Closed-loop systems in clinical anaesthesia

Current Opinion in Anaesthesiology

Volumn 9, Issue 6, 1996, Pages 457-461

  Schüttler, Jürgen ^a   Schwilden, Helmut ^a,b  

^a UNIVERSITY OF ERLANGEN NUREMBERG   (Germany)

^b UNIVERSITY HOSPITAL ERLANGEN   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ALGORITHM; ANESTHETIC EQUIPMENT; ARTERIAL PRESSURE; AUTOMATION; DRUG DELIVERY SYSTEM; FEEDBACK SYSTEM; GENERAL ANESTHESIA; NEUROMUSCULAR BLOCKING; PRIORITY JOURNAL; RELIABILITY; RESEARCH; SAFETY; SHORT SURVEY;

EID: 0029825143     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001503-199609060-00003     Document Type: Short Survey

References (15)

1. Bickford RG: Automated electroencephalographic control of general anesthesia. EEG Clin Neurophysiol 1950, 2:93-96.
2. Vozeh S, Steimer J-L: Feedback control methods for drug dosage optimisation. Clin Pharmackin 1985, 10:457-476.
3. Schwilden H, Stoeckel H: Effective therapeutic infusions produced by closed-loop feedback control of methohexital administration during total intravenous anesthesia with fentanyl. Anesthesiology 1990, 74:225-229.
4. Schwilden H, Schüttler J: Determination of the effective therapeutic infusion rates for intravenous anaesthetics by feedback controlled dosing [in German]. Anaesthesist 1990, 39:603-606.
5. Olkkola KT, Tammisto T: Quantifying the interaction of rocuronium (Org 9426) with etomidate, fentanyl, midazolam, propofol, and isoflurane using closed-loop feedback control of rocuronium infusion. Anesth Analg 1994, 78:691-696.
6. Olkkola KT, Tammisto T: Assessment of interaction between atracurium and suxamethonium at 50% neuromuscular block using closed-loop feedback control of infusion of atracurium. Br J Anaesth 1994, 73:199-203.
7. Meretoja OA, Taivainen T, Wirtavuori K, Olkkola KT: Pharmacodynamics of mivacurium in infants. Br J Anaesth 1994, 73:490-493.
8. Kansanaho, M, Olkkola KT: Quantifying the effect of enflurane on atracurium infusion requirements. Can J Anaesth 1995, 42: 103-108.
9. Olkkola KT, Kansanaho M: Quantifying the interaction of vecuronium with enflurane using closed-loop feedback control of vecuronium infusion. Acta Anaesth Scan 1995, 39:489-493.
10. Olkkola KT, Schwilden H: Quantitation of the interaction between atracurium and succinylcholin using closed-loop feedback control infusion of atracurium. Anesthesiology 1990, 73:614-618.
11. Sheppard LC: Computer control of the infusion of vasoactive drugs. Ann Biomed Engineering 1980, 8:431-444.
12. Vishnoi R, Ray FJ: Adaptive control of closed circuit anesthesia. IEEE Trans Biomed Engineering 1991, 38: 39-46.
13. Rametti LB, Bradlow HS, Uys PC: On-line parameter estimation and control of d-tubucurarine induced muscle relaxation. Med Biol Engineering Computing 1985, 23:556-564.
14. Zbinden AM, Feigenwinter P, Petersen-Felix S, Hacisalihzade S: Arterial pressure control with isoflurane using fuzzy logic. Br J Anaesth 1995, 74:66-72.
15. Jastremski M, Jastremski C, Sheperd M, Friedman V, Porembka D, Smith R, Gonzales E, Swedlow D, Belzberg H, Crass R et al.: A model for technology assessment as applied to closed-loop infusion systems. Technology assessment task force of the Society of Critical Care Medicine. Crit Care Med 1995, 23:1745-1755. This paper presents the conclusions of a task force of the Society of Critical Care Medicine on closed-loop infusion systems in intensive care. The special value of this study is the critical evaluation of possible advantages and disadvantages of automated feedback systems in therapeutic applications.