Abstract
The history of monitoring is traced from ancient times until the invention of transducers and computers. The relevance of progress in resuscitation is emphasized.
The more recent evolution of electromedical apparatus is considered from single signal detection, display and alarm to multiple signal processing, trend analysis and diagnosis.
The aim of patient monitoring is to give warning of early or dangerous deterioration and to achieve this by obtaining an optimal compromise involving many design factors, clinical, engineering and economic.
A new philosophy is illustrated by the specification and development of the Lifeline patient monitor. The translation of clinical diagnoses into electronic switching logic is of particular importance.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- FREIMAN A. H., STEINBERG C. A. THE ANALYSIS OF SIMULTANEOUSLY RECORDED CARDIOVASCULAR DATA WITH THE DIGITAL COMPUTER. Ann N Y Acad Sci. 1964 Jul 31;115:1091–1105. [PubMed] [Google Scholar]
- GEDDES L. A., HOFF H. S., SPENCER W. A., VALLBONA C., HICKMAN D. M., MOORE A. G., HINDS M., GAUDIANO M. Acquisition of physiologic data at the bedside. A progress report. Am J Med Electron. 1962 Jan-Mar;1:62–69. [PubMed] [Google Scholar]
- Greer J. R. A clinical computer and monitor. Postgrad Med J. 1970 Jun;46(536):369–373. doi: 10.1136/pgmj.46.536.369. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jensen R. E., Shubin H., Meagher P. F., Weil M. H. On-line computer monitoring of the seriously-ill patient. Med Biol Eng. 1966 May;4(3):265–272. doi: 10.1007/BF02474800. [DOI] [PubMed] [Google Scholar]
- KOUWENHOVEN W. B., JUDE J. R., KNICKERBOCKER G. G. Closed-chest cardiac massage. JAMA. 1960 Jul 9;173:1064–1067. doi: 10.1001/jama.1960.03020280004002. [DOI] [PubMed] [Google Scholar]
- Levy L. S., Guruswamy B. A., Lee W. R., Stewart J. S. Experimental studies with a clinical monitor and diagnostic computer. Postgrad Med J. 1970 Jun;46(536):366–368. doi: 10.1136/pgmj.46.536.366. [DOI] [PMC free article] [PubMed] [Google Scholar]
- STEWART J. S. ADVANCES IN THE MANAGEMENT OF CARDIAC ARREST. J R Coll Surg Edinb. 1965 Jan;10:85–101. [PubMed] [Google Scholar]
- Stewart J. S. Meaningful monitoring. Lancet. 1969 Jun 28;1(7609):1305–1307. doi: 10.1016/s0140-6736(69)92238-7. [DOI] [PubMed] [Google Scholar]
- Waller A. D. A Demonstration on Man of Electromotive Changes accompanying the Heart's Beat. J Physiol. 1887 Oct;8(5):229–234. doi: 10.1113/jphysiol.1887.sp000257. [DOI] [PMC free article] [PubMed] [Google Scholar]
