PANSURAS

Perioperative ANesthesia & SURgical Assessment System

An unanswered need …

There is a need for accurate and continually adapative preoperative surgical risk assessment, as well as enabling quality control and benchmaking within, and between institutions. PANSURAS is an answer to this long-felt need … 

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How?

Machine-learning from preoperative observational data in institutions employing PANSURAS makes it possible to generate predictions of surgical risk, and so derive risk factors for postoperative complications specific to a particular institution. This methodology sidesteps the deficiencies of random controlled trials with slow publication in scientific journals, to increase the accuracy of preoperative surgical risk assassment, along with many of the other possibilities enabled by machine learning … 

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Decision-support & more …

“On-the-fly” and user-friendly decision support for physicians and physician assistants performing preoperative assessment is the primary aim of the PANSURAS user interface. While supremely important, this is but aspect of the many functions built into the PANSURAS user interface. Other functions are available for teaching, multidisciplinary conferences, communication with colleagues, benchmarking, quality control … 

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After this “Time of Corona”?

Much non-urgent, semi-elective and elective surgical care has been delayed by the current dreadful Covid-19 pandemic. A veritable tsunami of such care will suddenly flood hospitals and clinics once the current health restrictions are lifted, together with the return of medical and nursing staff to non-Covid-19 related duties. This may cause local capacity problems which could be ameliorated by centrally managed patient dispersal to available spaces. For example, The Netherlands has a National Coordination Center to efficiently manage the national dispersal of patients to available hospital spaces. This system could be continued after the pandemic has ceased, only now to manage the efficient dispersal and treatment of surgical patients in available hospital facilities. This is where standardized patient data transfer is important — PANSURAS provides a standardized data-transfer system for anesthesiologists and surgeons …

S-PANSURAS …

S-PANSURAS, or Surgical PANSURAS is specifically designed for the busy surgeon. It uses the same database and machine-learning algorithms, as well as the same quality monitoring algorithms as PANSURAS. It also has a module for immediately transmitting a postoperative update e-mail to the general practitioner of a patient whose operation has just been completed. No anesthesiological cooperation is required, and it can be used from any smartphone or tablet, as well as other computer. Data entry is fast and simple.

The advantage for the surgeon is that there is continual insight into the complications per surgical procedure code. This makes rapid improvement of perioperative management protocols possible, Furthermore, utilization of encryted cloud servers housing the standardized database makes it possible to optimize perioperative management protocols at local or regional levels, or even between countries.