Comparison between High- and Low-Cost Transmission of Tele-Anesthesia in Japan
Joint Authors
Miyashita, Tetsuya
Takaki, Shunsuke
Goto, Takahisa
Nagamine, Yusuke
Sugawara, Yoh
Mizuno, Yusuke
Miyazaki, Tomoyuki
Kobayashi, Ayako
Tojo, Kentaro
Iketani, Yasuhiro
Source
Journal of Healthcare Engineering
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
We previously reported a tele-anesthesia system that connected Sado General Hospital (SGH) to Yokohama City University Hospital (YCUH) using a dedicated virtual private network (VPN) that guaranteed the quality of service.
The study indicated certain unresolved problems, such as the high cost of constantly using a dedicated VPN for tele-anesthesia.
In this study, we assessed whether use of a best-effort system affects the safety and cost of tele-anesthesia in a clinical setting.
Methods.
One hundred patients were enrolled in this study.
We provided tele-anesthesia for 65 patients using a guaranteed transmission system (20 Mbit/s; guaranteed, 372,000 JPY per month: 1 JPY = US$0.01) and for 35 patients using a best-effort system (100 Mbit/s; not guaranteed, 25,000 JPY per month).
We measured transmission speed and number of commands completed from YCUH to SGH during tele-anesthesia with both transmission systems.
Results.
In the guaranteed system, anesthesia duration was 5780 min (88.9 min/case) and surgical duration was 3513 min (54.0 min/case).
In the best-effort system, anesthesia duration was 3725 min (106.4 min/case) and surgical duration was 2105 min (60.1 min/case).
The average transmission speed in the best-effort system was 17.3 ± 3.8 Mbit/s.
The system provided an acceptable delay time and frame rate in clinical use.
All commands were completed, and no adverse events occurred with both systems.
Discussion.
In the field of tele-anesthesia, using a best-effort internet VPN system provided equivalent safety and efficacy at a better price as compared to using a guaranteed internet VPN system.
American Psychological Association (APA)
Sugawara, Yoh& Miyashita, Tetsuya& Mizuno, Yusuke& Nagamine, Yusuke& Miyazaki, Tomoyuki& Kobayashi, Ayako…[et al.]. 2018. Comparison between High- and Low-Cost Transmission of Tele-Anesthesia in Japan. Journal of Healthcare Engineering،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1191413
Modern Language Association (MLA)
Sugawara, Yoh…[et al.]. Comparison between High- and Low-Cost Transmission of Tele-Anesthesia in Japan. Journal of Healthcare Engineering No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1191413
American Medical Association (AMA)
Sugawara, Yoh& Miyashita, Tetsuya& Mizuno, Yusuke& Nagamine, Yusuke& Miyazaki, Tomoyuki& Kobayashi, Ayako…[et al.]. Comparison between High- and Low-Cost Transmission of Tele-Anesthesia in Japan. Journal of Healthcare Engineering. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1191413
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1191413