Implications of automation surprises in aviation for the future of total intravenous anesthesia (TIVA)

Journal of Clinical Anesthesia

Volumn 8, Issue 3 SUPPL., 1996, Pages S29-S37

  Cook, Richard I ^a   Woods, David D ^b  

^a UNIVERSITY OF CHICAGO   (United States)

^b NONE

Author keywords

Anesthesia, total intravenous; error; expertise; human factors; infusion devices; psychology, cognitive

Indexed keywords

ANALGESIC AGENT; ANESTHETIC AGENT; HYPNOTIC AGENT; NEUROMUSCULAR BLOCKING AGENT; VASOACTIVE AGENT;

ALGORITHM; AUTOMATION; AVIATION; CONFERENCE PAPER; CONTINUOUS INFUSION; DEVICE; DRUG DELIVERY SYSTEM; HUMAN; INFUSION PUMP; INFUSION SYSTEM; INTRAVENOUS ANESTHESIA; INTRAVENOUS DRUG ADMINISTRATION; MICROPROCESSOR; PRIORITY JOURNAL; TECHNOLOGY;

EID: 0029962109     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0952-8180(96)90009-4     Document Type: Conference Paper

References (49)

1. Fragen RJ: Total Intravenous Anesthesia. In: Fragen RJ (ed): Drug Infusions in Anesthesiology. New York: Raven Press, 1991:129-45.
2. Wiener EL: Human Factors of Advanced Technology ("Glass Cockpit") Transport Aircraft. (NASA Technical Report 117528). Moffett Field, CA: NASA Ames Research Center, 1989.
3. Cook RI, Woods DD: Adapting to New Technology. Human Factors (in press).
4. National Transportation Safety Board: Aircraft accident report - China Airlines 747-SP, N45422V, 300 Nautical Miles Northwest of San Francisco, California, February 19, 1985. (Report No. NTSB/ AAR-86/03). Washington DC: National Transportation Safety Board, 1986.
5. Sarter NB, Woods DD: "How in the world did we get into that mode?" Mode Error and Awareness in Supervisory Control. Human Factors 1995;37:5-19.
6. Dornheim MA: Dramatic incidents highlight mode problems in cockpits. Aviation Week Space Tech, 30 Jan 1995;142:57-62.
7. Phillips EH: Data recorders crucial to state-of-art crash probes. Aviation Week Space Tech, 6 Feb 1995;142:56-7.
8. Scott WB: Certification officials grapple with flight deck complexity. Aviation Week Space Tech, 30 Jan 1995;142:64-5.
9. Jouanneaux M: The ambivalence of a line pilot's work. Le Transpondeur, Dec 1993;11:61-72.
10. Phillips EH: TSB: mode confusion poses safety threat. Aviation Week Space Tech, 30 Jan 1995;142:63.
11. Glass PS, Jacobs JR, Quill TJ: Intravenous drug delivery systems. In: Fragen RJ (ed): Drug Infusions in Anesthesiology. New York: Raven Press, 1991:23-61.
12. Mies RJ, van der Aa JJ, Dixon CL, Kaltenbach M, Derendorf H, Gravenstein N: Computer-modulated patient-controlled analgesia. Preliminary evaluation of a prototype. Reg Anesth 1994;19: 270-6.
13. Schwilden H, Stoeckel H, Schuttler J: Closed-loop feedback control of propofol anaesthesia by quantitative EEG analysis in humans. Br J Anaesth 1989;62:290-6.
14. Ying H, McEachern M, Eddleman DW, Sheppard LC: Fuzzy control of mean arterial pressure in postsurgical patients with sodium nitroprusside infusion. IEEE Trans Biomed Eng 1992;39:1060-70.
15. Klem SA, Farrington JM, Leff RD: Influence of infusion pump operation and flow rate on hemodynamic stability during epinephrine infusion. Crit Care Med 1993;21:1213-7.
16. Crisp CB, Slate J, Lovy D: Infusion pump operation, flow rate, and hemodynamic stability during epinephrine infusion [Letter]. Crit Care Med 1994;22:1339-40.
17. Klem SA, Farrington JM, Leff RD: Infusion pump operation, flow rate, and hemodynamic stability during epinephrine infusion [Reply]. Crit Care Med 1994;22:1340.
18. Hawkins DJ, Roberts DR, Ilsley AH, Pummer JL, Owen H: An automated system for testing the accuracy of patient-controlled analgesia devices. Anaesthesia 1992;47:693-6.
19. Rapp RP, Rapp DA, Bivins BA, Haack D: Comparative accuracy of five intravenous-fluid controllers. Am J Hosp Pharm 1984;41:2634-41.
20. Philip JH, Philip BK: Hydrostatic and central venous pressure measurement by the IVAC 560 infusion pump. Med Instrum 1985; 19:232-5.
21. Currie J, Owen H, Ilsley AH: Rate-controlled analgesia: a laboratory evaluation of a new infusion device. Anaesth Intensive Care 1990;18:555-9.
22. Stokes DN, Peacock JE, Lewis R, Hutton P: The Ohmeda 9000 syringe pump. The first of a new generation of syringe drivers. Anaesthesia 1990;45:1062-6.
