2023-09-26 Anesthesia CRG Meeting
Invitees:
Andrew MarchantSteven Dain Patrick McCormick Martin Hurrell (Unlicensed) Former user (Deleted) Former user (Deleted) Monica Harry Ian Green Jane Millar Zac.Whitewood-Moores (Unlicensed) Former user (Deleted) Jeremy Rogers (Unlicensed) Steven Dain Former user (Deleted) Former user (Deleted)Christine Spisla Grant Forrest (Unlicensed) Charles Gutteridge Krista Lilly Monica Harry Jane Millar
Apologies: Martin Hurrell (Unlicensed)
Present:Andrew MarchantSteven Dain Patrick McCormick Grant Forrest (Unlicensed) Monica Harry Krista Lilly
Anesthesia Clinical Reference Group
Time: Tuesday, September 26, 2023 19:00 - 20:00 UTC / 20:00 - 21:00 UK / 15:00 - 16:00 ET
https://snomed.zoom.us/j/84894946782?pwd=YXZKK3BleFJDbjlOQitIa1VERVlCdz09
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Item | Description | Owner | Notes |
|---|---|---|---|
1 | Introductions and Apologies | Andrew Marchant Patrick McCormick |
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2 | Matters arising from the previous meeting notes | Andrew Marchant |
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3 | SNOMED Update | Ian Green Krista Lilly | SNOMED CT Expo 2023 - Call for Abstracts now open Business Meeting: Friday Oct 20 - Weds Oct 25 Expo: Weds Oct 25 - Fri Oct 27
Reviewed recent Briefing Notes, no impact assessed on Anesthesia content: Clinical content briefing notes - Clinical Engagement - SNOMED Confluence (ihtsdotools.org) |
4 | DIscussion around "Controlled ventilation" | Monica Harry | Clarification on previous deactivation:
Discussion points:
ISO 19223 has table of terms in summary Andrew Marchant to send summary to Monica Harry |
5 | Work Plan and Outreach (e.g. to SCATA and RCoA) | Andrew Marchant Ian Green | Still working on this |
6 | Dates of next meeting | Andrew Marchant |
Regarding item 4 above:
Looking at this again they should be using Artificial ventilation (regime/therapy) SCTID: 40617009 not continuous mandatory ventilation which is to specific
Artificial ventilation
artificial ventilation intermittent elevation of the pressure in the patient's airway relative to that in the lungs by external means with the intention of augmenting, or totally controlling, the ventilation of a patient
and
CMV
continuous mandatory ventilation
DEPRECATED:continuous mechanical ventilation
DEPRECATED: controlled mechanical ventilation
DEPRECATED:IPPV
DEPRECATED:CPPV
name of a ventilation-pattern in which a selected inflation-type is assured to be initiated at intervals determined by the setrate, with no facility for any inflation to be initiated by a patient-trigger event
This is too specific for the DICOM use case
Note that Assisted breathing does not have a definition in ISO 19223 but there is
assisted breath
spontaneous breath with assistance from an inflation of the assured inflation-type but initiated by a patient-trigger event
Note 1 to entry: An assisted breath is assisted by an inflation of the assured inflation-type but only occurs if initiated before the next assured inflation is due to occur - which is at intervals determined by the setrate. Each assisted breath, therefore, occurs at a rate higher than that set; a rate which is solely determined by the patient.
Note 2 to entry: A spontaneous breath that is supported by a pressure-support (PS) or effort-support (ES) inflation-type, or by an assured inflation within a synchronization window, although also assisted, is separately identified by the specific characteristic that distinguishes it from an assisted breath, namely, supported breath or synchronized breath, respectively.
Note 3 to entry: See also spontaneous breath (3.2.3), patient-trigger event (3.6.9), assured inflation (3.3.11), setrate (3.5.1.1), set (3.1.19), initiate (3.9.1), supported breath (3.2.13), synchronized breath (3.2.15), Annex B and Figures B.1, and C.26 to C.28.
which is too specific for the use case presented by DICOM.
In conclusion the correct term for the DICOM use case is Artificial Ventilation
Steven Dain