WO2018097098A1 - General-anesthesia introduction assistance system, general-anesthesia introduction assistance game device and program for general-anesthesia introduction assistance game device - Google Patents

General-anesthesia introduction assistance system, general-anesthesia introduction assistance game device and program for general-anesthesia introduction assistance game device Download PDF

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Publication number
WO2018097098A1
WO2018097098A1 PCT/JP2017/041654 JP2017041654W WO2018097098A1 WO 2018097098 A1 WO2018097098 A1 WO 2018097098A1 JP 2017041654 W JP2017041654 W JP 2017041654W WO 2018097098 A1 WO2018097098 A1 WO 2018097098A1
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patient
anesthesia
general anesthesia
general
game device
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PCT/JP2017/041654
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French (fr)
Japanese (ja)
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▲祐▼司 北村
史朗 磯野
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国立大学法人 千葉大学
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Publication of WO2018097098A1 publication Critical patent/WO2018097098A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/01Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63FCARD, BOARD, OR ROULETTE GAMES; INDOOR GAMES USING SMALL MOVING PLAYING BODIES; VIDEO GAMES; GAMES NOT OTHERWISE PROVIDED FOR
    • A63F13/00Video games, i.e. games using an electronically generated display having two or more dimensions
    • A63F13/20Input arrangements for video game devices
    • A63F13/21Input arrangements for video game devices characterised by their sensors, purposes or types
    • A63F13/212Input arrangements for video game devices characterised by their sensors, purposes or types using sensors worn by the player, e.g. for measuring heart beat or leg activity

Definitions

  • 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 patient who needs a medical practice of general anesthesia when introducing the general anesthesia. It relates to a program for the device.
  • the present invention has been made to solve the above-described problems, and assists the patient not to dislike the anesthesia mask at the time of introducing general anesthesia but to take the action that the patient himself cooperates with the inhalation of the anesthetic.
  • An object is to provide a program for an anesthesia introduction support system, a general anesthesia introduction support game device, and a general anesthesia introduction support game device.
  • the present invention provides a general anesthesia introduction support system for supporting general anesthesia when introducing the general anesthesia to a patient who needs medical practice called general anesthesia.
  • a video game device that captures a respiratory signal of the patient that inhales anesthetic gas to be used, the video game device acquired by the display unit, the respiratory signal acquisition unit that acquires the respiratory signal, and the respiratory signal acquisition unit
  • a display operation control unit configured to change a display displayed on the display unit based on the breathing signal so that a display operation that encourages the patient to breathe further occurs.
  • the display displayed on the display unit of the video game apparatus shown to the patient who needs general anesthesia is based on the patient's respiratory signal (the patient's respiratory signal).
  • the patient's respiratory signal the patient's respiratory signal
  • FIG. 1 shows schematic structure of the general anesthesia introduction assistance system in Embodiment 1 of this invention. It is external appearance explanatory drawing of the anesthesia mask currently used for inhalation anesthesia introduction 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 the anesthesia introduction
  • 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 general anesthesia in introducing a general anesthesia for a patient who needs a medical action called general anesthesia.
  • the present invention relates to a program for a support game device.
  • a game for prompting breathing is displayed in order to cause the anesthetic to be taken into the patient's body, and the game proceeds in conjunction with the breathing (the display operation is changed in conjunction with the breathing).
  • FIG. 1 is a diagram showing a schematic configuration of a general anesthesia introduction support system 1 according to Embodiment 1 of the present invention.
  • the general anesthesia introduction support system 1 includes an anesthesia machine 11, an anesthesia mask 12 for inhaling anesthetic gas worn by a patient 10 and used for general anesthesia, and the anesthesia machine 11 to the anesthesia mask 12.
  • An anesthesia circuit 13 for sending inhalation anesthesia gas and returning exhalation gas from the patient 10 to the anesthesia machine 11 and a video game apparatus 14 for capturing a respiratory signal of the patient 10 through the anesthesia mask 12 are provided.
  • a broken line arrow from the anesthesia mask 12 to the video game apparatus 14 in FIG. 1 indicates a respiratory signal of the patient 10 through the anesthesia mask 12 at the time of anesthesia introduction. That is, the video game apparatus 14 captures the respiratory signal of the patient 10 who inhales anesthetic gas used for general anesthesia.
  • the “respiration signal” is a signal indicating that the patient 10 has breathed (exhaled or inhaled), and is necessary for the anesthetic to be inhaled into the lung of the patient 10 through the anesthesia mask. It is a signal generated by the patient 10 taking a breath.
  • Inhalation is necessary for the induction of anesthesia (inhalation of an inhaled anesthetic), but if the exhalation volume increases by blowing in, the inspiration volume naturally increases. Respiration may be captured as a respiration signal.
  • the sound of the breathing of the patient 10 generated when the patient 10 breathes is used as the breathing signal of the patient 10, and the sound is detected by the microphone 24 (see FIG. 2) (the microphone 24).
  • the respiratory signal of the patient 10 through the anesthesia mask 12 is acquired and sent to the video game apparatus 14.
  • FIG. 2 is an external explanatory view of an anesthesia mask 12 used for introducing inhalation anesthesia according to 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.
  • the artificial nose filter 23 is positioned between the mouth of the patient 10 and the main port 21 and between the mouth of the patient 10 and the subport 22. It has.
  • the mask used in normal surgery is generally configured as described above, detailed description thereof is omitted here.
  • a microphone 24 is inserted into the subport 22 for monitoring the amount of carbon dioxide contained in the exhalation of the patient 10 during the operation before the operation, and the microphone 24 The breathing sound of the patient 10 can be acquired as a breathing signal.
  • the microphone 24 is connected to the video game apparatus 14 by wire so that the video game apparatus 14 can acquire a respiratory 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.
  • the video game apparatus 14 includes a breathing signal acquisition unit 41, a display operation control unit 42, and a display unit 43.
  • the breathing signal acquisition unit 41 acquires a sound generated when the patient 10 breathes as a breathing signal of the patient 10 from the microphone 24 inserted into 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 respiratory signal of the patient 10 acquired by the respiratory signal acquisition unit 41 (in conjunction with the respiratory signal of the patient). It is a control part which changes so that the display operation which encourages further breathing to occur may occur.
  • FIG. 4 is an explanatory diagram showing a state in which anesthesia is introduced with an inhalation anesthetic while showing the display unit 43 of the video game apparatus 14 according to Embodiment 1 of the present invention to the child patient 10 who needs general anesthesia.
  • . 5 and 6 are diagrams showing an example of a game display screen displayed on the display unit 43 of the video game apparatus 14 according to Embodiment 1 of the present invention. That is, it is a display screen example of a game that is actually viewed by the child patient 10 shown in FIG.
  • FIG. 5 shows 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.
  • the pediatric patient 10 watching the display screen of the game breathes hard so that the child displayed on the display unit 43 can eat all the sweets. This makes it possible to support the introduction of anesthesia with inhalation anesthetics.
  • FIG. 6 shows an example of a display screen of a game in which if the patient 10 breathes a lot, a lot of soap bubbles that the child displayed on the display unit 43 is playing will come out.
  • the pediatric patient 10 watching the display screen of this game breathes hard so that the displayed child can put out a lot of soap bubbles, so inhalation anesthesia for the pediatric patient 10. It is possible to support the introduction of anesthesia with drugs.
  • FIG. 5 and FIG. 6 are only examples, and in addition to this, for example, when the patient 10 breathes a lot, the game image displayed on the display unit 43 changes one after another into a visually pleasing image, Such as games where helicopters and airplanes displayed on the display unit 43 fly higher, games where dead leaves displayed on the display unit 43 are blown higher, games where the windmill displayed on the display unit 43 turns vigorously, etc.
  • Various games are conceivable as games in which the display operation changes in conjunction with the magnitude of the respiratory signal.
  • the object displayed on the display unit 43 operates in accordance with the breathing of the patient 10, the patient 10 is encouraged to breathe, that is, by operating in conjunction with the magnitude of the respiratory signal of the patient 10, Any game may be used as long as it is a game for continuously encouraging the patient 10 to take a larger breath.
  • the patient 10 is a pediatric patient.
