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04 wint anes alum single pgs - Department of Anesthesiology - Duke ...

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DUKE ANESTHESIOLOGY ALUMNUS | 16<br />

participated during the summer and<br />

part time during the school year.<br />

Most <strong>of</strong> the DAME system’s components<br />

were readily available commercial<br />

products, although some circuit<br />

boards and input/output interface<br />

devices were designed internally<br />

and built to our specifications. Ten<br />

DAME systems were deployed with<br />

the opening <strong>of</strong> the new surgical suite<br />

in August <strong>of</strong> 1980. On the right is an<br />

actual record created using the system.<br />

Notice how similar it is to the<br />

current handwritten and computergenerated<br />

records <strong>of</strong> today.<br />

Although DAME served as a<br />

model for the subsequent “Arkive”<br />

system, in late 1983, a series <strong>of</strong><br />

Anesthesia record printed by DAME data manager.<br />

events led to its abandonment.<br />

Naturally then, the Arkive system<br />

served as a model for the Drager Saturn, and other systems as<br />

well. The latter systems copied many <strong>of</strong> their ideas from the<br />

Arkive, which had, as a matter <strong>of</strong> course, gotten many <strong>of</strong> its ideas<br />

from DAME. In a very real sense, DAME was the grandfather <strong>of</strong><br />

all the <strong>anes</strong>thesia information systems available today.<br />

We would like to think that the program at <strong>Duke</strong> has contributed<br />

to the development <strong>of</strong> present commercial products and<br />

thereby enhanced the quality <strong>of</strong> patient care.<br />

You may read more about the DAME system in the Journal <strong>of</strong> Clinical<br />

Monitoring, Vol. 1, No.1, January 1985. From excerpts <strong>of</strong> the article, “Two<br />

Computer-Based Anesthetic Monitors: The <strong>Duke</strong> Automatic Monitoring<br />

Equipment (DAME) System and the Microdame,” by Frank E. Block Jr.,<br />

MD; Larry W. Burton, PhD; Marc D. Rafal, PhD; Karen Burton; Carolyn<br />

Newey, BSEE; Larry Dowell; Fritz F. Klein, PhD; David A. Davis, MD; and<br />

Merel H. Harmel, MD.<br />

Frank Block, Jr., MD, is currently<br />

pr<strong>of</strong>essor in the <strong>Department</strong><br />

<strong>of</strong> <strong>Anesthesiology</strong> at the University<br />

<strong>of</strong> Arkansas for Medical Sciences,<br />

College <strong>of</strong> Medicine, Little Rock,<br />

Arkansas.<br />

UAMC<br />

4301 W. Markham St., Slot 515<br />

Little Rock, AR 72212<br />

Office: (501) 686-6672<br />

E-mail: blockfranke@uams.edu<br />

Larry Dowell is manager <strong>of</strong><br />

information systems in the<br />

<strong>Department</strong> <strong>of</strong> <strong>Anesthesiology</strong>. He<br />

has been with the department for 30<br />

years.<br />

439 <strong>Duke</strong> South Hospital<br />

DUMC Box 3094<br />

Durham, NC 27710<br />

Office: (919) 684-2835<br />

E-mail: dowel001@mc.duke.edu<br />

Rosemary Cumbie is currently<br />

a consultant for Alumni Affairs in the<br />

department. She also serves as<br />

Alumni Editor. She was employed by<br />

<strong>Duke</strong> for 25 years.<br />

227 Monticello Avenue<br />

Durham, NC 27707<br />

Home: (919) 489-7507<br />

E-mail: rcumbie@nc.rr.com

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