J Clin Monit Comput - A technical description of a novel pharmacological anesthesia robot.

Tópicos

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Resumo

To control the three components of general anesthesia (hypnosis, analgesia, and neuromuscular blockade), an automated closed-loop, anesthesia-drug delivery system (McSleepy) was developed. Bispectral index was used as the control variable for hypnosis, the analgoscore for analgesia, and phonomyography for neuromuscular blockade. McSleepy can be used to control the induction, maintenance and emergence from general anesthesia. To do so, a large touch screen is used to provide a user friendly interface, permitting bidirectional communication: the user giving information about the different stages of anesthesia, and the system prompting the anesthesiologist to perform certain actions such as mask ventilation, intubation or waking-up the patient using audio clips with voice commands. Several safety features were implemented to provide a secure and reliable anesthesia. Preliminary results of 15 patients are presented in this paper. Evaluation of McSleepy was done through an assessment of its clinical performance and using Varvel's performance indices. The system was found to be clinically useful by providing good precision in drug administration and reliable results for the duration of a general anesthesia.

Resumo Limpo

control three compon general anesthesia hypnosi analgesia neuromuscular blockad autom closedloop anesthesiadrug deliveri system mcsleepi develop bispectr index use control variabl hypnosi analgoscor analgesia phonomyographi neuromuscular blockad mcsleepi can use control induct mainten emerg general anesthesia larg touch screen use provid user friend interfac permit bidirect communic user give inform differ stage anesthesia system prompt anesthesiologist perform certain action mask ventil intub wakingup patient use audio clip voic command sever safeti featur implement provid secur reliabl anesthesia preliminari result patient present paper evalu mcsleepi done assess clinic perform use varvel perform indic system found clinic use provid good precis drug administr reliabl result durat general anesthesia

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