23. Auty B: A comparison of the performance of two types of infusion device [Letter]. Anaesthesia 1994;49:177.
24. Rooke GA, Bowdle TA: Syringe pumps for infusion of vasoactive drugs: mechanical idiosyncrasies and recommended operating procedures. Anesth Analg 1994;78:150-6.
25. Martius K, Haindl H: The problems of parallel infusion. Biomedizinische Technik 1990;35:48-51.
26. Cook RI, Woods DD, Howie MB, Horrow JC, Gaba DM: Case 2-1992. Unintentional delivery of vasoactive drugs with an electromechanical infusion device. J Cardiothorac Vasc Anesth 1992;6:238-44.
27. Rabinovici J, Shalev J, Mashiach S, Serr DM: 'False' fetal heart rate recording caused by interaction of an infusion pump and a fetal monitor. Gynecol Obstet Invest 1985;20:52-5.
28. Tuck M, Rosewarne F: Diathermy interference with syringe pump function [Letter]. Anaesth Intensive Care 1993;21:252-3.
29. Graziotti P, Elson J: IVAC PCA pump [Letter]. Anaesth Intensive Care 1992;20:391.
30. Kluger MT, Owen H: Advantages of PCA exaggerated? [Letter]. Anaesth Intensive Care 1990;18:588-9.
31. Nimmo A: Solving problems with patient-controlled analgesia [Letter]. BMJ 1992;304:1113.
32. Anderson DA, Marquardt ED: Commercial IV fluid overfill effects on continuous-infusion drug administration and assessment [Letter]. Drug Intell Clin Pharm 1983;17:847-8.
33. O'Flynn RP, Siler JN: A "loading port" for syringe infusion pumps [Letter]. Anesth Analg 1991;72:407-8.
34. Burtles R: Avoiding calculations for preparing continuous infusions [Letter]. Anaesthesia 1994;49:264.
35. Woods DD: Towards a theoretical base for representation design in the computer medium: ecological perception and aiding human cognition. In: Flach J, Hancock P, Caird J, Vicente K (eds): An Ecological Approach To Human Machine Systems I: A Global Perpective. Hillsdale, NJ: Lawrence Erlbaum, 1995.
36. Hurlbut JC, Thompson S, Reed MD, Blumer JL, Erenberg A, Leff RD: Influence of infusion pumps on the pharmacologic response to nitroprusside. Crit Care Med 1991;19:98-101.
37. Owens T: Infusion delays through multilumen catheters using standard syringe pumps [Letter], Anaesthesia 1993;48:643-4.
38. O'Kelly SW, Edwards JC: A comparison of the performance of two types of infusion device. Anaesthesia 1992;47:1070-2.
39. Cook RI, Potter S, Woods DD, McDonald JS: Evaluating the human engineering of microprocessor-controlled operating room devices. J Clin Monit 1991;7:217-26.
40. Apfelbaum JL, Grasela TH, Hug CC Jr, et al: The initial clinical experience of 1819 physicians in maintaining anesthesia with propofol: characteristics associated with prolonged time to awakening. Anesth Analg 1993;77(4 Suppl):S10-4.
41. Moll von Charante E, Cook RI, Woods DD, Yue Y, Howie MB: Human-computer interaction in context: physician interaction with automated intravenous controllers in the heart room. In: Stassen HG (ed): Analysis, Design and Evaluation of Man-Machine Systems, 1992. London: Pergamon Press, 1993:263-274.
42. Cook RI, Woods DD: Operating at the sharp end: the complexity of human error. In: Bogner S (ed): Human Error in Medicine. Hillsdale, NJ: Lawrence Erlbaum, 1994:255-310.
43. Norman DA: Commentary: Human error and the design of computer systems. Communications of the ACM 1990;33:4-7.
44. Sherry E: Admixture of propofol and alfentanil. Use for intravenous sedation and analgesia during transvaginal oocyte retrieval. Anaesthesia 1992;47:477-9.
45. Bussien R: Continuous infusion of a mixture of propofol, alfentanil and atracurium in current anesthesiology practice. Appropos of 50 cases. Rev Med Suisse Romande 1992;112:547-50.
46. Billings CE: Aviation Automation: The Search for a Human Centered Approach. Hillsdale, NJ: Lawrence Earlbaum (in press).
47. McBeath MK, Shaffer DM, Kaiser MK: How baseball outfielders determine where to run to catch fly balls. Science 1995;268: 569-73.
48. Vicente KJ, Christoffersen K, Pereklita A: Supporting Operator Problem Solving Through Ecological Interface Design. IEEE Trans Syst Man Cyber 1995;25:529-45.
49. Woods DD, Cook RI, Billings CE: The impact of technology on physician cognition and performance. J Clin Monit 1995;11:5-8.