An Innovative PDA Application to An Innovative PDA Application to Optimize Learning/Teaching Optimize Learning/Teaching and Patient Care in the NICUand Patient Care in the NICU

Yuezhen Lin MD, PGY3Yuezhen Lin MD, PGY3Garrett Levin MD, Associate ProfessorGarrett Levin MD, Associate Professor

Dept. of PediatricsDept. of PediatricsTexas Tech Univ. HSC at El PasoTexas Tech Univ. HSC at El Paso

DisclosureDisclosure

I have no relevant financial relationships with I have no relevant financial relationships with the manufacture(s) of any commercial the manufacture(s) of any commercial products(s) and/or provider(s) of commercial products(s) and/or provider(s) of commercial services discussed in this CME activity.services discussed in this CME activity.

I do not intend to discuss an I do not intend to discuss an unapproved/investigative use of a unapproved/investigative use of a commercial product/device in my commercial product/device in my presentation.presentation.

Technology & EducationTechnology & Education Technology has changed

every aspect of our life, education is not an exception.

““The future of education lies The future of education lies in the in the adoption of technologyadoption of technology, , such as mobile and wireless, such as mobile and wireless, that connects people, unifies that connects people, unifies the education process, and the education process, and enhances learning.”enhances learning.”

--Dr. John D. Halamka, Associate --Dr. John D. Halamka, Associate Dean, Harvard Medical SchoolDean, Harvard Medical School

PDAs will be as Common PDAs will be as Common as the Stethoscopeas the Stethoscope

                                                                                                      

The First PDAThe First PDA

Today’s PDAToday’s PDA

Palm Palm Pocket PCPocket PC

““Must have” Tool for PhysiciansMust have” Tool for Physicians

Garritty et al. “Who’s using PDAs? Estimates of PDA use by health care providers: a systemic review of surveys”. J Med. Internet Res. Vol 8, No 2, 2006

Technology Diffusion Curve

What a PDA Can Do What a PDA Can Do for a Physicianfor a Physician

OrganizerOrganizer Multimedia: excellent teaching toolMultimedia: excellent teaching tool ‘‘Just-in-time’ access to most up-to-date Just-in-time’ access to most up-to-date

medical informationmedical information EBM (Evidence-based-medicine) EBM (Evidence-based-medicine) Critical clinical decision makingCritical clinical decision making

As gateways to complicated webs of As gateways to complicated webs of medical knowledgemedical knowledge

ObjectivesObjectives

Be more effective as a physicianBe more effective as a physician

Create a PDA application (software) to Create a PDA application (software) to optimize learning/teaching optimize learning/teaching patient care patient care

My FavoriteMy Favorite

Pilot ProjectPilot Project

Setting: NICU (Neonatal Setting: NICU (Neonatal Intensive Care Unit)Intensive Care Unit)

Problem: NRD Problem: NRD (Neonatal Respiratory (Neonatal Respiratory Distress)Distress)

Setting: NICUSetting: NICU

NICU (Neonate Intensive Care Unit)NICU (Neonate Intensive Care Unit)

Fast pace Fast pace Highly-specialized nature Highly-specialized nature More accessible, easy-to-use resource More accessible, easy-to-use resource

desireddesired

Problem: NRDProblem: NRD

NRD (Neonatal Respiratory NRD (Neonatal Respiratory Distress)Distress)

One of the most common problems One of the most common problems in NICUin NICU

Assessment and Management are Assessment and Management are critical components for the outcome critical components for the outcome of neonatesof neonates

How, What & WhoHow, What & Who

Professional software development tool Professional software development tool (Microsoft Visual Studio .Net 2003)(Microsoft Visual Studio .Net 2003)

Platform: Any Pocket PC Platform: Any Pocket PC

End users: Neonatologists, residents, End users: Neonatologists, residents, medical students.medical students.

Neonatal Respiratory Distress Neonatal Respiratory Distress Assessment for Pocket PCAssessment for Pocket PC

((NRDA v1.0)NRDA v1.0)

Impart the Impart the knowledge about knowledge about the elements of the elements of neonatal neonatal respiratory respiratory distressdistress

Include 3 modulesInclude 3 modules

Module 1

Module 2

Module 3

Module 1Module 1 Recognize the signs of NRD by looking and listeningRecognize the signs of NRD by looking and listening..

DescriptionMechanism

•Learning/teaching•Parent education•NICU/inpatient/clinic

Cyanosis Grunting

Module 2Module 2 Most common cases of NRD Most common cases of NRD Built-in Calculator - NRDC - to assess the severity of respiratory distress Built-in Calculator - NRDC - to assess the severity of respiratory distress

and predict the mortalityand predict the mortality

Estimate the severity Predict the mortality

Case senario Hx, PE, Lab

Severe Pneumothorax NRD Calculator

Module 3Module 3 ““Must have” NICU calculators to facilitate the Must have” NICU calculators to facilitate the

management of NRDmanagement of NRD

NICU Calculators 2 Vol Exchange Transfusion

X =((A-B)/A) * ((C-D) + X)

SummarySummary First PDA application for assessment First PDA application for assessment

and management of neonatal and management of neonatal respiratory distressrespiratory distress

Very user friendly & easy to useVery user friendly & easy to use Very practical and useful tools for both Very practical and useful tools for both education and patient careeducation and patient care Users & usageUsers & usage

Neonatologists, pediatricians, residents, Neonatologists, pediatricians, residents, medical students, othersmedical students, others

NICU, Inpatient & ClinicNICU, Inpatient & Clinic

On-going Projects

NRDA v2.0 - x.0:NRDA v2.0 - x.0: Interactive algorithm-driven program to Interactive algorithm-driven program to

interpret X-rays and ABG’S, and manage the interpret X-rays and ABG’S, and manage the ventilator for a variety of newborn respiratory ventilator for a variety of newborn respiratory disordersdisorders

Expand application for other systems, not just limited to NICU & NRD

AcknowledgmentsAcknowledgments

Dr. Antonio Jesurun, Professor and Dr. Antonio Jesurun, Professor and director of NICU at TTUHSCdirector of NICU at TTUHSC

Dr. Hoi Ho, Assistant Dean of Medical Dr. Hoi Ho, Assistant Dean of Medical Affairs at TTUHSCAffairs at TTUHSC

All usersAll users

If you are interested in NRDA, please email drlin@drlinforkids.com