Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference
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Conf Proc IEEE Eng Med Biol Soc · Jan 2009
Macroscopic two-pump two-vasculature cardiovascular model to support treatment of acute heart failure.
Comprehensive understanding of hemodynamics remains a challenge even for expert cardiologists, partially due to a lack of an appropriate macroscopic model. We attempted to amend three major problems of Guyton's conceptual model (unknown left atrial pressure, unilateral heart damage, blood redistribution) and developed a comprehensive macroscopic model of hemodynamics that provides quantitative information. ⋯ Pump functions of left and right heart are expressed by an integrated cardiac output curve, and the capacitive function of total vasculature by a venous return surface. The equations for both the cardiac output curve and venous return surface would facilitate precise diagnosis (especially evaluation of blood volume) and choice of appropriate treatments, including application to autopilot systems.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2009
Fuzzy control for closed-loop, patient-specific hypnosis in intraoperative patients: a simulation study.
Research has demonstrated the efficacy of closed-loop control of anesthesia using bispectral index (BIS) as the controlled variable, and the recent development of model-based, patient-adaptive systems has considerably improved anesthetic control. To further explore the use of model-based control in anesthesia, we investigated the application of fuzzy control in the delivery of patient-specific propofol-induced hypnosis. In simulated intraoperative patients, the fuzzy controller demonstrated clinically acceptable performance, suggesting that further study is warranted.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2009
Evaluation of three automatic oxygen therapy control algorithms on ventilated low birth weight neonates.
Neonates with under developed lungs often require oxygen therapy. During the course of oxygen therapy, elevated levels of blood oxygenation, hyperoxemia, must be avoided or the risk of chronic lung disease or retinal damage is increased. ⋯ All 3 automatic control algorithms demonstrated their ability to improve manual oxygen therapy by increasing periods of normoxemia and reducing the need for manual FiO(2) adjustments. Of the three control algorithms, the adaptive model showed the best performance with 0.25 manual adjustments per hour and 73% time spent within target +/- 3% SpO(2).
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Conf Proc IEEE Eng Med Biol Soc · Jan 2009
Combined direct current and high frequency nerve block for elimination of the onset response.
Nerve conduction in peripheral mammalian nerves can be blocked by high frequency alternating current (HFAC) waveforms. However, one of the disadvantages of HFAC block is that it produces an intense burst of firing in the nerve when the HFAC is first turned on. This is a significant obstacle to the clinical implementation of HFAC block. ⋯ This method was experimentally evaluated in an in-vivo mammalian model. Successful no-onset HFAC block was obtained using a DC block of 200 microA and an HFAC block of 30 kHz at 10 Vp-p. This may allow HFAC block to be used in clinical applications for pain relief.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2009
Estimating transition point of anesthetic-induced loss of consciousness in mice by detecting motion in response to forced movement.
To characterize transition periods of entrance to and emergence from anesthetic-induced unconsciousness in terms of thalamocortical neural activity, we devised a new method estimating a transition point of anesthetic-induced loss of consciousness. The method continuously monitors an animal's head motion in response to forced movement on treadmill and uses the motion signals as a criterion of the transition. ⋯ Resulting signals from the motion detector could discriminate the points of entrance into and emergence from the anesthetic-induced unconsciousness with resolution corresponding to the sampling frequency. This method makes it possible to track the anesthetic transition period continuously without contaminating EEGs and LFPs.