Anesthesia Inmutable Registry of Real-time Vital Signs and Waveforms using Blockchain

Abstract

Healthcare has become one of the most important emerging application areas of blockchain technology.[1] Although the use of a cryptographic ledger within Anesthesia Information Management Systems (AIMS) remains uncertain. The need for a truly immutable anesthesia record is yet to be established, given that the current AIMS database systems have reliable audit capabilities. Adoption of AIMS has followed Roger's 1962 formulation of the theory of diffusion of innovation. Between 2018 and 2020, adoption was expected to be the 84% of U.S. academic anesthesiology departments.[2] Larger anesthesiology groups with large caseloads, urban settings, and government affiliated or academic institutions are more likely to adopt and implement AIMS solutions, due to the substantial amount of financial resources and dedicated staff to support both the implementation and maintenance that are required. As health care dollars become more scarce, this is the most frequently cited constraint in the adoption and implementation of AIMS.[3] We propose the use of a blockchain database for saving all incoming data from multiparametric monitors at the operating theatre. We present a proof of concept of the use of this technology for electronic anesthesia records even in the absence of an AIMS at site. In this paper we shall discuss its plausibility as well as its feasibility. The Electronic medical records (EMR) in AIMS might contain errors and artifacts that may (or may not) have to be dealt with. Making them immutable is a scary concept. The use of the blockchain for saving raw data directly from medical monitoring equipment and devices in the operating theatre has to be further investigated.

A Privacy-Preserved and User Self-Governance Blockchain-Based Framework to Combat COVID-19 Depression in Social Media

“…Scholars have attempted to use blockchain to improve EHR in the following areas: information preservation [81][82][83][84][85], interoperability [86][87][88][89][90], information sharing [91][92][93][94][95], information security [96][97][98], and improved medical records. information autonomy [84,86], trust and medical intervention [99], low cost [100], acceptance of blockchain technology [101] and incentives [102].…”

Technology optimization for patient safety: a blockchain-based anesthesia record system architecture

“…The idea of blockchain applicability in the field of anesthesiology has been proposed (Bellini et al, 2019;Jain, 2019). While specific implementations to use blockchain for the anesthesia records have been suggested (Figar Gutiérrez et al, 2021), our technology concept differs in two fundamental aspects: a) the proposed architecture seeks to not depend on monolithic private services and instead, use them if needed, as replaceable modules; and b) we propose to rely on layer-one blockchains to take technological advantage of the security and decentralization of their consensus mechanisms. That is, implement "real blockchains" and "real politically decentralized storage systems" and not depend on "storage services with blockchain characteristics".…”