video games not only alleviates the anxiety of the pediatric patient 10 when general anesthesia is introduced, but also directly leads to the action of anesthesia introduction (inhalation of an inhalation anesthetic). More than that, the cooperation of the patient 10 can be obtained. In addition, if a favorite game can be selected from a plurality of games according to the age and interest of the patient 10, it is possible to enhance the effect that the patient 10 further cooperates in induction of anesthesia.

  In the embodiment of the present invention, although the patient 10 is described as a child patient, even if the patient 10 is an adult, if the patient 10 breathes a lot, a visually pleasing display will be performed. By using a game in which the progress of the game changes, it is possible to support the induction of anesthesia also for the adult patient 10. In addition, since the sensitivity of the respiration signal which is an input signal taken into the video game apparatus 14 is adjustable, the respiration (inhalation) necessary for the patient 10 can be adjusted by changing the sensitivity according to the age and the displacement of the patient 10 Can be

  In addition, since large breathing is directly linked to the rapid introduction of general anesthesia by inhalation anesthesia, it is possible to introduce anesthesia in a shorter time than in the prior art by continuously promoting larger breathing by video games. The shortening of the induction time has the effect of contributing to cost reduction, such as improving the safety of anesthesia management, increasing the efficiency of operating room operation, and reducing the consumption of anesthetic agents.

  Although the video game screen is displayed on the display unit 43 of the video game device 14 in the embodiment of the present invention, the patient 10 may be displayed according to the age and displacement of the patient 10. The game does not necessarily have to be a game as long as it can prompt the user to take a necessary breath (inhalation), and a guidance or the like may be displayed.

  Furthermore, in the general anesthesia induction support system 1 according to the first embodiment of the present invention, since the respiratory sound signal is used as the respiratory signal of the patient 10, a commercially available small microphone can be used, and the video game apparatus can be easily performed. Since the signal input to 14 is possible, the spread of the general anesthesia induction support system 1 and the suppression of the introduction cost can also be expected.

  In addition, since the video game apparatus 14 in the first embodiment of the present invention can be developed, for example, in the form of an application of an iOS (registered trademark) device, general anesthesia is introduced by releasing the application (program). The spread of the support system 1 and the suppression of the introduction cost can also be expected. In addition, as a device for realizing logically by causing an application (program) to be executed by a CPU (Central Processing Unit), a tablet terminal, a notebook PC, etc., for example, as shown in FIG. It goes without saying that it may be anything as long as it can be shown and used.

As described above, according to the general anesthesia introduction support system 1 in the first embodiment, the display displayed on the display unit 43 of the video game apparatus 14 is shown to the patient 10 who needs general anesthesia, At the time of general anesthesia induction, the patient 10 is changed by causing the display operation to prompt the patient 10 to breathe further based on the respiration signal of the patient 10 (in conjunction with the magnitude of the respiration signal of the patient 10). Since the patient 10 does not dislike the anesthesia mask 12 and the patient 10 breathes in cooperation with the inhalation of the anesthetic, it is possible to support the introduction of anesthesia to the patient 10.

  In addition, it is known that a high concentration of anesthetic is used for inhalation anesthesia, and it is known that the safety of anesthesia is improved if the time taken for induction is short. Also in this case, the patient 10 who needs general anesthesia actively breathes by himself and cooperates with the induction of anesthesia, so that the time taken to introduce the anesthesia can be shortened. In addition, as a result, there is also an effect of contributing to cost reduction, such as improvement of safety of anesthesia management, improvement of efficiency of operation of operating room, reduction of consumption of anesthetic, etc.

Second Embodiment
FIG. 7 is a diagram showing a schematic configuration of a general anesthesia induction support system 2 according to a second embodiment of the present invention. The same components as those described in the schematic view of FIG. 1 in the first embodiment will be assigned the same reference numerals and overlapping descriptions will be omitted. In the general anesthesia induction support system 2 according to the second embodiment, a flow sensor 31 is attached in the middle of the anesthesia circuit 13. Further, the broken line arrow from the flow sensor 31 to the video game device 14 in FIG. 7 indicates the respiration signal of the patient 10 through the anesthesia mask 12 at the time of induction of anesthesia. That is, the video game device 14 is similar to that of the first embodiment in that it takes in the respiration signal of the patient 10 who inhales the anesthetic gas used in general anesthesia.