  • the patient 10 is an adult, if the patient 10 breathes a lot, a pleasant display is displayed. It is possible to support the introduction of anesthesia even for the adult patient 10 by using a game in which the game progresses or the progress of the game changes. Further, since the sensitivity of the breathing signal that is an input signal taken into the video game apparatus 14 can be adjusted, the breathing (inhalation) necessary for the patient 10 can be performed by changing the sensitivity according to the age and displacement of the patient 10. Can be encouraged.
  • anesthesia can be introduced in a shorter time than before by urging a larger breath continuously through a video game. Shortening the anesthesia introduction time also has the effect of contributing to cost reduction, such as improving the safety of anesthesia management, increasing the efficiency of operating the operating room, and reducing the consumption of anesthetics.
  • a video game screen is displayed on the display unit 43 of the video game apparatus 14, but depending on the age and displacement of the patient 10, the patient 10 As long as it can encourage the necessary breathing (inhalation), the game is not necessarily required, and guidance or the like may be displayed.
  • 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 used. Since the signal input to 14 is possible, the spread of the general anesthesia introduction support system 1 and the suppression of the introduction cost can be expected.
  • the video game apparatus 14 according to Embodiment 1 of the present invention can be developed in the form of, for example, an application of an iOS (registered trademark) device, by introducing the application (program), general anesthesia is introduced.
  • the spread of the support system 1 and the suppression of the introduction cost can also be expected.
  • a device for logical implementation by causing a CPU (Central Processing Unit) to execute an application (program) a tablet terminal, a notebook PC, or the like, for example, as shown in FIG. It goes without saying that anything can be used as long as it can be shown and used.
  • the display displayed on the display unit 43 of the video game apparatus 14 shown to the patient 10 that needs general anesthesia is as follows. Based on the respiratory signal of the patient 10 (in conjunction with the respiratory signal of the patient 10), the patient 10 is anesthetized when general anesthesia is introduced by changing the display operation so as to encourage the patient 10 to breathe further. Since the patient 10 does not dislike the mask 12 and breathes in cooperation with the inhalation of the anesthetic, the introduction of anesthesia for the patient 10 can be supported.
  • FIG. FIG. 7 is a diagram showing a schematic configuration of a general anesthesia introduction support system 2 according to Embodiment 2 of the present invention.
  • symbol is attached
  • a flow sensor 31 is attached in the middle of the anesthesia circuit 13.
  • a broken line arrow from the flow sensor 31 to the video game apparatus 14 in FIG. 7 indicates a respiratory signal of the patient 10 through the anesthesia mask 12 at the time of anesthesia introduction. That is, the point that the video game apparatus 14 captures the respiratory signal of the patient 10 inhaling the anesthetic gas used in general anesthesia is the same as in the first embodiment.
  • a sound generated when the patient 10 breathes is used as a breathing signal of the patient 10, and the sound is detected by the microphone 24 to acquire the breathing signal of the patient 10.
  • the respiratory signal of the patient 10 is obtained by detecting the respiratory flow rate through the anesthesia mask 12 and the anesthetic circuit 13 worn by the patient 10 with the flow sensor 31 in the second embodiment.
  • the change in the respiratory flow rate when 10 breathes is sent to the video game apparatus 14 as a respiratory signal of the patient 10.
  • the respiratory signal of the patient 10 acquired by the respiratory signal acquisition unit 41 of the video game apparatus 14 is connected to the anesthesia mask 12 worn by the patient 10.
  • the video game device 14 takes out the respiratory flow information from the anesthesia machine 11 and uses the respiratory flow information as a respiratory signal of the patient 10. You may make it send to.
  • the respiratory signal of the patient 10 acquired by the respiratory signal acquisition unit 41 of the video game apparatus 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 examples and effects displayed on the display unit 43 of the video game apparatus 14 are the same as those in the general anesthesia introduction support system 1 in the first embodiment. Description is omitted.
  • the patient 10 who needs general anesthesia is supported.
  • the display displayed on the display unit 43 of the video game apparatus 14 is shown based on the respiratory signal of the patient 10 (in conjunction with the respiratory signal of the patient 10) so as to encourage the patient 10 to breathe further.
  • the patient 10 does not dislike the anesthesia mask 12, and the patient 10 breathes in cooperation with the anesthetic inhalation.
  • the time required for anesthesia introduction is shortened, and there is an effect that the safety of anesthesia management is improved, the operation room is operated more efficiently, and the consumption of anesthetics is reduced, thereby contributing to cost reduction.
  • FIG. FIG. 8 is a diagram showing a schematic configuration of a general anesthesia introduction support system 3 according to Embodiment 3 of the present invention.
  • symbol is attached
  • 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”), electrocardiogram information ( A biological monitor 15 that captures an electrical signal from the heart of the patient 10 is further provided.
  • a broken line arrow from the biological monitor 15 to the video game apparatus 14 in FIG. That is, the point that the video game apparatus 14 captures the respiratory signal of the patient 10 inhaling the anesthetic gas used in general anesthesia is the same as in the first and second embodiments.
  • the biological monitor 15 acquires various biological information of the patient 10, and for example, an electrocardiogram (from the heart of the patient 10) is obtained.
  • the living body monitor uses the respiratory motion 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 the respiratory signal of the patient 10 through the anesthesia mask 12. 15 is sent to the video game apparatus 14.
  • 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 this is used as a respiratory signal of the patient 10 and a video game device 14 will be described.
  • the microphone 24 attached to the subport 22 of the anesthesia mask 12 in FIG. instead of a vessel (not shown), the biological monitor 15 acquires the amount of carbon dioxide contained in the exhalation of the patient 10 when the patient 10 breathes, and the amount of carbon dioxide acquired by the biological monitor 15 is It may be sent to the video game apparatus 14.
  • the respiratory signal of the patient 10 acquired by the respiratory signal acquisition unit 41 of the video game apparatus 14 is acquired and converted by the biological monitor 15.
  • 10 is a signal obtained from the biological information of 10 and includes not only a breathing signal through the anesthesia mask 12 but also a breathing signal not through the anesthesia mask 12.
  • the configuration of the video game apparatus 14 and the display screen examples and effects displayed on the display unit 43 of the video game apparatus 14 are the same as those in the general anesthesia introduction support system 1 in the first embodiment. Description is omitted.
  • the general anesthesia introduction support system 1 according to the first embodiment and the general anesthesia introduction support system 2 according to the second embodiment
  • the display displayed on the display unit 43 of the video game apparatus 14 shown to the patient 10 who needs general anesthesia is based on the respiratory signal of the patient 10 (in conjunction with the respiratory signal of the patient 10).
  • the patient 10 does not dislike the anesthesia mask 12 when introducing general anesthesia, and the patient 10 himself cooperates in inhaling the anesthetic. Since it breathes, it is possible to support the introduction of anesthesia for the patient 10.
  • the time required for anesthesia introduction is shortened, and there is an effect that the safety of anesthesia management is improved, the operation room is operated more efficiently, and the consumption of anesthetics is reduced, thereby contributing to cost reduction.
  • the general anesthesia introduction support system, the general anesthesia introduction support game device, and the program for the general anesthesia introduction support game device according to the present invention provide support for introducing the general anesthesia into a patient who needs a medical action called general anesthesia.
  • the present invention can be applied to a video game apparatus using a tablet terminal or a notebook PC for performing.

Abstract

The purpose of the present invention is to provide a general-anesthesia introduction assistance system, a general-anesthesia introduction assistance game device and a program for a general-anesthesia introduction assistance game device which assist with causing a patient to voluntarily cooperate with the inhalation of an anesthetic, without the patient resisting an anesthesia mask, when introducing general anesthesia. Provided is a general-anesthesia introduction assistance system 1 for assisting with the introduction of a medical act such as general anesthesia to a patient 10 who needs same, the system comprising: an anesthesia mask 12 worn by the patient 10 in order to inhale an anesthesia gas; and a video game device 14 that captures respiratory signals of the patient 10 via the anesthesia mask 12. The video game device 14 comprises: a display unit; a respiratory signal acquisition unit that acquires respiratory signals; and a display operation control unit that changes, on the basis of the respiratory signals acquired by the respiratory signal acquisition unit, the display shown on the display unit so as to cause a display operation to prompt the patient 10 to inhale more.

