Abstract
Post surgical care is an important part of the surgical recovery process. With the introduction of minimally invasive surgery (MIS), the recovery time of patients has been shortened significantly. This has led to a shift of postoperative care from hospital to home environment. To prevent the occurrence of adverse events, the care of these patients is mainly relied on routine visits by home-care nurses. This type of episodic examination can only capture a snapshot of the overall recovery process, and many early signs of potential complication can go undetected. The development of Body Sensor Networks (BSNs) has enabled the use of miniaturised wireless sensors for continuous monitoring of postoperative patients. This paper examines the potential of processing-on-node algorithms for further reducing the wireless bandwidth, and therefore the overall power consumption of the sensors. The accuracy and robustness of the technique are demonstrated with lab experiments and a preliminary clinical case study.
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References
Patti, M.G., et al. (1999) Minimally Invasive Surgery for Achalasia: An 8-Year Experience With 168 Patients. Annals of Surgery. 230(4): p. 587.
Cohn, L.H., et al. (1997) Minimally Invasive Cardiac Valve Surgery Improves Patient Satisfaction While Reducing Costs of Cardiac Valve Replacement and Repair. Annals of Surgery. 226(4): p. 421–428.
Delaney, C.P., et al. (2001) ‘Fast track’ postoperative management protocol for patients with high comorbidity undergoing complex abdominal and pelvic colorectal surgery. British Journal of Surgery. 88: p. 1533–1538.
Bokey, E.L., et al. (1995) Postoperative morbidity and mortality following resection of the colon and rectum for cancer. Diseases of the Colon & Rectum. 38(5): p. 480–487.
McClane, S., A. Senagore, and P. Marcello (2000) Experience-based postoperative care in laparoscopic-assisted colectomy reduces length of stay. Diseases of the Colon & Rectum. 43: p. A54.
Bardram, L., et al. (1995) Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation. Lancet. 345(8952): p. 763–764.
Binderow, S.R., et al. (1994) Must early postoperative oral intake be limited to laparoscopy? Diseases of the Colon & Rectum. 37(6): p. 584–589.
Reissman, P., et al. (1995) Is early oral feeding safe after elective colorectal surgery? A prospective randomized trial. Annals of Surgery. 222(1): p. 73–77.
Boschert, S. (2004) Early discharge OK in laparoscopic hysterectomy: avoiding an overnight stay-gynecology. Ob. Gyn News: p. 8.
Booth, J.E., et al. (2004) A trial of early discharge with homecare compared to conventional hospital care for patients undergoing coronary artery bypass grafting. Heart. 90: p. 1344–1345.
Engelman, R., et al. (1994) Fast-track recovery of the coronary bypass patient. The Annals of Thoracic Surgery. 58(6): p. 1742–1746.
Myles, P., et al. (2000) Validity and reliability of a postoperative quality of recovery score: the QoR-40. British Journal of Anaesthesia. 84(1): p. 11–15.
Inoue, Y., et al. (2003) Is laparoscopic colorectal surgery less invasive than classical open surgery? Surgical Endoscopy. 17(8): p. 1269–1273.
Inoue, Y., et al. (2003) A New Parameter for Assessing Postoperative Recovery of Physical Activity Using an Accelerometer. Surgery Today 2003. 33: p. 645–650.
Aziz, O., et al. (2006). Pervasive Body Sensor Network: An Approach to Monitoring the Post-operative Surgical Patient In The International Workshop on Wearable and Implantable Body Sensor Networks (BSN 2006). MIT, Boston, USA.
Yang, G.-Z., et al. (2004). From Sensor Networks to Behaviour Profiling: A Homecare Perspective of Intelligent Building. In The IEE Seminar for Intelligent Buildings.
Lo, B. and G.-Z. Yang. (2005). Architecture for Body Sensor Networks. In The Perspective in Pervasive Computing. IEE Savoy Place: pp. 23–28.
