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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BIS monitoring is a processed electroencephalogram (EEG) technology that is designed to follow the effects that anesthetics and sedatives have on cerebral function. Much is know about the technology, it's utility and limitations. The economic case for widespread utilization of this technology is weak. ⋯ Total cost to the heath care system would approach one billion US dollars per year, just for use during general anesthetics. More appropriate use of already available drugs and technology would most likely decrease the incidence of IR as effectively, although individual patients who are at high risk for IR may benefit from this technology. However, based on current health care economic standards general use of BIS monitoring does not seem warranted and appears not to be cost-effective.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2008
Clinical TrialValidation of the Index of Consciousness (IoC) during sedation/analgesia for ultrasonographic endoscopy.
The level of consciousness of patients undergoing surgery evolves continuously as the effect of the anesthetic agents is counteracted by the surgical stimuli. The monitors of depth of anesthesia, based on the analysis of the electroencephalogram (EEG), have been progressively introduced into the daily practice to provide additional information about the state of the patient. ⋯ A good correlation is found between both indexes. Furthermore, IoC presents a significantly higher prediction probability Pk of the level of sedation than BIS, and can thus be considered as an interesting measure of the level of consciousness.
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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.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2008
EEG spectral changes and onset of burst suppression pattern in propofol/remifentanil anesthesia.
This paper studies how remifentanil, a commonly used intraoperative opioid, affects the relation of the onset of burst suppression pattern (BSP) and the spectral changes of EEG during anesthesia. The onsets of BSP were detected using both manual and the automatic method proposed from the EEGs of twenty-seven patients who had received different amount of remifentanil with the anesthetic. ⋯ The results showed that remifentanil significantly affects the relation of EEG spectral changes and the onset of BSP. The finding is important since the current EEG-based assessment of the depth of anesthesia basically relies on the analysis of the spectral features and BSP.