Control and Automation in Anaesthesia

✍ Scribed by H.-J. Zimmermann (auth.), Professor Dr.Dr.med. H. Schwilden, Professor Dr.med. Dr.med. h.c. H. Stoeckel (eds.)

• Publisher: Springer-Verlag Berlin Heidelberg
• Year: 1995
• Tongue: English
• Leaves: 282
• Edition: 1
• Category: Library

✦ Synopsis

Some of the latest developments in the automation of therapeutic interventions in anaesthesiology have been covered in this book, with special emphasis on the automated control of anaesthetic drug delivery, neuromuscular blockade, artificial ventilation, and blood pressure. Of particular interest to the reader will be the presentation of different methodological approaches to automated control such as neuronal nets, fuzzy set theory, and fuzzy control and model-based adaptive approaches and their application to different clinical problems. The open-loop and closed-loop approaches to automated control have been discussed as have the requirements necessary for monitoring biological signals and the paramters for the anaesthesia machines with particular focus on recently developed feedback methods for the automated delivery of volatile and intravenous anaesthetic agents based on EEG or evoked potentials. The last chapter discusses the legal requirements and liability aspects for automated systems in medicine, especially in view of recently established regulations and guidelines (e.g. law for medical products).
The book represents the proceedings of an international workshop which was held in Bonn, Germany, in May 1994. The contributions come from various specialties, including medicine and anaesthesiology, but also mathematics and operations research, neuroinformatics, engineering, regulatory authorities, and industry.

✦ Table of Contents

Front Matter....Pages I-XIV
Front Matter....Pages 1-1
Decision Support via Fuzzy Technology....Pages 3-10
Principles of Adaptive Neural Networks for Control....Pages 11-21
Artificial Intelligence and Expert Systems....Pages 22-36
Front Matter....Pages 37-37
Which Monitoring Qualities Ensure Proper Machine Function?....Pages 39-46
Reliability, Testability, Alarms, and the Fail-Safe Concept....Pages 47-59
The Differences Between Closed-Circuit, Low-Flow, and High-Flow Breathing Systems: Controllability, Monitoring, and Engineering Aspects....Pages 60-75
Does the EEG Measure Therapeutic Opioid Drug Effect?....Pages 79-95
Somatosensory Evoked Potentials: Objective Measures of Antinociception in the Anesthetized Patient?....Pages 96-106
Do Auditory Evoked Potentials Assess Awareness?....Pages 107-118
Should Neuromuscular Transmission Be Monitored Routinely During Anaesthesia?....Pages 119-123
Front Matter....Pages 125-125
Pulmonary Function and Ventilatory Patterns During Anaesthesia....Pages 127-139
What Can and What Should Be Controlled During Artificial Ventilation?....Pages 140-148
Closed-Loop Control of Artificial Ventilation....Pages 149-152
Front Matter....Pages 153-153
Adaptive Closed-Loop Control of End-Tidal Concentrations of Volatile Agents....Pages 155-157
Fuzzy Control of Arterial Blood Pressure by Volatile Anesthetics....Pages 158-162
Model-Based Adaptive Control of Volatile Anesthetics by Quantitative EEG....Pages 163-174
The Target of Control: Plasma Concentrations or Drug Effect....Pages 177-184
Open-Loop Control Systems and Their Performance for Intravenous Anaesthetics....Pages 185-193
Feedback Control of Intravenous Anesthetics by Quantitative EEG....Pages 194-207
Adaptive Control of Intravenous Anaesthesia by Evoked Potentials....Pages 208-219
Front Matter....Pages 153-153
Model-Based Adaptive Control of Neuromuscular Blocking Agents....Pages 223-233
Supervisory Adaptive Control of Arterial Blood Pressure by Vasoactive Agents....Pages 234-241
New Drug-Delivery Devices for Volatile Anesthetics....Pages 242-251
New Drug-Delivery Systems for Intravenous Anesthetics....Pages 252-262
Front Matter....Pages 263-263
The Technical Point of View....Pages 265-268
Regulatory Aspects....Pages 269-272
The Manufacturer’s Point of View....Pages 273-276
Back Matter....Pages 277-281

✦ Subjects

Anesthesiology; Biomedical Engineering; Pharmacology/Toxicology