Description

全身麻酔導入支援システム、全身麻酔導入支援ゲーム装置、および、全身麻酔導入支援ゲーム装置用のプログラムGeneral anesthesia introduction support system, general anesthesia introduction support game device, and program for general anesthesia introduction support game device
 この発明は、全身麻酔という医療行為が必要な患者に、その全身麻酔を導入する際にそれを支援するための、全身麻酔導入支援システム、全身麻酔導入支援ゲーム装置、および、全身麻酔導入支援ゲーム装置用のプログラムに関するものである。 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 patient who needs a medical practice of general anesthesia when introducing the general anesthesia. It relates to a program for the device.
 現在、小児患者に対して全身麻酔を行う場合、吸入麻酔による緩徐導入が一般的である。この緩徐導入の際には、麻酔薬をマスクで吸入させる必要があり、患者によるマスクの受け入れが緩徐導入の可否に影響する。しかし、小児にとって慣れない環境下でのマスクの受け入れは難しく、さらに、吸入麻酔薬には刺激臭があるため、この刺激臭を嫌がってしまい、マスクの受け入れが難しいことがある。 Currently, when general anesthesia is performed on pediatric patients, slow introduction by inhalation anesthesia is common. During this slow introduction, it is necessary to inhale the anesthetic with a mask, and the acceptance of the mask by the patient affects the availability of the slow introduction. However, it is difficult to accept a mask in an environment unfamiliar to children, and furthermore, since an inhalation anesthetic has an irritating odor, it dislikes this irritating odor, and it may be difficult to accept the mask.
 そして、マスクの受け入れに対する抵抗が強い場合には、患者を無理やり押さえつけてマスクから吸入させるしかなかった。統計によると、鎮静薬等がなければ25%の子どもが泣き叫び、マスクを退けようとして強制的な抑圧が必要だった。また、強制的な導入を受けた小児患者の70%以上が、手術後にマイナスの行動異常をおこすということや、手術前の不安が強い子どもは、睡眠障害をきたすし、痛みも強いということが報告されている。また、手術術前の不安が強い子どもの方が、覚醒時興奮をきたし、夜泣きもするようになった、悪心嘔吐が多かった、家に引きこもる日数が多かった、という統計もある。 And if the resistance to mask acceptance was strong, the patient had to be forced down and inhaled from the mask. According to statistics, 25% of children cried and screamed without sedation, and forced repression was required to repel the mask. In addition, more than 70% of pediatric patients who have been forcibly introduced have negative behavioral abnormalities after surgery, and children who have strong anxiety prior to surgery have sleep disorders and pain. It has been reported. There are also statistics that children who had strong anxiety before surgery were excited when they woke up, began to cry at night, had nausea and vomiting, and had more days to stay home.
 このような問題に対処するために、麻酔マスクの内側には、美味しそうな香りのするエッセンス(バニラ、イチゴ、レモンなどのエッセンス)をぬって、子どもがマスクの受け入れを嫌がらず、少しでも手術に対する不安が解消されるような工夫がなされている。また、近年では、子どもが好きなアニメなどのビデオを見せて気をそらし、見ながら眠っていけるような工夫もなされている。 In order to deal with these problems, the inside of the anesthesia mask is covered with a delicious scented essence (e.g. vanilla, strawberry, lemon, etc.), and the child does not hate to accept the mask, and even a little surgery Ingenuity has been devised to eliminate anxiety. In recent years, children have been devised to watch videos such as anime that they like, and to sleep while watching.
特開2008-237495号公報JP 2008-237495 A
 しかしながら、手術の数日前にあらかじめ子どもの好みを聞いておいて、その子どもの好きな香りのエッセンスをぬっておいたとしても、また、その子どもが好きなビデオを見せて気をそらしたとしても、マスクの受け入れには抵抗を示したり、麻酔吸入中にだんだん麻酔薬本来の刺激臭がしてくるので、最初はよくても眠る前に嫌がってしまい、麻酔導入(吸入麻酔薬の吸入)には協力してくれないことが多く、結局は無理やり吸入させるしかないという課題があった。 However, even if you listen to your child's preferences in advance a few days before the surgery, and you have removed the scent of the child's favorite scent, or if you distracted by showing the child's favorite video , The resistance to acceptance of the mask, and the irritating odor inherent to the anesthetic during the inhalation of anesthesia will gradually become disliked at first, even at best, to introduce anesthesia (inhalation of inhalation anesthetic) In many cases, there was a problem that there was no choice but to force inhalation.
 この発明は、上記のような課題を解決するためになされたものであり、全身麻酔導入時に、患者が麻酔マスクを嫌がらず、患者自らが麻酔薬の吸入に協力する行動をとるよう支援する全身麻酔導入支援システム、全身麻酔導入支援ゲーム装置、および、全身麻酔導入支援ゲーム装置用のプログラムを提供することを目的とする。 The present invention has been made to solve the above-described problems, and assists the patient not to dislike the anesthesia mask at the time of introducing general anesthesia but to take the action that the patient himself cooperates with the inhalation of the anesthetic. An object is to provide a program for an anesthesia introduction support system, a general anesthesia introduction support game device, and a general anesthesia introduction support game device.
 上記目的を達成するため、この発明は、全身麻酔という医療行為が必要な患者に対して前記全身麻酔を導入する際にそれを支援するための全身麻酔導入支援システムであって、前記全身麻酔で用いられる麻酔ガスを吸入する前記患者の呼吸信号を取り込むビデオゲーム装置を備え、前記ビデオゲーム装置は、表示部と、前記呼吸信号を取得する呼吸信号取得部と、前記呼吸信号取得部が取得した前記呼吸信号に基づいて、前記表示部に表示されている表示を、前記患者に対してさらなる呼吸を促すような表示動作が起こるよう変化させる表示動作制御部と、を備えることを特徴とする。 In order to achieve the above object, the present invention provides a general anesthesia introduction support system for supporting general anesthesia when introducing the general anesthesia to a patient who needs medical practice called general anesthesia. A video game device that captures a respiratory signal of the patient that inhales anesthetic gas to be used, the video game device acquired by the display unit, the respiratory signal acquisition unit that acquires the respiratory signal, and the respiratory signal acquisition unit A display operation control unit configured to change a display displayed on the display unit based on the breathing signal so that a display operation that encourages the patient to breathe further occurs.
 この発明の全身麻酔導入支援システムによれば、全身麻酔が必要な患者に対して見せているビデオゲーム装置の表示部に表示されている表示を、患者の呼吸信号に基づいて(患者の呼吸信号に連動させて)、患者に対してさらなる呼吸を促すような表示動作が起こるよう変化させることにより、全身麻酔導入時に、患者が麻酔マスクを嫌がらず、患者自らが麻酔薬の吸入に協力して呼吸をしてくれるので、患者に対する麻酔導入を支援することが可能となる。 According to the general anesthesia introduction support system of the present invention, the display displayed on the display unit of the video game apparatus shown to the patient who needs general anesthesia is based on the patient's respiratory signal (the patient's respiratory signal). By changing the display behavior to encourage further breathing for the patient, the patient does not dislike the anesthesia mask when introducing general anesthesia, and the patient cooperates with the inhalation of the anesthetic. Because it breathes, it is possible to support the introduction of anesthesia for the patient.
この発明の実施の形態1における全身麻酔導入支援システムの概略構成を示す図である。It is a figure which shows schematic structure of the general anesthesia introduction assistance system in Embodiment 1 of this invention. この発明の実施の形態1における吸入麻酔導入のために使用されている麻酔マスクの外観説明図である。It is external appearance explanatory drawing of the anesthesia mask currently used for inhalation anesthesia introduction in Embodiment 1 of this invention. この発明の実施の形態1におけるビデオゲーム装置の機能構成の一例を示すブロック図である。It is a block diagram which shows an example of a function structure of the video game device in Embodiment 1 of this invention. この発明の実施の形態1におけるビデオゲーム装置の表示部を全身麻酔が必要な小児患者に見せながら、吸入麻酔薬による麻酔導入を行っている様子を示す説明図である。It is explanatory drawing which shows a mode that the anesthesia introduction | transduction with an inhalation anesthetic is performed, showing the display part of the video game device in Embodiment 1 of this invention to the pediatric patient who needs general anesthesia. この発明の実施の形態1におけるビデオゲーム装置の表示部に表示されるゲームの表示画面の一例を示す図である。It is a figure which shows an example of the display screen of the game displayed on the display part of the video game device in Embodiment 1 of this invention. この発明の実施の形態1におけるビデオゲーム装置の表示部に表示されるゲームの表示画面の別の一例を示す図である。It is a figure which shows another example of the display screen of the game displayed on the display part of the video game device in Embodiment 1 of this invention. この発明の実施の形態2における全身麻酔導入支援システムの概略構成を示す図である。It is a figure which shows schematic structure of the general anesthesia introduction assistance system in Embodiment 2 of this invention. この発明の実施の形態3における全身麻酔導入支援システムの概略構成を示す図である。It is a figure which shows schematic structure of the general anesthesia introduction assistance system in Embodiment 3 of this invention.