  In the first embodiment, the breathing signal of the patient 10 is acquired by detecting the noise generated by the patient 10 as the breathing signal of the patient 10 by the microphone 24, and the video game device 14 receives the breathing signal. In the second embodiment, the respiratory signal of the patient 10 is acquired by detecting the respiratory flow rate through the anesthesia mask 12 and the anesthesia circuit 13 worn by the patient 10 with the flow sensor 31, The change in the respiratory flow when 10 breathes is sent to the video game apparatus 14 as a respiration signal of the patient 10.

  That is, in the case of the general anesthesia induction support system 2 in the second embodiment, the respiration signal of the patient 10 acquired by the respiration signal acquisition unit 41 of the video game apparatus 14 is connected to the anesthesia mask 12 worn by the patient 10 The respiratory flow rate of the patient 10 acquired from the flow sensor 31 attached to the anesthesia circuit 13.

When the anesthesia machine 11 is internally provided with a flow sensor (not shown), the respiratory flow information is taken out from the anesthesia machine 11, and the respiratory flow information is used as a breathing signal of the patient 10 to make the video game device 14 It may be sent to
In this case, the respiration signal of the patient 10 acquired by the respiration signal acquisition unit 41 of the video game device 14 is the respiratory flow (respiratory flow information) of the patient 10 acquired from the anesthesia machine 11.

  The configuration of the video game apparatus 14 and the display screen example and effects displayed on the display unit 43 of the video game apparatus 14 are the same as those of the general anesthesia introduction support system 1 of the first embodiment, and thus detailed. I omit explanation.

As described above, even in the case of the general anesthesia induction support system 2 of the second embodiment of the present invention, similar to the general anesthesia induction support system 1 of the first embodiment, for the patient 10 who needs general anesthesia. The display displayed on the display unit 43 of the video game device 14 showing the appearance is based on the respiration signal of the patient 10 (in synchronization with the magnitude of the respiration signal of the patient 10) to further breathe the patient 10 The patient 10 does not dislike the anesthesia mask 12 at the time of general anesthesia induction by changing so as to cause a display operation to prompt the patient, and the patient 10 can breathe in cooperation with the inhalation of the anesthetic. It is possible to support the induction of anesthesia for In addition, as a result, the time taken to introduce anesthesia is shortened, and there is also an effect of contributing to cost reduction, such as improvement of safety of anesthesia management, improvement of operating room operation efficiency, reduction of consumption of anesthetic.

Third Embodiment
FIG. 8 is a diagram showing a schematic configuration of a general anesthesia induction support system 3 according to a third embodiment of the present invention. The same components as those described in the schematic view of FIG. 1 in the first embodiment will be assigned the same reference numerals and overlapping descriptions will be omitted. In the general anesthesia induction support system 3 according to the third embodiment, various biological information of the patient 10 (for example, the concentration of carbon dioxide contained in the respiration of the patient 10 (hereinafter referred to as "CO2 concentration") and the electrocardiogram information ( It further comprises a living body monitor 15 for capturing an electrical signal from the heart of the patient 10. The dashed arrow from the living body monitor 15 to the video game device 14 in Fig. 8 indicates the breathing signal of the patient 10 at the time of induction of anesthesia. That is, the video game apparatus 14 is similar to the first and second embodiments in that it takes in the breathing signal of the patient 10 who inhales the anesthetic gas used in general anesthesia.

  In the first embodiment, the respiration signal of the patient 10 is acquired by detecting the sound generated when the patient 10 breathes as the respiration signal of the patient 10 with the microphone 24 attached to the anesthesia mask 12. In the third embodiment, the living body monitor 15 acquires various biological information of the patient 10, and, among them, for example, an electrocardiogram (from the heart of the patient 10) The respiratory movement of the patient 10 obtained from the change in the impedance of the electrical signal) and the amount of carbon dioxide (concentration of carbon dioxide) contained in the exhalation of the patient 10 as a respiration signal of the patient 10 via the anesthesia mask 12 15, the video game apparatus 14 is sent.

  In the third embodiment, of the biological information acquired by the living body monitor 15, the respiratory motion of the patient 10 acquired from the change in the impedance of the electrocardiogram of the patient 10 is extracted as a waveform and is used as a video signal of the patient 10 It is described as being sent to S.14. When the amount of carbon dioxide (concentration of carbon dioxide) contained in the exhalation of the patient 10 is taken out, the carbon dioxide is detected from the microphone 24 attached to the subport 22 of the anesthesia mask 12 in FIG. 2 of the first embodiment. Instead of the blood vessel (not shown), when the patient 10 breathes, the biological monitor 15 acquires the amount of carbon dioxide contained in the breath of the patient 10, and the biological monitor 15 acquires the amount of carbon dioxide, It may be sent to the video game device 14.

