Use of mobile low-bandwith telemedical techniques for extreme telemedicine applications.

摘要: Abstract Background: Telemedicine is traditionally associated with the use of very expensive and bulky telecommunications equipment along substantial bandwidth requirements (128 kilobytes per second [kbps] or greater). Telementoring an educational technique that involves real-time guidance a less experienced physician through procedure in which he she has limited experience. This been especially dependent on aforementioned requirements. Traditionally, telemedicine telementoring have restricted to technically sophisticated sites. The applications existing telecommunication infrastructure not possible for underdeveloped parts world. Study Design: were applied using low-bandwidth mobile support surgery program rural Ecuador run by Cinterandes Foundation headed Edgar Rodas, MD. A operating room traveled remote region Ecuador. Using laptop computer equipped software, videoconferencing system, digital camera, surgical patients evaluated operative decisions made over telephone lines. Similarly, surgeons unit telementored surgeon located thousands miles away at Yale University School Medicine. Results: Five preoperative evaluations conducted from Sucua Cuenca, Ecuador, excellent clinical correlation. Additionally, laparoscopic cholecystectomy was successfully department Medicine performed line baud rate 12 kbps. Conclusions: Mobile, used proper technical algorithms can be effective supporting health care delivery efforts. Advantages such include increased cost-effectiveness limiting travel, expanding services patients, patient quality assurance.