Development of a new closed-loop system for controlling a mivacurium induced neuromuscular blokade;Entwicklung eines neuen closed-loop systems. Regelung einer mivacurium- induzierten neuromuskularen blockade

Anaesthesist

Volumn 48, Issue 3, 1999, Pages 157-162

  Geldner, G ^a,c   Schwarz, U ^a   Ruoff, M ^a   Romeiser, J ^b   Lendl, M ^b   Schutz W ^a   Georgieff, M ^a  

^a UNIVERSITY OF ULM   (Germany)

^b UNIVERSITY OF ERLANGEN NUREMBERG   (Germany)

^c Sektion Anästhesiologische Pathophysiologie und Verfahrensentwicklung   (Germany)

Author keywords

Closed Loop control; Mivacurium; Muscle relaxants; Neural network

Indexed keywords

MIVACURIUM;

ARTICLE; CONTROL SYSTEM; HUMAN; MAJOR CLINICAL STUDY; MUSCLE RELAXATION; NERVE CELL NETWORK; NEUROMUSCULAR BLOCKING; SURGICAL TECHNIQUE;

ADOLESCENT; ADULT; AGED; ANESTHESIOLOGY; COMPUTER SIMULATION; FEMALE; HUMANS; ISOQUINOLINES; MALE; MIDDLE AGED; NEURAL NETWORKS (COMPUTER); NEUROMUSCULAR BLOCKADE; NEUROMUSCULAR NONDEPOLARIZING AGENTS;

EID: 0032930029     PISSN: 00032417     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001010050682     Document Type: Article

References (20)

1. Assef SJ, Lennon RL, Jones KA, Burke MJ, Behrens TL (1993) A versatile, computercontrolled, closed-loop system for continuous infusion of muscle relaxants. Mayo Clin Proc 68:1074-1080
2. Bradlow HS, Uys PC, Rametti-LB (1986) On-line control of atracurium induced muscle relaxation. J Biomed Eng 8:72-75
3. Cross SS, Harrison RF, Kennedy RL (1995) Introduction to neural networks. Lancet 346:1075-1079
4. Geldner GF, Schwarz U, Romeiser HJ, Lendel M, Ruoff M, Georgieff M (1998) Controlling a mivacurium infusion using an artificial neural Network. Anesthesiology [Suppl A] 89:1000
5. O'Hara DA, Derbyshire GJ, Overdyk FJ, Bogen DK, Marshall BE (1991) Closed-loop infusion of atracurium with four different anesthetic techniques. Anesthesiology 74:258-63
6. Kansanaho M, Ollkola KT (1997) The effect of halothane on mivacurium infusion requirements in adult surgical patients. Acta Anaesthesiol Scand 41:754-759
7. Mahfouf M, Linkens DA, Asbury AJ, Gray WM, Peacock JE (1992) Generalised predictive control (GPC) in the operating theatre. IEE Proc D 139:404-420
8. Mason DG, Edwards ND, Linkens DA, Reilly CS (1996) Performa nee assessment of a fuzzy controller for atracurium-induced neuromuscular block. Br J Anaesth 76:396-400
9. Mason DG, Linkens DA, Edwards ND, Reilly CS (1997) Development of a portable closed-loop atracurium infusion system: systems methodology and safety issues. J Clin Mon 13:243-252
10. Olkkola KT, Schwilden H, Apffelstaedt C (1991) Model-based adaptive closed-loop feedback control of atracurium-induced neuromuscular blockade. Acta Anaesthesiol Scand 35:420-423
11. Ross JJ, Mason DG, Linkens DA, Edwards ND (1997) Self-learning fuzzy logic control of neuromuscular block. Br J Anaesth 78:412-415
12. Rumelhart DE, McClelland JL (eds) (1998) Parallel distributed processing foundations. MIT Press, Boston
13. Savarese JJ, Ali HH, Basta SJ (1988) The clinical neuromuscular pharmacology of mivacurium chloride (BW B1090U). A short acting non depolarising ester neuromuscular blocking drug. Anesthesiology 68:723-732
14. Schwilden H, Olkkola KT (1991) Use of a pharmacokinetic-dynamic model for the automatic feed back control of atracurium. Eur J Clin Pharmacol 40:293-296
15. Shafer SL, Siegel LC, Cook JE, Scott JC (1988) Testing computer-controlled infusion pumps by simulation. Anesthesiology 68:261-266
16. Steen PM (1994) Approaches to predictive modelling. Ann Thorac Surg 58:1836-1840
17. Uys PC, Morrell DF, Bradlow HS, Rametti LB (1988) Self-tuning, microprocessor-based closed-loop control of atracurium-induced neuromuscular blockade. Br J Anaesth 61:685-692
18. Varvel JR, Donoho DL, Shafer SL (1992) Measuring the predictive performance of computer-controlled infusion-pumps. J Pharmacokinet Biopharm 20:63-94
19. Wait CM, Goat VA, Blogg CE (1987) Feedback control of neuromuscular blockade. A simple system for infusion of atracurium. Anaesthesia 42:1212-1217
20. Webster NR,Cohen AT (1987) Closed-loop administration of atracurium. Steady-state neuromuscular blockade during surgery using a computer controlled closed-loop atracurium infusion. Anaesthesia 42:1085-1091