 この発明は、全身麻酔という医療行為が必要な患者に対して、その全身麻酔を導入する際にそれを支援するための、全身麻酔導入支援システム、全身麻酔導入支援ゲーム装置、および、全身麻酔導入支援ゲーム装置用のプログラムに関するものである。
 以下、この発明の実施の形態について、図面を参照しながら詳細に説明する。
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 general anesthesia in introducing a general anesthesia for a patient who needs a medical action called 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.
 小児患者に対して全身麻酔を行う場合、吸入麻酔による緩徐導入が一般的であるが、この緩徐導入の際には、麻酔薬をマスクで吸入させる必要があり、患者によるマスクの受け入れが緩徐導入の可否に影響する。しかし、小児にとって慣れない環境下でのマスクの受け入れは難しく、さらに、吸入麻酔薬には刺激臭があるため、この刺激臭を嫌がってしまい、マスクの受け入れが難しいことがある。 When general anesthesia is performed on pediatric patients, slow introduction by inhalation anesthesia is common, but at this slow introduction, it is necessary to inhale the anesthetic with a mask, and patient acceptance of the mask is introduced slowly. Affects whether or not However, it is difficult to accept a mask in an environment unfamiliar to children, and furthermore, since an inhalation anesthetic has an irritating odor, it dislikes this irritating odor, and it may be difficult to accept the mask.
 そこで、現在では、例えば手術の数日前にあらかじめ子どもの好みを聞いておいて、その子どもの好きな香りのエッセンスを麻酔マスクの内側にぬっておいたり、その子どもが好きなビデオを見せて気をそらしたりする方法がとられているが、好きな香りを嗅いだり好きなビデオを見るという行為と、マスクを受け入れて麻酔薬を吸入するという行為が独立しているため、やはり刺激臭のある麻酔薬を吸うという行為から気をそらすだけの効果しかなく、最初はよくても眠る前に嫌がってしまい、依然として麻酔導入(吸入麻酔薬の吸入)には協力してくれず、小児患者が自らしっかりと呼吸をして(息を吸って)麻酔薬を体内に取り込ませることは難しいという問題があった。 So, for example, listening to a child's preference in advance a few days before surgery, putting the child's favorite scent essence inside the anesthesia mask, or showing the child's favorite video. Although the act of sniffing the favorite scent or watching the favorite video is independent of the act of accepting the mask and inhaling the anesthetic, it still has a stimulating odor It only has the effect of distracting from the act of inhaling an anesthetic. At first, it is disliked before going to sleep at best, and it still does not cooperate in the induction of anesthesia (inhalation of an inhaled anesthetic). There was a problem that it was difficult to take anesthetic into the body by breathing firmly (breathing in).
 そのため、マスクの受け入れに対する抵抗が強い場合には、患者を無理やり押さえつけてマスクから吸入させるしかなかった。このような麻酔の導入の仕方を「ストーミー・インダクション(Stormy Induction)」と呼ぶが、このような麻酔の導入を行った場合、手術が終わったあとに患者の精神行動などにも悪い影響を及ぼすことが統計上わかってきたため、できるだけストーミー・インダクションは避けて、患者が自ら麻酔導入に協力してくれることが望ましい。 Therefore, if the resistance to mask acceptance was strong, the patient had to be forced down and inhaled from the mask. This way of introducing anesthesia is called “stormy induction”, but when such anesthesia is introduced, it also has a negative effect on the mental behavior of the patient after the operation is completed. Since it has been statistically understood, it is desirable that patients avoid the stormy induction as much as possible and cooperate with the induction of anesthesia on their own.
 そこで、この発明の実施の形態では、患者の体内に麻酔薬を取り込ませるために呼吸を促すようなゲームを表示させ、そのゲームが呼吸に連動して進む(呼吸に連動して表示動作を変化させる)ことにより、ゲームを進めたい患者が自ら呼吸をして、結果的に患者の体内への麻酔薬取り込みが促進されるようにするものである。 Therefore, in the embodiment of the present invention, a game for prompting breathing is displayed in order to cause the anesthetic to be taken into the patient's body, and the game proceeds in conjunction with the breathing (the display operation is changed in conjunction with the breathing). By doing so, the patient who wants to proceed with the game breathes on his / herself, and as a result, the intake of the anesthetic into the patient's body is promoted.
実施の形態1.
 図1は、この発明の実施の形態1における全身麻酔導入支援システム1の概略構成を示す図である。図1に示すように、この全身麻酔導入支援システム1は、麻酔器11、患者10が着用して全身麻酔で用いられる麻酔ガスを吸入するための麻酔マスク12、麻酔器11から麻酔マスク12へ吸入麻酔ガスを送り患者10からの呼気ガスを麻酔器11に戻すための麻酔回路13、および、麻酔マスク12を介する患者10の呼吸信号を取り込むビデオゲーム装置14を備えている。この図1における麻酔マスク12からビデオゲーム装置14への破線矢印は、麻酔導入時の麻酔マスク12を介する患者10の呼吸信号を示している。すなわち、ビデオゲーム装置14は、全身麻酔で用いられる麻酔ガスを吸入する患者10の呼吸信号を取り込んでいる。
Embodiment 1 FIG.
FIG. 1 is a diagram showing a schematic configuration of a general anesthesia introduction support system 1 according to Embodiment 1 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 anesthetic gas worn by a patient 10 and used for general anesthesia, and the anesthesia machine 11 to the anesthesia mask 12. An anesthesia circuit 13 for sending inhalation anesthesia gas and returning exhalation gas from the patient 10 to the anesthesia machine 11 and a video game apparatus 14 for capturing a respiratory signal of the patient 10 through the anesthesia mask 12 are provided. A broken line arrow from the anesthesia mask 12 to the video game apparatus 14 in FIG. 1 indicates a respiratory signal of the patient 10 through the anesthesia mask 12 at the time of anesthesia introduction. That is, the video game apparatus 14 captures the respiratory signal of the patient 10 who inhales anesthetic gas used for general anesthesia.
 ここで、「呼吸信号」とは、患者10が呼吸(呼気または吸気)を行ったことを示す信号のことであり、麻酔マスクを介する患者10の肺に麻酔薬が吸入されるために必要な呼吸を患者10が行ったことによって発生する信号である。以下の実施の形態においても、同様である。なお、麻酔導入(吸入麻酔薬の吸入)のために必要な呼吸は吸気であるが、息を吹き付けることにより呼気量が大きくなれば、自然と吸気量も大きくなるので、呼気または吸気のいずれの呼吸を呼吸信号として取り込んでもよい。 Here, the “respiration signal” is a signal indicating that the patient 10 has breathed (exhaled or inhaled), and is necessary for the anesthetic to be inhaled into the lung of the patient 10 through the anesthesia mask. It is a signal generated by the patient 10 taking a breath. The same applies to the following embodiments. Inhalation is necessary for the induction of anesthesia (inhalation of an inhaled anesthetic), but if the exhalation volume increases by blowing in, the inspiration volume naturally increases. Respiration may be captured as a respiration signal.
 そして、この実施の形態1では、患者10が呼吸を行った際に発生する患者10の呼吸の音を患者10の呼吸信号として、その音をマイク24(図2参照)で検出する(マイク24から取得する)ことによって、麻酔マスク12を介する患者10の呼吸信号を取得し、ビデオゲーム装置14に送るようにしている。 And in this Embodiment 1, the sound of the breathing of the patient 10 generated when the patient 10 breathes is used as the breathing signal of the patient 10, and the sound is detected by the microphone 24 (see FIG. 2) (the microphone 24). The respiratory signal of the patient 10 through the anesthesia mask 12 is acquired and sent to the video game apparatus 14.
