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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The aim of the paper is to inform about the requirements laid on education in the fields of Biomedical Technology and Biomedical Engineering in the connection with legal provisions on non-medical health service occupations in the Czech Republic and its compliance with the working documents on harmonization of biomedical engineering education in Europe (BIOMEDEA project). The legal provisions define completely new position of technical personnel in the health care service system. We show how the legal regulations and European recommendations are reflected in Master study at the Czech Technical University in Prague, Faculty of Electrical Engineering.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2007
Clinical TrialModeling anesthetic drugs' pharmacodynamic interaction on the bispectral index of the EEG: the influence of heart rate.
The effect of drugs' interaction on the brain signal Bispectral Index (BIS) is of great importance for an anesthesia control drug infusion system. In this study, the objective was to inspect the influence of patient's heart rate on the effect of the drugs on BIS. With this goal, the patient's heart rate was incorporated in an drug interaction model. ⋯ The results showed that the model with time changing parameters incorporating patient's heart rate has a better performance than a non adjusted model. Three clusters of models were also identified using the fuzzy c-means algorithm. These clusters will help to distinguish between different patients' dynamics.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2007
Modeling state entropy of the EEG and auditory evoked potentials: hypnotic and analgesic interactions.
Because of the complexity of raw electroencephalogram (EEG), for the anesthesiologist it is very difficult to evaluate the patient's hypnosis state. Because of this, several depth of anesthesia monitors have been developed, and are in current use at the operating room (OR). These monitors convert the information supplied by the EEG or derived signals into a simple, easy to understand index. ⋯ Hypnotic and analgesic drugs interact in different ways throughout the anaesthesia stages. The models obtained captured the different dynamic interaction of drugs, during the induction and maintenance phases, demonstrating that the model must have incorporated all this information in order to perform satisfactorily. Other information like haemodynamic variables might be included in the search for the optimum model.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2007
Changes in Heart Rate Variability in patients under local anesthesia.
Spectral analysis of Heart Rate Variability (HRV) is widely used for the assessment of cardiovascular autonomic control. Several studies have shown the effect of anesthetic agents on HRV parameters. In this study a systematic approach of HRV analysis has been employed. ⋯ Using this methodology electrocardiogram (ECG) signals from 14 patients undergoing local anesthesia (brachial plexus block) were analyzed with parametric Autoregressive (AR) method. The results showed that the LF/HF ratio values calculated from the HRV signal decreases within an hour of the application of the brachial plexus block compared to the values at the start of the procedure. This change was noticed in approximately 80% of the patients.
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Conf Proc IEEE Eng Med Biol Soc · Jan 2007
Intelligent monitoring of critical pathological events during anesthesia.
Expert algorithms in the field of intelligent patient monitoring have rapidly revolutionized patient care thereby improving patient safety. Patient monitoring during anesthesia requires cautious attention by anesthetists who are monitoring many modalities, diagnosing clinically critical events and performing patient management tasks simultaneously. The mishaps that occur during day-to-day anesthesia causing disastrous errors in anesthesia administration were classified and studied by Reason [1]. ⋯ When detecting absolute hypovolaemia (AHV), moderate level of agreement was observed between RT-SAAM and the human expert (anesthetist) during surgical procedures. RT-SAAM is a clinically useful diagnostic tool which can be easily modified for diagnosing additional critical pathological events like relative hypovolaemia, fall in cardiac output, sympathetic response and malignant hyperpyrexia during surgical procedures. RT-SAAM is currently being tested at the Auckland City Hospital with ethical approval from the local ethics committees.