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 2012
EEG-based detection of awakening from isoflurane anesthesia in rats.
In animal studies, reliable measures for depth of anesthesia are frequently required. Previous findings suggest that the continuous depth of anesthesia indices developed for humans might not be adequate for rats whose EEG changes during anesthesia represent more of quick transitions between discrete states. In this paper, the automatic EEG-based detection of awakening from anesthesia was studied in rats. ⋯ The method was tested with EEGs recorded from ten rats recovering from isoflurane anesthesia. The algorithm was shown to be able to detect the sudden change in the EEG related to the moment of awakening with a precision comparable to careful visual inspection. Our findings suggest that monitoring such signal changes may offer an interesting alternative to the application of continuous depth of anesthesia indices when avoiding the awakening of the animal during e.g. a clinical experiment.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2012
Discovering shared dynamics in physiological signals: application to patient monitoring in ICU.
Modern clinical databases include time series of vital signs, which are often recorded continuously during a hospital stay. Over several days, these recordings may yield many thousands of samples. In this work, we explore the feasibility of characterizing the "state of health" of a patient using the physiological dynamics inferred from these time series. ⋯ Each such "dynamic" captures a distinct pattern of evolution of BP and is possibly recurrent within the same time series and shared across multiple patients. Next, we examine the utility of this low-dimensional representation of BP time series for predicting mortality in patients. Our results are based on an intensive care unit (ICU) cohort of 480 patients (with 16% mortality) and indicate that the dynamics of time series of vital signs can be an independent useful predictor of outcome in ICU.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2012
AREA: an augmented reality system for epidural anaesthesia.
Spinal needle injection procedures are used for anesthesia and analgesia, such as lumbar epidurals. These procedures require careful placement of a needle, both to ensure effective therapy delivery and to avoid damaging sensitive tissue such as the spinal cord. An important step in such procedures is the accurate identification of the vertebral levels, which is currently performed using manual palpation with a reported 30% success rate for correct identification. ⋯ The prototype system demonstrates better accuracy for identifying the vertebrae than traditional manual methods.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2012
Estimation of venous oxygenation saturation using the finger Photoplethysmograph (PPG) waveform.
In this study, finger photoplethysmograph data obtained from twelve patients undergoing cardiothoracic surgery were analyzed in order to estimate the venous saturation utilizing the modulations created by the positive pressure ventilation in the AC Photoplethysmograph (PPG) signals. The PPG signals were analyzed in the time-domain using a conventional pulse oximetry algorithm to produce estimations of arterial oxygen saturation. ⋯ The results showed that there was no significant difference in the traditionally-derived (time-domain) arterial saturation and the instantaneous arterial saturation. However, the instantaneous venous saturation was found to be significantly lower than the time-domain estimated and instantaneous arterial saturation (P=<0.001).
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Conf Proc IEEE Eng Med Biol Soc · Jan 2012
Wireless photoplethysmographic device for heart rate variability signal acquisition and analysis.
The photoplethysmographic (PPG) signal has the potential to aid in the acquisition and analysis of heart rate variability (HRV) signal: a non-invasive quantitative marker of the autonomic nervous system that could be used to assess cardiac health and other physiologic conditions. A low-power wireless PPG device was custom-developed to monitor, acquire and analyze the arterial pulse in the finger. The system consisted of an optical sensor to detect arterial pulse as variations in reflected light intensity, signal conditioning circuitry to process the reflected light signal, a microcontroller to control PPG signal acquisition, digitization and wireless transmission, a receiver to collect the transmitted digital data and convert them back to their analog representations. ⋯ Kubios was able to generate a report sheet with the time domain and frequency domain parameters of the acquired data. These features were then compared against those calculated by MATLAB. The preliminary results demonstrate that the prototype wireless device could be used to perform HRV signal acquisition and analysis.