 図2は、この発明の実施の形態1における吸入麻酔導入のために使用されている麻酔マスク12の外観説明図である。麻酔マスク12は、麻酔回路13が接続されるメインポート21と、手術中の患者10の二酸化炭素の量などをモニタするためのサブポート22を有している。また、麻酔マスク12を患者10が口にあてた場合に、患者10の口とメインポート21の間であって、かつ、患者10の口とサブポート22の間になる位置に、人工鼻フィルタ23を備えている。なお、通常の手術で使用されるマスクは、このような構成のものが一般的であるので、ここでは詳細な説明を省略する。 FIG. 2 is an external explanatory view of an anesthesia mask 12 used for introducing inhalation anesthesia according to 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. When the anesthesia mask 12 is applied to the mouth of the patient 10, the artificial nose filter 23 is positioned between the mouth of the patient 10 and the main port 21 and between the mouth of the patient 10 and the subport 22. It has. In addition, since the mask used in normal surgery is generally configured as described above, detailed description thereof is omitted here.
 この発明の実施の形態1では、手術中に患者10の呼気に含まれる二酸化炭素の量などをモニタするためのサブポート22に、手術前はマイク24を挿入し、そのマイク24から、患者10の呼吸信号として患者10の呼吸の音を取得できるようにしている。このマイク24は、有線でビデオゲーム装置14に接続され、ビデオゲーム装置14が患者10の呼吸信号を取得できるようになっている。 In the first embodiment of the present invention, a microphone 24 is inserted into the subport 22 for monitoring the amount of carbon dioxide contained in the exhalation of the patient 10 during the operation before the operation, and the microphone 24 The breathing sound of the patient 10 can be acquired as a breathing signal. The microphone 24 is connected to the video game apparatus 14 by wire so that the video game apparatus 14 can acquire a respiratory signal of the patient 10.
 図3は、この発明の実施の形態1におけるビデオゲーム装置14の機能構成の一例を示すブロック図である。この図3に示すように、ビデオゲーム装置14は、呼吸信号取得部41と、表示動作制御部42と、表示部43を備えている。 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 breathing signal acquisition unit 41, a display operation control unit 42, and a display unit 43.
 呼吸信号取得部41は、患者10が装着した麻酔マスク12のサブポート22に挿入されたマイク24から、患者10が呼吸を行った際に発生する音を患者10の呼吸信号として取得する。
 表示動作制御部42は、呼吸信号取得部41が取得した患者10の呼吸信号に基づいて(患者の呼吸信号に連動させて)、表示部43に表示されているビデオゲームの表示を、患者10に対してさらなる呼吸を促すような表示動作が起こるよう変化させる制御部である。
The breathing signal acquisition unit 41 acquires a sound generated when the patient 10 breathes as a breathing signal of the patient 10 from the microphone 24 inserted into 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 respiratory signal of the patient 10 acquired by the respiratory signal acquisition unit 41 (in conjunction with the respiratory signal of the patient). It is a control part which changes so that the display operation which encourages further breathing to occur may occur.
 図4は、この発明の実施の形態1におけるビデオゲーム装置14の表示部43を全身麻酔が必要な小児患者10に見せながら、吸入麻酔薬による麻酔導入を行っている様子を示す説明図である。
 また、図5および図6は、この発明の実施の形態1におけるビデオゲーム装置14の表示部43に表示されるゲームの表示画面の一例を示す図である。すなわち、図4に示す小児患者10が実際に見ているゲームの表示画面例である。
FIG. 4 is an explanatory diagram showing a state in which anesthesia is introduced with an inhalation anesthetic while showing the display unit 43 of the video game apparatus 14 according to Embodiment 1 of the present invention to the child patient 10 who needs general anesthesia. .
5 and 6 are diagrams showing an example of a game display screen displayed on the display unit 43 of the video game apparatus 14 according to Embodiment 1 of the present invention. That is, it is a display screen example of a game that is actually viewed by the child patient 10 shown in FIG.
 図5は、患者10がたくさん呼吸をすれば、表示部43に表示されている子どもがお菓子をたくさん食べることができるというゲームの表示画面例である。図4に示すようにこのゲームの表示画面を見ている小児患者10は、表示部43に表示されている子どもがお菓子を全部食べられるように一生懸命呼吸をしてくれるので、小児患者10に対する吸入麻酔薬による麻酔導入を支援することが可能となるのである。 FIG. 5 shows 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 watching the display screen of the game breathes hard so that the child displayed on the display unit 43 can eat all the sweets. This makes it possible to support the introduction of anesthesia with inhalation anesthetics.
 また、図6は、患者10がたくさん呼吸をすれば、表示部43に表示されている子どもがやっているシャボン玉のシャボンがたくさん出てくるというゲームの表示画面例である。図4に示すようにこのゲームの表示画面を見ている小児患者10は、表示されている子どもがシャボン玉のシャボンをたくさん出せるように一生懸命呼吸をしてくれるので、小児患者10に対する吸入麻酔薬による麻酔導入を支援することが可能となるのである。 FIG. 6 shows an example of a display screen of a game in which if the patient 10 breathes a lot, a lot of soap bubbles that the child displayed on the display unit 43 is playing will come out. As shown in FIG. 4, the pediatric patient 10 watching the display screen of this game breathes hard so that the displayed child can put out a lot of soap bubbles, so inhalation anesthesia for the pediatric patient 10. It is possible to support the introduction of anesthesia with drugs.
 これら図5、図6はほんの一例であり、この他にも例えば、患者10がたくさん呼吸をすると、表示部43に表示されているゲームの画像が見た目に楽しい画像に次々と変化するゲームや、表示部43に表示されているヘリコプターや飛行機がより高く飛ぶゲーム、表示部43に表示されている枯葉が高く吹き飛ばされるゲーム、表示部43に表示されている風車が勢いよく回るゲームなど、患者の呼吸信号の大きさに連動して表示動作が変化するゲームとしては、様々なものが考えられる。 These FIG. 5 and FIG. 6 are only examples, and in addition to this, for example, when the patient 10 breathes a lot, the game image displayed on the display unit 43 changes one after another into a visually pleasing image, Such as games where helicopters and airplanes displayed on the display unit 43 fly higher, games where dead leaves displayed on the display unit 43 are blown higher, games where the windmill displayed on the display unit 43 turns vigorously, etc. Various games are conceivable as games in which the display operation changes in conjunction with the magnitude of the respiratory signal.
 すなわち、表示部43に表示されているオブジェクトが患者10の呼吸に合わせて動作することにより、患者10に呼吸を促す、つまり、患者10の呼吸信号の大きさに連動して動作することにより、患者10に対して、より大きな呼吸を持続して促す、というゲームであれば、どのようなものであってもよい。 That is, when the object displayed on the display unit 43 operates in accordance with the breathing of the patient 10, the patient 10 is encouraged to breathe, that is, by operating in conjunction with the magnitude of the respiratory signal of the patient 10, Any game may be used as long as it is a game for continuously encouraging the patient 10 to take a larger breath.
 このように、ビデオゲームという多くの小児にとって楽しみな行為が、全身麻酔導入時の小児患者10の不安を軽減させるのみならず、麻酔導入(吸入麻酔薬の吸入)という行為に直接結びつくため、従来よりも患者10の協力を得ることができる。また、その患者10の年齢や興味に応じて、複数のゲームの中から好きなものが選べるようにすれば、患者10がさらに麻酔導入に協力してくれるという効果を高めることができる。 As described above, since a video game fun action for many children not only reduces anxiety of the child patient 10 when introducing general anesthesia, but also directly leads to an act of introducing anesthesia (inhalation of inhaled anesthetic), The cooperation of the patient 10 can be obtained. Further, if a favorite game can be selected from a plurality of games according to the age and interest of the patient 10, the effect that the patient 10 further cooperates in introducing anesthesia can be enhanced.
 なお、この発明の実施の形態では、患者10は小児患者であるものとして説明しているが、患者10が大人であったとしても、患者10がたくさん呼吸をすれば、見た目に楽しい表示が行われたり、ゲームの進行が変化したりするゲームを用いることにより、大人の患者10に対しても、麻酔導入を支援することが可能となる。また、ビデオゲーム装置14に取り込まれる入力信号である呼吸信号の感度は調節可能であるので、患者10の年齢や排気量に応じて感度を変えることにより、その患者10にとって必要な呼吸(吸入)を促すことができる。 In the embodiment of the present invention, it is described that the patient 10 is a pediatric patient. However, even if the patient 10 is an adult, if the patient 10 breathes a lot, a pleasant display is displayed. It is possible to support the introduction of anesthesia even for the adult patient 10 by using a game in which the game progresses or the progress of the game changes. Further, since the sensitivity of the breathing signal that is an input signal taken into the video game apparatus 14 can be adjusted, the breathing (inhalation) necessary for the patient 10 can be performed by changing the sensitivity according to the age and displacement of the patient 10. Can be encouraged.