  That is, in the case of the general anesthesia induction support system 3 according to the third embodiment, the patient's 10 respiration signal acquired by the respiration signal acquisition unit 41 of the video game apparatus 14 is acquired and converted by the living body monitor 15 This is a signal obtained from ten pieces of biological information, and not only in the case of a respiration signal through the anesthesia mask 12 but also in the case of a respiration signal not through the anesthesia mask 12.

  The configuration of the video game apparatus 14 and the display screen example and effects displayed on the display unit 43 of the video game apparatus 14 are the same as those of the general anesthesia introduction support system 1 of the first embodiment, and thus detailed. I omit explanation.

As described above, even in the case of the general anesthesia introduction support system 3 of the third embodiment of the present invention, the general anesthesia introduction support system 1 of the first embodiment and the general anesthesia introduction support system 2 of the second embodiment Similarly, based on the respiration signal of the patient 10 ( the magnitude of the respiration signal of the patient 10 is displayed on the display unit 43 of the video game apparatus 14 which is shown to the patient 10 requiring general anesthesia. Interlocking), by changing the display operation to encourage the patient 10 to breathe further, the patient 10 does not dislike the anesthesia mask 12 at the time of general anesthesia induction, the patient 10 himself inhaling the anesthetic Since it cooperates and breathes, it becomes possible to support anesthesia induction to patient 10. In addition, as a result, the time taken to introduce anesthesia is shortened, and there is also an effect of contributing to cost reduction, such as improvement of safety of anesthesia management, improvement of operating room operation efficiency, reduction of consumption of anesthetic.

  In the scope of the invention, the present invention allows free combination of each embodiment, or modification of any component of each embodiment, or omission of any component in each embodiment. .

1, 2, 3 General anesthesia introduction support system 11 anesthesia machine 12 anesthesia mask 13 anesthesia circuit 14 video game device 15 living body monitor 21 main port 22 of anesthesia mask 12 subport 23 of anesthesia mask 12 artificial nose filter attached to anesthesia mask 12 24 microphone 31 attached to anesthesia mask 12 flow sensor 41 attached to anesthesia circuit 13 respiration signal acquisition unit 42 of video game apparatus 14 display operation control unit 43 of video game apparatus 14 display unit of video game apparatus 14

Claims (4)

A general anesthesia induction support system for assisting in introducing the general anesthesia to a patient who needs a medical action of general anesthesia, comprising:
A video game device for capturing a breathing signal of the patient inhaling an anesthetic gas used in the general anesthesia;
The video game device is
A display unit,
A respiration signal acquisition unit that acquires the respiration signal;
A display operation that changes the display displayed on the display unit so as to cause a display operation to prompt the patient to take a further breath in conjunction with the size of the respiration signal acquired by the respiration signal acquisition unit A control unit,
A general anesthesia induction support system characterized by comprising: It further comprises an anesthesia mask for inhaling an anesthetic gas which the patient wears and is used in the general anesthesia,
The general anesthesia introduction support system according to claim 1, wherein the video game device captures a respiration signal of the patient via the anesthesia mask. A general anesthesia introduction support game device for assisting in introducing the general anesthesia to a patient who needs a medical action of general anesthesia, comprising:
A display unit,
A respiration signal acquisition unit for acquiring a respiration signal of the patient who inhales an anesthetic gas used in the general anesthesia;
A display operation that changes the display displayed on the display unit so as to cause a display operation to prompt the patient to take a further breath in conjunction with the size of the respiration signal acquired by the respiration signal acquisition unit A control unit,
A general anesthesia induction support game device comprising: A program for a general anesthesia introduction support game device for assisting in introducing the general anesthesia to a patient who needs a medical action of general anesthesia, which is a program for a general anesthesia introduction support game device,
Acquiring a respiration signal of the patient who inhales an anesthetic gas used in the general anesthesia;
The display operation control unit causes the display displayed on the display unit of the general anesthesia introduction support game device to be further breathed to the patient in conjunction with the magnitude of the respiration signal acquired by the respiration signal acquisition unit. Changing the program so as to cause a display operation to prompt the user to execute the general anesthesia introduction support game device.

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