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 …

PANSURAS free trial version …

This trial version of PANSURAS misses many modules included in the full version. Nonetheless, it is a very useful web-based tool for clinical practice. It requires no “log-in”, but does not store user identification, and all inputted data is eliminated upon departure using the “EXIT” tab, or automatically after 60 minutes inactivity. This trial version of PANSURAS combines user-friendly input with some decision support. It is not necessary to input every field in this trial version of PANSURAS — most fields are already set at the normal values, and only known data need be entered into the other fields. That which is unknown, is unknown, and assumed to be irrelevant, normal, or unknown. This is the normal way of preoperative assessment — PANSURAS is not a “magic-wand” to find unknown data. So what are some of the possible uses of this trial version?

  • It is a valuable training and teaching tool.
  • It is a useful standardized preoperative assessment tool and data set for own use.
  • It is a very useful standardized preoperative data-set for communicating between hospitals, reducing the chance that a preoperative assessment performed at one location may need to be repeated at another. Such a standardized preoperative assessment save time when communicating between hospitals and clinics. It is even possible for this assessment to be performed by non-anesthesiologists, inside or outside the hospital where the operation is planned.