Rhee, S., et al. (1998). The Ring Sensor: a New Ambulatory Wearable Sensor for Twenty-Four Hour Patient Monitoring. In The 20th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Hong Kong.
Linz, T., et al. (2005). Fully untegrated EKG shirt based on embroidered electrical interconnections with conductive yarn and miniaturized flexible electronics. In International Workshop on Wearable and Implantable Body Sensor Networks (BSN 2006). MIT Boston USA.
Venkatasubramanian, K., et al. (2005). Ayushman: A Wireless Sensor Network Based Health Monitoring Infrastructure and Testbed. In IEEE International Conference on Distributed Computing in Sensor Systems (DCOSS). Marina del Rey, CA, USA.
Amft, O., H. Junker, and G. Troster. (2005). Detection of eating and drinking arm gestures using inertial body-worn sensors. In Ninth IEEE International Symposium on Wearable Computers: pp. 160–163.
S. Thiemjarus, et al. (2004). Feature Selection for Wireless Sensor Networks. In the 1st International Workshop on Wearable and Implantable Body Sensor Networks. Imperial, London, UK.
Minnen, D., et al. (2005). Recognizing and Discovering Human Actions from On-Body Sensor Data. In IEEE International Conference on Multimedia and Expo, 2005 (ICME 2005): pp. 1545–1548.
Bao, L. and S.S. Intille. (2004). Activity Recognition from User-Annotated Acceleration Data. In The 2nd International Conference on Pervasive Computing PERVASIVE 2004: pp. 1–17.
Ravi, N., et al. (2005). Activity Recognition from Accelerometer Data. In The Twentieth National Conference on Artificial Intelligence and the Seventeenth Innovative Applications of Artificial Intelligence Conference. Pittsburgh, Pennsylvania, USA: pp. 1541–1546.
Caros, J.S.i., et al. (2005). Very Low Complexity Algorithm for Ambulatory Activity Classification. In 3rd European Medical and Biological Conference EMBEC 2005.
Parkka, J., et al. (2006) Activity Classification Using Realistic Data From Wearable Sensors. IEEE Transactions on Information Technology in Biomedicine. 10(1): p. 119–128.
Lester, J., et al. (2005). A Hybrid Discriminative/ Generative Approach for Modeling Human Activities. In The Nineteenth International Joint Conference on Artificial Intelligence. Edinburgh, Scotland.
Nurmi, P. and P. Floreen. (2005). Online feature selection for contextual time series data. In Subspace, Latent Structure and Feature Selection techniques: Statistical and Optimisation perspectives Workshop (SLSFS05).
Thiemjarus, S., et al. (2004). Feature Selection for Wireless Sensor Networks. In the 1st International Workshop on Wearable and Implantable Body Sensor Networks. Imperial, London, UK.
Mathie, M.J., et al. (2004) Classification of basic daily movements using a triaxial accelerometer. Biomedical and Life Sciences, Engineering and Medicine. 42(5): p. 679–687.
Lester, J., T. Choudhury, and G. Borriello. (2006). A Practical Approach to Recognizing Physical Activities. In PERVASIVE 2006. Dublin Ireland: pp. 1–16.
DeVaul, R.W. and S. Dunn (2001) Real-Time Motion Classification for Wearable Computing Applications. MIT Media Laboratory
Karantonis, D.M., et al. (2006) Implementation of a realtime human movement classifier using a triaxial accelerometer for ambulatory monitoring. IEEE Trans on Information Technology in Biomedicine. 10(1): p. 156–167.
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© 2007 International Federation for Medical and Biological Engineering
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Lo, B., Atallah, L., Aziz, O., El ElHew, M., Darzi, A., Yang, GZ. (2007). Real-Time Pervasive Monitoring for Postoperative Care. In: Leonhardt, S., Falck, T., Mähönen, P. (eds) 4th International Workshop on Wearable and Implantable Body Sensor Networks (BSN 2007). IFMBE Proceedings, vol 13. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-70994-7_21
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DOI: https://doi.org/10.1007/978-3-540-70994-7_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-70993-0
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