 また、大きな呼吸は、吸入麻酔による全身麻酔の速やかな導入に直結するので、ビデオゲームによって、より大きな呼吸を持続して促すことにより、従来よりも短時間で麻酔導入が可能となる。麻酔導入時間の短縮は、麻酔管理の安全性の向上と手術室運営の効率化、麻酔薬の消費量の削減など、コストダウンにも寄与するという効果もある。 In addition, since large breathing is directly linked to the rapid introduction of general anesthesia by inhalation anesthesia, anesthesia can be introduced in a shorter time than before by urging a larger breath continuously through a video game. Shortening the anesthesia introduction time also has the effect of contributing to cost reduction, such as improving the safety of anesthesia management, increasing the efficiency of operating the operating room, and reducing the consumption of anesthetics.
 なお、この発明の実施の形態では、ビデオゲーム装置14の表示部43にはビデオゲームの画面が表示されるものとして説明しているが、患者10の年齢や排気量に応じて、その患者10にとって必要な呼吸(吸入)を促すことができるものであれば、必ずしもゲームである必要はなく、ガイダンス等が表示されるようにしてもよい。 In the embodiment of the present invention, it is described that a video game screen is displayed on the display unit 43 of the video game apparatus 14, but depending on the age and displacement of the patient 10, the patient 10 As long as it can encourage the necessary breathing (inhalation), the game is not necessarily required, and guidance or the like may be displayed.
 さらに、この発明の実施の形態1における全身麻酔導入支援システム1では、患者10の呼吸信号として呼吸音信号を用いることにしたので、市販の小型マイクを利用することができ、簡単にビデオゲーム装置14への信号入力が可能であるため、全身麻酔導入支援システム1の普及性や導入コストの抑制も期待することができる。 Furthermore, in the general anesthesia introduction 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 used. Since the signal input to 14 is possible, the spread of the general anesthesia introduction support system 1 and the suppression of the introduction cost can be expected.
 また、この発明の実施の形態1におけるビデオゲーム装置14は、例えばiOS(登録商標)デバイスのアプリケーションのような形で開発が可能であるため、アプリケーション(プログラム)を公開することにより、全身麻酔導入支援システム1の普及性や導入コストの抑制も期待することができる。なお、CPU(Central Processing Unit)にアプリケーション(プログラム)を実行させることにより論理的に実現するための装置としては、タブレット端末やノートPC等、例えば図4に示すように、手術前に患者10に見せて使用することができるものであれば、どのようなものであってもよいことは言うまでもない。 In addition, since the video game apparatus 14 according to Embodiment 1 of the present invention can be developed in the form of, for example, an application of an iOS (registered trademark) device, by introducing the application (program), general anesthesia is introduced. The spread of the support system 1 and the suppression of the introduction cost can also be expected. In addition, as a device for logical implementation by causing a CPU (Central Processing Unit) to execute an application (program), a tablet terminal, a notebook PC, or the like, for example, as shown in FIG. It goes without saying that anything can be used as long as it can be shown and used.
 以上のように、この実施の形態1における全身麻酔導入支援システム1によれば、全身麻酔が必要な患者10に対して見せているビデオゲーム装置14の表示部43に表示されている表示を、患者10の呼吸信号に基づいて(患者10の呼吸信号に連動させて)、患者10に対してさらなる呼吸を促すような表示動作が起こるよう変化させることにより、全身麻酔導入時に、患者10が麻酔マスク12を嫌がらず、患者10自らが麻酔薬の吸入に協力して呼吸をしてくれるので、患者10に対する麻酔導入を支援することが可能となる。 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 shown to the patient 10 that needs general anesthesia is as follows. Based on the respiratory signal of the patient 10 (in conjunction with the respiratory signal of the patient 10), the patient 10 is anesthetized when general anesthesia is introduced by changing the display operation so as to encourage the patient 10 to breathe further. Since the patient 10 does not dislike the mask 12 and breathes in cooperation with the inhalation of the anesthetic, the introduction of anesthesia for the patient 10 can be supported.
 また、吸入麻酔には高濃度な麻酔薬を使用していることもあり、麻酔導入にかかる時間は短い方が、麻酔の安全性が上がることがわかっている。これについても、全身麻酔が必要な患者10が自ら積極的に呼吸をして麻酔導入に協力してくれることにより、麻酔導入にかかる時間が短くなるという効果がある。また、その結果、麻酔管理の安全性の向上と手術室運営の効率化、麻酔薬の消費量の削減など、コストダウンにも寄与するという効果もある。 In addition, high anesthetics are used for inhalation anesthesia, and it is known that the safety of anesthesia increases as the time required for anesthesia introduction is shorter. This also has the effect that the time required for anesthesia introduction is shortened by the patient 10 who needs general anesthesia actively breathing and cooperating with the induction of anesthesia. As a result, there is an effect of contributing to cost reduction, such as improvement of safety of anesthesia management, efficiency of operation of the operating room, reduction of anesthetic consumption, and the like.
実施の形態2.
 図7は、この発明の実施の形態2における全身麻酔導入支援システム2の概略構成を示す図である。なお、実施の形態1における図1の概略構成を示す図で説明したものと同様の構成には、同一の符号を付して重複した説明を省略する。この実施の形態2における全身麻酔導入支援システム2では、麻酔回路13の途中にフローセンサ31が取り付けられている。また、この図7におけるフローセンサ31からビデオゲーム装置14への破線矢印は、麻酔導入時の麻酔マスク12を介する患者10の呼吸信号を示している。すなわち、ビデオゲーム装置14が、全身麻酔で用いられる麻酔ガスを吸入する患者10の呼吸信号を取り込む点については、実施の形態1と同様である。
Embodiment 2. FIG.
FIG. 7 is a diagram showing a schematic configuration of a general anesthesia introduction support system 2 according to Embodiment 2 of the present invention. In addition, the same code | symbol is attached | subjected to the structure similar to what was demonstrated in the figure which shows schematic structure of FIG. 1 in Embodiment 1, and the overlapping description is abbreviate | omitted. In the general anesthesia introduction support system 2 in the second embodiment, a flow sensor 31 is attached in the middle of the anesthesia circuit 13. In addition, a broken line arrow from the flow sensor 31 to the video game apparatus 14 in FIG. 7 indicates a respiratory signal of the patient 10 through the anesthesia mask 12 at the time of anesthesia introduction. That is, the point that the video game apparatus 14 captures the respiratory signal of the patient 10 inhaling the anesthetic gas used in general anesthesia is the same as in the first embodiment.
 実施の形態1では、患者10が呼吸を行った際に発生する音を患者10の呼吸信号として、その音をマイク24で検出することによって患者10の呼吸信号を取得し、ビデオゲーム装置14に送るようにしていたが、この実施の形態2では、患者10が装着した麻酔マスク12および麻酔回路13を介する呼吸流量をフローセンサ31で検出することによって、患者10の呼吸信号を取得し、患者10が呼吸を行った際の呼吸流量の変化を患者10の呼吸信号として、ビデオゲーム装置14に送るようにしている。 In the first embodiment, a sound generated when the patient 10 breathes is used as a breathing signal of the patient 10, and the sound is detected by the microphone 24 to acquire the breathing signal of the patient 10. In the second embodiment, the respiratory signal of the patient 10 is obtained by detecting the respiratory flow rate through the anesthesia mask 12 and the anesthetic circuit 13 worn by the patient 10 with the flow sensor 31 in the second embodiment. The change in the respiratory flow rate when 10 breathes is sent to the video game apparatus 14 as a respiratory signal of the patient 10.
 すなわち、この実施の形態2における全身麻酔導入支援システム2の場合には、ビデオゲーム装置14の呼吸信号取得部41が取得する患者10の呼吸信号は、患者10が装着した麻酔マスク12に接続された麻酔回路13に取り付けられたフローセンサ31から取得する、患者10の呼吸流量である。 That is, in the case of the general anesthesia introduction support system 2 in the second embodiment, the respiratory signal of the patient 10 acquired by the respiratory 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.
