IEEE transactions on bio-medical engineering
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IEEE Trans Biomed Eng · Dec 2004
Clinical TrialDetection of respiratory sounds at the external ear.
Several clinical and ambulatory settings necessitate respiratory monitoring without a mouthpiece or facemask. Several studies have demonstrated the utility of breathing sound measurements performed on the chest or neck to detect airflow. However, there are limitations to skin surface measurements, including susceptibility to external noise and transducer motion. ⋯ Shallow and tidal expiratory flows, respectively, produced signal-plus-noise-to-noise [(S + N)/N] ratios of 6.7 +/- 4.1 dB and 14.0 +/- 5.3 dB (mean +/- standard deviation) across all subjects between 150 and 300 Hz. Concurrent inspiration demonstrated (S + N)/N ratios of 6.6 +/- 3.9 dB and 14.9 +/- 6.3 dB. Thus, the external ear shows promise as an anatomic site to detect and monitor breathing in a relatively noninvasive and unobtrusive manner.
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A finite-element model to simulate surface electromyography (EMG) in a realistic human upper arm is presented. The model is used to explore the effect of limb geometry on surface-detected muscle fiber action potentials. The model was based on magnetic resonance images of the subject's upper arm and includes both resistive and capacitive material properties. ⋯ This effect was most pronounced in the end-effect components of action potentials detected at locations far from the active fiber. It is concluded that accurate modeling of the limb geometry, asymmetry, tissue capacitance and fiber curvature is important when the specific action potential shapes are of interest. However, if the objective is to examine more qualitative features of the surface EMG signal, then an idealized volume conductor model with appropriate tissue thicknesses provides a close approximation.
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The development and in vivo test of a fully integrated differential CMOS amplifier, implemented with standard 0.7-microm CMOS technology (one poly, two metals, self aligned twin-well CMOS process) intended to record extracellular neural signals is described. In order to minimize the flicker noise generated by the CMOS circuitry, a chopper technique has been chosen. ⋯ An ac coupling has been used to adapt the electrode to the amplifier circuitry for the in vivo testing. Compound muscle action potentials, motor unit action potentials, and compound nerve action potentials have been recorded in acute experiments with rats, in order to validate the amplifier.
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IEEE Trans Biomed Eng · Nov 2004
Comparative StudyTarget controlled infusions: targeting the effect site while limiting peak plasma concentration.
Target controlled infusion (TCI) systems are available commercially worldwide, except in North America. Existing systems target the plasma drug concentration, which may be less than ideal because the plasma is not the site of drug effect. The commonly accepted existing algorithm to target the site of drug effect results in high plasma concentrations, which may increase the acute hemodynamic effects of intravenous anesthetic drugs. ⋯ Concerns about the high plasma concentrations that result from targeting the effect site with a TCI device can be addressed by reducing the peak plasma concentration by as much as 60% with only a very modest increase in time to peak effect.
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IEEE Trans Biomed Eng · Nov 2004
Clinical TrialOn the use of multivariable piecewise-linear models for predicting human response to anesthesia.
The standard modeling paradigm used to describe the relationship between input anesthetic agents and output patient endpoint variables are single-input single-output pharmacokinetic-pharmacodynamic (PK-PD) compartment models. In this paper, we propose the use of multivariable piecewise-linear models to describe the relations between inputs that include anesthesia, surgical stimuli and disturbances to a variety of patient output variables. Subspace identification methods are applied to clinical data to construct the models. A comparison of predicted and measured responses is completed, which includes predictions from PK-PD models, and piecewise-linear time-invariant models.