Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
-
Conf Proc IEEE Eng Med Biol Soc · Jan 2008
Clinical TrialPersonalized neuromuscular blockade through control: clinical and technical evaluation.
This paper presents a statistical analysis of clinical data collected in surgeries under automatic closed-loop control of neuromuscular blockade. Four different control strategies have been applied in patients undergoing elective surgeries and clinical and technical evaluations of the control system were performed. Both transient and steady-state behaviour were analysed in detail and clearly suggest an automatic control approach relying on the information about the patient dynamics. The results can be a valuable start point to design personalized drug infusion control in anaesthesia.
-
Conf Proc IEEE Eng Med Biol Soc · Jan 2008
Respiratory rate detection algorithms by photoplethysmography signal processing.
Photoplethysmography (PPG) offers the clinically meaningful parameters, such as, heart rate, and respiratory rate. In this study, we presented three respiratory signal detection algorithms using photoplethysmography raw data generated from commercial PPG sensor: (1)Min-Max (2)Peak-to-Peak (3)Pulse Shape. As reference signal, nasal sensor signal was acquired simultaneously and compared and analyzed. ⋯ They can be used to detect respiratory rate. But, Pulse Shape algorithm was accurate for subject 4 only. More experimental data is necessary to improve the accuracy and reliability.
-
Conf Proc IEEE Eng Med Biol Soc · Jan 2008
Model predictive control of depth of anaesthesia: guidelines for controller configuration.
The paper presents a feasibility study on the use of Model based Predictive control (MPC) to regulate the level of Depth of Anaesthesia (DoA) when measured by the BIS index. Pharmacokinetic/pharmacodynamic nonlinear models of DoA when Propofol and Remifentanil are used as hypnotic and analgesic drugs are linearized around the desired working point for DoA in order to obtain a linear state-space model coupled with an extra integrator to include integral action in the control. This state-space model is then used in a MPC algorithm. The main contribution of the paper consists in the characterization of the influence of the different design parameters in the MPC performance when controlling DoA.
-
Conf Proc IEEE Eng Med Biol Soc · Jan 2008
Non-invasive measurement of respiratory rate in children using the photoplethysmogram.
Respiratory rate is recognised as a valuable predictor of the severity of illness in children, but it is not currently feasible to measure this automatically in a triage environment. Autoregressive modelling on data from the pulse oximeter photoplethysmogram has the potential to introduce automated breathing measurement into the realm of paediatric triage. Using autoregressive modelling, it is shown that respiratory rate can be extracted from the paediatric photoplethysmogram with a mean error of 3.4 breaths per minute.
-
Conf Proc IEEE Eng Med Biol Soc · Jan 2008
Evaluation of a tactile display around the waist for physiological monitoring under different clinical workload conditions.
In this study, we have assessed the usability of a tactile belt prototype for clinical monitoring of physiologic patient data in the operating room under low workload (LW) and high workload (HW) conditions. In previous investigations, we have evaluated tactile technology in clinical settings and demonstrated that anesthesiologists have enhanced situational awareness towards adverse clinical events when a tactile display prototype is used as a supplemental monitoring device. To further evaluate the effectiveness of our tactile belt prototype, we compared the effects of workload on the performance of anesthesiologists in terms of accuracy and response time in tactile alert identification. ⋯ We found that the response time to tactile alert identification to be faster under LW than under HW, however the accuracy of identification was not statistically different. Participants rated the tactile belt prototype as comfortable to use and the tactile alert scheme as easy to learn. Our findings further support the feasibility and efficacy of vibrotactile devices for enhancing physiological monitoring of patients in clinical environments.