 また、麻酔器11が内部にフローセンサ(図示せず)を備えている場合には、麻酔器11から呼吸流量情報を取り出して、その呼吸流量情報を患者10の呼吸信号として、ビデオゲーム装置14に送るようにしてもよい。
 この場合には、ビデオゲーム装置14の呼吸信号取得部41が取得する患者10の呼吸信号は、麻酔器11から取得する患者10の呼吸流量(呼吸流量情報)である。
When the anesthesia machine 11 includes a flow sensor (not shown) inside, the video game device 14 takes out the respiratory flow information from the anesthesia machine 11 and uses the respiratory flow information as a respiratory signal of the patient 10. You may make it send to.
In this case, the respiratory signal of the patient 10 acquired by the respiratory signal acquisition unit 41 of the video game apparatus 14 is the respiratory flow (respiratory flow information) of the patient 10 acquired from the anesthesia machine 11.
 なお、ビデオゲーム装置14の構成、および、ビデオゲーム装置14の表示部43に表示される表示画面例や効果については、実施の形態1における全身麻酔導入支援システム1と同様であるので、詳細な説明を省略する。 The configuration of the video game apparatus 14 and the display screen examples and effects displayed on the display unit 43 of the video game apparatus 14 are the same as those in the general anesthesia introduction support system 1 in the first embodiment. Description is omitted.
 以上のように、この発明の実施の形態2の全身麻酔導入支援システム2による場合であっても、実施の形態1の全身麻酔導入支援システム1と同様に、全身麻酔が必要な患者10に対して見せているビデオゲーム装置14の表示部43に表示されている表示を、患者10の呼吸信号に基づいて(患者10の呼吸信号に連動させて)、患者10に対してさらなる呼吸を促すような表示動作が起こるよう変化させることにより、全身麻酔導入時に、患者10が麻酔マスク12を嫌がらず、患者10自らが麻酔薬の吸入に協力して呼吸をしてくれるので、患者10に対する麻酔導入を支援することが可能となる。また、その結果、麻酔導入にかかる時間が短くなり、麻酔管理の安全性の向上と手術室運営の効率化、麻酔薬の消費量の削減など、コストダウンにも寄与するという効果もある。 As described above, even in the case of the general anesthesia introduction support system 2 according to the second embodiment of the present invention, as in the general anesthesia introduction support system 1 according to the first embodiment, the patient 10 who needs general anesthesia is supported. The display displayed on the display unit 43 of the video game apparatus 14 is shown based on the respiratory signal of the patient 10 (in conjunction with the respiratory signal of the patient 10) so as to encourage the patient 10 to breathe further. When the general anesthesia is introduced, the patient 10 does not dislike the anesthesia mask 12, and the patient 10 breathes in cooperation with the anesthetic inhalation. Can be supported. As a result, the time required for anesthesia introduction is shortened, and there is an effect that the safety of anesthesia management is improved, the operation room is operated more efficiently, and the consumption of anesthetics is reduced, thereby contributing to cost reduction.
実施の形態3.
 図8は、この発明の実施の形態3における全身麻酔導入支援システム3の概略構成を示す図である。なお、実施の形態1における図1の概略構成を示す図で説明したものと同様の構成には、同一の符号を付して重複した説明を省略する。この実施の形態3における全身麻酔導入支援システム3では、患者10の様々な生体情報(例えば、患者10の呼吸に含まれる二酸化炭素の濃度(以下、「CO2濃度」という。)や、心電図情報(患者10の心臓からの電気信号)を取り込む生体モニタ15をさらに備えている。この図8における生体モニタ15からビデオゲーム装置14への破線矢印は、麻酔導入時の患者10の呼吸信号を示している。すなわち、ビデオゲーム装置14が、全身麻酔で用いられる麻酔ガスを吸入する患者10の呼吸信号を取り込む点については、実施の形態1,2と同様である。
Embodiment 3 FIG.
FIG. 8 is a diagram showing a schematic configuration of a general anesthesia introduction support system 3 according to Embodiment 3 of the present invention. In addition, the same code | symbol is attached | subjected to the structure similar to what was demonstrated in the figure which shows schematic structure of FIG. 1 in Embodiment 1, and the overlapping description is abbreviate | omitted. In the general anesthesia introduction support system 3 in 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”), electrocardiogram information ( A biological monitor 15 that captures an electrical signal from the heart of the patient 10 is further provided.A broken line arrow from the biological monitor 15 to the video game apparatus 14 in FIG. That is, the point that the video game apparatus 14 captures the respiratory signal of the patient 10 inhaling the anesthetic gas used in general anesthesia is the same as in the first and second embodiments.
 実施の形態1では、患者10が呼吸を行った際に発生する音を患者10の呼吸信号として、その音を麻酔マスク12に取り付けられたマイク24で検出することによって患者10の呼吸信号を取得し、ビデオゲーム装置14に送るようにしていたが、この実施の形態3では、患者10の様々な生体情報を生体モニタ15が取得し、その中で、例えば、心電図(患者10の心臓からの電気信号)のインピーダンスの変化から取得した患者10の呼吸運動や、患者10の呼気に含まれる二酸化炭素の量(二酸化炭素の濃度)を、麻酔マスク12を介する患者10の呼吸信号として、生体モニタ15からビデオゲーム装置14に送るようにしている。 In the first embodiment, a sound generated when the patient 10 breathes is used as a breathing signal of the patient 10, and the sound is detected by the microphone 24 attached to the anesthesia mask 12 to obtain the breathing signal of the patient 10. However, in the third embodiment, the biological monitor 15 acquires various biological information of the patient 10, and for example, an electrocardiogram (from the heart of the patient 10) is obtained. The living body monitor uses the respiratory motion 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 the respiratory signal of the patient 10 through the anesthesia mask 12. 15 is sent to the video game apparatus 14.
 この実施の形態3では、生体モニタ15が取得した生体情報のうち、患者10の心電図のインピーダンスの変化から取得した患者10の呼吸運動を波形として取り出し、それを患者10の呼吸信号としてビデオゲーム装置14に送るものとして説明する。なお、患者10の呼気に含まれる二酸化炭素の量(二酸化炭素の濃度)を取り出す場合には、実施の形態1の図2において麻酔マスク12のサブポート22に装着していたマイク24を二酸化炭素検出器(図示せず)に代えて、患者10が呼吸を行った際に患者10の呼気に含まれる二酸化炭素の量を生体モニタ15が取得し、生体モニタ15が取得した二酸化炭素の量を、ビデオゲーム装置14に送るようにしてもよい。 In the third embodiment, from the biological information acquired by the biological 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 this is used as a respiratory signal of the patient 10 and a video game device 14 will be described. When the amount of carbon dioxide (concentration of carbon dioxide) contained in the exhalation of the patient 10 is taken out, the microphone 24 attached to the subport 22 of the anesthesia mask 12 in FIG. Instead of a vessel (not shown), the biological monitor 15 acquires the amount of carbon dioxide contained in the exhalation of the patient 10 when the patient 10 breathes, and the amount of carbon dioxide acquired by the biological monitor 15 is It may be sent to the video game apparatus 14.
 すなわち、この実施の形態3における全身麻酔導入支援システム3の場合には、ビデオゲーム装置14の呼吸信号取得部41が取得する患者10の呼吸信号は、生体モニタ15が取得して変換した、患者10の生体情報から得られた信号であり、麻酔マスク12を介する呼吸信号である場合だけでなく、麻酔マスク12を介さない呼吸信号である場合も含まれる。 That is, in the case of the general anesthesia introduction support system 3 according to the third embodiment, the respiratory signal of the patient 10 acquired by the respiratory signal acquisition unit 41 of the video game apparatus 14 is acquired and converted by the biological monitor 15. 10 is a signal obtained from the biological information of 10 and includes not only a breathing signal through the anesthesia mask 12 but also a breathing signal not through the anesthesia mask 12.
 なお、ビデオゲーム装置14の構成、および、ビデオゲーム装置14の表示部43に表示される表示画面例や効果については、実施の形態1における全身麻酔導入支援システム1と同様であるので、詳細な説明を省略する。 The configuration of the video game apparatus 14 and the display screen examples and effects displayed on the display unit 43 of the video game apparatus 14 are the same as those in the general anesthesia introduction support system 1 in the first embodiment. Description is omitted.
