key: cord-325115-obquz9ve
authors: Naik, B Naveen; Gupta, Rekha; Singh, Ajay; Soni, Shiv Lal; Puri, G D
title: Real-Time Smart Patient Monitoring and Assessment Amid COVID-19 Pandemic – an Alternative Approach to Remote Monitoring
date: 2020-06-13
journal: J Med Syst
DOI: 10.1007/s10916-020-01599-2
sha: 
doc_id: 325115
cord_uid: obquz9ve

nan

Facing the daunting outlook of COVID-19 pandemic surge, with limited ICU beds, resources and health care personnel, it is imperative to safely monitor and care for sickest patients. Impending crisis are opportunities for innovation, wherein a normally slow-moving healthcare system can be improvised and innovated in response to the pandemic. Utilization of remote technology to manage a deluge of critically ill COVID-19 patients may ease the burden on health care facilities and can stem the exposure of health care providers to COVID-19. But its use must be tempered with a focus on data privacy and cybersecurity. Providing better patient care services round the clock is of utmost importance. We implemented a technology for remote monitoring of ICU, utilizing closed-circuit television (CCTV) cameras and smartphones. High definition CCTV cameras were installed over each ICU bed for visualising patient mechanical ventilation and monitoring system round the clock (Fig. 1b) . We have reported a similar CCTV system with audio-visual communication in the doffing area to enhance staff safety, monitored from remote location [4] . In addition to this, we installed a remote mobile health monitoring system and server structure, where patient vital parameters such as temperature, SpO2, ECG, heart rate, blood pressure, etCO2 and respiratory rate can be visualized over smartphone from the off-site location (Fig. 1a) . It assists the skilled intensivist to monitor, alert and manage patient care without being physically present bedside [5] . Remote 

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Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care

Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: An alternative paradigm for intensivist staffing

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Remote Mobile Health Monitoring System Based on Smart Phone and Browser/Server Structure

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Acknowledgements Not applicable.