 以上のように、この発明の実施の形態3の全身麻酔導入支援システム3による場合であっても、実施の形態1の全身麻酔導入支援システム1や実施の形態2における全身麻酔導入支援システム2と同様に、全身麻酔が必要な患者10に対して見せているビデオゲーム装置14の表示部43に表示されている表示を、患者10の呼吸信号に基づいて(患者10の呼吸信号に連動させて)、患者10に対してさらなる呼吸を促すような表示動作が起こるよう変化させることにより、全身麻酔導入時に、患者10が麻酔マスク12を嫌がらず、患者10自らが麻酔薬の吸入に協力して呼吸をしてくれるので、患者10に対する麻酔導入を支援することが可能となる。また、その結果、麻酔導入にかかる時間が短くなり、麻酔管理の安全性の向上と手術室運営の効率化、麻酔薬の消費量の削減など、コストダウンにも寄与するという効果もある。 As described above, even with the general anesthesia introduction support system 3 according to the third embodiment of the present invention, the general anesthesia introduction support system 1 according to the first embodiment and the general anesthesia introduction support system 2 according to the second embodiment Similarly, the display displayed on the display unit 43 of the video game apparatus 14 shown to the patient 10 who needs general anesthesia is based on the respiratory signal of the patient 10 (in conjunction with the respiratory signal of the patient 10). ) By changing the display operation so as to encourage the patient 10 to breathe further, the patient 10 does not dislike the anesthesia mask 12 when introducing general anesthesia, and the patient 10 himself cooperates in inhaling the anesthetic. Since it breathes, it is possible to support the introduction of anesthesia for the patient 10. As a result, the time required for anesthesia introduction is shortened, and there is an effect that the safety of anesthesia management is improved, the operation room is operated more efficiently, and the consumption of anesthetics is reduced, thereby contributing to cost reduction.
 なお、本願発明はその発明の範囲内において、各実施の形態の自由な組み合わせ、あるいは各実施の形態の任意の構成要素の変形、もしくは各実施の形態において任意の構成要素の省略が可能である。 In the present invention, within the scope of the invention, any combination of the embodiments, or any modification of any component in each embodiment, or omission of any component in each embodiment is possible. .
 この発明の全身麻酔導入支援システム、全身麻酔導入支援ゲーム装置、および、全身麻酔導入支援ゲーム装置用のプログラムは、全身麻酔という医療行為が必要な患者に、その全身麻酔を導入する際の支援を行うためのタブレット端末やノートPC等を用いたビデオゲーム装置に適用することができる。 The general anesthesia introduction support system, the general anesthesia introduction support game device, and the program for the general anesthesia introduction support game device according to the present invention provide support for introducing the general anesthesia into a patient who needs a medical action called general anesthesia. The present invention can be applied to a video game apparatus using a tablet terminal or a notebook PC for performing.
1,2,3 全身麻酔導入支援システム
11 麻酔器
12 麻酔マスク
13 麻酔回路
14 ビデオゲーム装置
15 生体モニタ
21 麻酔マスク12のメインポート
22 麻酔マスク12のサブポート
23 麻酔マスク12に取り付けられた人工鼻フィルタ
24 麻酔マスク12に取り付けられたマイク
31 麻酔回路13に取り付けられたフローセンサ
41 ビデオゲーム装置14の呼吸信号取得部
42 ビデオゲーム装置14の表示動作制御部
43 ビデオゲーム装置14の表示部
 
1, 2, 3 General anesthesia introduction support system 11 Anesthesia machine 12 Anesthesia mask 13 Anesthesia circuit 14 Video game device 15 Biological monitor 21 Main port 22 of anesthesia mask 12 Subport 23 of anesthesia mask 12 Artificial nasal 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 device 14 Display operation control unit 43 of video game device 14 Display unit of video game device 14

Claims (4)

  1.  全身麻酔という医療行為が必要な患者に対して前記全身麻酔を導入する際にそれを支援するための全身麻酔導入支援システムであって、
     前記全身麻酔で用いられる麻酔ガスを吸入する前記患者の呼吸信号を取り込むビデオゲーム装置を備え、
     前記ビデオゲーム装置は、
     表示部と、
     前記呼吸信号を取得する呼吸信号取得部と、
     前記呼吸信号取得部が取得した前記呼吸信号に基づいて、前記表示部に表示されている表示を、前記患者に対してさらなる呼吸を促すような表示動作が起こるよう変化させる表示動作制御部と、
     を備えることを特徴とする全身麻酔導入支援システム。
    A general anesthesia introduction support system for supporting the general anesthesia when introducing the general anesthesia for a patient who needs medical practice of general anesthesia,
    A video game device for capturing a respiratory signal of the patient inhaling anesthetic gas used in the general anesthesia,
    The video game device comprises:
    A display unit;
    A respiratory signal acquisition unit for acquiring the respiratory signal;
    Based on the respiratory signal acquired by the respiratory signal acquisition unit, a display operation control unit that changes the display displayed on the display unit so that a display operation that promotes further breathing for the patient occurs,
    A general anesthesia introduction support system characterized by comprising:
  2.  前記患者が着用して前記全身麻酔で用いられる麻酔ガスを吸入するための麻酔マスクをさらに備え、
     前記ビデオゲーム装置は、前記麻酔マスクを介する前記患者の呼吸信号を取り込む
     ことを特徴とする請求項1記載の全身麻酔導入支援システム。
    Further comprising an anesthetic mask for inhalation of anesthetic gas worn by the patient and used in the general anesthesia;
    The system for introducing general anesthesia according to claim 1, wherein the video game apparatus captures a respiratory signal of the patient through the anesthesia mask.
  3.  全身麻酔という医療行為が必要な患者に対して前記全身麻酔を導入する際にそれを支援するための全身麻酔導入支援ゲーム装置であって、
     表示部と、
     前記全身麻酔で用いられる麻酔ガスを吸入する前記患者の呼吸信号を取得する呼吸信号取得部と、
     前記呼吸信号取得部が取得した前記呼吸信号に基づいて、前記表示部に表示されている表示を、前記患者に対してさらなる呼吸を促すような表示動作が起こるよう変化させる表示動作制御部と、
     を備えることを特徴とする全身麻酔導入支援ゲーム装置。
    A general anesthesia introduction support game device for supporting the general anesthesia when introducing the general anesthesia for a patient who needs a medical practice of general anesthesia,
    A display unit;
    A respiratory signal acquisition unit for acquiring a respiratory signal of the patient inhaling anesthetic gas used in the general anesthesia;
    Based on the respiratory signal acquired by the respiratory signal acquisition unit, a display operation control unit that changes the display displayed on the display unit so that a display operation that promotes further breathing for the patient occurs,
    A general anesthesia introduction support game device comprising:
  4.  全身麻酔という医療行為が必要な患者に対して前記全身麻酔を導入する際にそれを支援するための全身麻酔導入支援ゲーム装置用のプログラムであって、
     呼吸信号取得部が、前記全身麻酔で用いられる麻酔ガスを吸入する前記患者の呼吸信号を取得するステップと、
     表示動作制御部が、前記呼吸信号取得部が取得した前記呼吸信号に基づいて、前記全身麻酔導入支援ゲーム装置の表示部に表示されている表示を、前記患者に対してさらなる呼吸を促すような表示動作が起こるよう変化させるステップとを
     前記全身麻酔導入支援ゲーム装置に実施させることを特徴とする全身麻酔導入支援ゲーム装置用のプログラム。
     
    A program for a general anesthesia introduction support game device for supporting the general anesthesia when introducing the general anesthesia for a patient who needs medical practice of general anesthesia,
    A respiratory signal acquisition unit acquiring a respiratory signal of the patient inhaling anesthetic gas used in the general anesthesia;
    The display operation control unit prompts the patient to breathe further on the display displayed on the display unit of the general anesthesia introduction support game device based on the respiratory signal acquired by the respiratory signal acquisition unit. A program for a general anesthesia introduction support game device, which causes the general anesthesia introduction support game device to perform a step of changing the display operation to occur.
PCT/JP2017/041654 2016-11-24 2017-11-20 General-anesthesia introduction assistance system, general-anesthesia introduction assistance game device and program for general-anesthesia introduction assistance game device WO2018097098A1 (en)

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