Automated anesthesia

Current Opinion in Anaesthesiology

Volumn 22, Issue 6, 2009, Pages 757-763

  Hemmerling, Thomas M ^a  

^a MCGILL UNIVERSITY   (Canada)

Author keywords

Closed loop; Decision support systems; Electronic data management; Open loop; Target controlled infusion; Telemedicine

Indexed keywords

ANESTHETIC AGENT; DESFLURANE; FENTANYL; MIDAZOLAM; OPIATE; PETHIDINE; PROPOFOL; REMIFENTANIL; SEVOFLURANE; SUFENTANIL;

ALGORITHM; ANALGESIA; ANESTHESIA; ANESTHESIA LEVEL; AUTOMATED ANESTHESIA; AUTOMATION; CLINICAL ASSESSMENT; CLINICAL PRACTICE; COMPUTER SYSTEM; DECISION SUPPORT SYSTEM; DRUG DELIVERY SYSTEM; EMERGENCY HEALTH SERVICE; HEMODYNAMIC PARAMETERS; HUMAN; INFUSION SYSTEM; INTENSIVE CARE; MEDICAL DECISION MAKING; NEUROMUSCULAR BLOCKING; PAIN; PAIN ASSESSMENT; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RELIABILITY; REVIEW; SEDATION; TELEANESTHESIA; TELEMEDICINE; UNCONSCIOUSNESS;

ANESTHESIA; ANESTHESIA, CLOSED-CIRCUIT; ANESTHETICS; AUTOMATION; CONSCIOUSNESS; DECISION SUPPORT SYSTEMS, CLINICAL; HUMANS; INFUSIONS, INTRAVENOUS; PAIN; TELEMEDICINE;

EID: 70449493188     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e328332c9b4     Document Type: Review

References (23)

1. EEast TD, Morris AH, Wallace CJ, et al. A strategy for development of computerized critical care decision support systems. Int J Clin Monit Comput 1991; 8:263-269.
2. Weiss YG, Maliar A, Eidelman LA, et al. Computer assisted physiologic monitoring and stability assessment in vascular surgical patients undergoing general anesthesia: preliminary data. J Clin Monit Comput 2000; 16:107-113.
3. Denai MA, Mahfouf M, Ross JJ. A hybrid hierarchical decision support system for cardiac surgical intensive care patients. Part I: Physiological modelling and decision support system design. Artif Intell Med 2009; 45:35-52.
4. Talmor D, Jones AE, Rubinson L, et al. Simple triage scoring system predicting death and the need for critical care resources for use during epidemics. Crit Care Med 2007; 35:1251-1256.
5. Schwilden H, Schuttler J. The determination of an effective therapeutic infusion rate for intravenous anesthetics using feedback-controlled dosages. Anaesthesist 1990; 39:603-606.
6. Schwilden H, Schuttler J. Target controlled anaesthetic drug dosing. Handb Exp Pharmacol 2008:425-450.
7. Leslie K, Clavisi O, Hargrove J. Target-controlled infusion versus manuallycontrolled infusion of propofol for general anaesthesia or sedation in adults. Cochrane Database Syst Rev 2008:CD006059.
8. Struys MM, Kalmar AF, De Baerdemaeker LE, et al. Time course of inhaled anaesthetic drug delivery using a new multifunctional closed-circuit anaesthesia ventilator. In vitro comparison with a classical anaesthesia machine. Br J Anaesth 2005; 94:306-317.
9. Fritsch N, Nouette-Gaulain K, Bordes M, et al. Target-controlled inhalation induction with sevoflurane in children: a prospective pilot study. Paediatr Anaesth 2009; 19:126-132.
10. De Castro V, Godet G, Mencia G, et al. Target-controlled infusion for remifentanil in vascular patients improves hemodynamics and decreases remifentanil requirement. Anesth Analg 2003; 96:33-38.
11. Vuyk J, Mertens MJ, Olofsen E, et al. Propofol anesthesia and rational opioid selection: determination of optimal EC50-EC95 propofol-opioid concentrations that assure adequate anesthesia and a rapid return of consciousness. Anesthesiology 1997; 87:1549-1562.
12. Hemmerling TM, Le N. Brief review: neuromuscular monitoring - an update for the clinician. Can J Anaesth 2007; 54:58-72.
13. Pohl B, Hofmockel R, Simanski O, et al. Feedback control of muscle relaxation with a varying on-off controller using cisatracurium. Anaesthesist 2004; 53:66-72.
14. Lendl M, Schwarz UH, Romeiser HJ, et al. Nonlinear model-based predictive control of nondepolarizing muscle relaxants using neural networks. J Clin Monit Comput 1999; 15:271-278.
15. Struys MM, De Smet T, Versichelen LF, et al. Comparison of closed-loop controlled administration of propofol using bispectral index as the controlled variable versus 'standard practice' controlled administration. Anesthesiology 2001; 95:6-17.
16. Hemmerling TM, Charabati S, Dubois B, Bracco D, Mathieu PA. A novel closed-loop system to administer propofol: comparison with manual control [abstract 473872]. Can J Anaesth 2008; 55 (Suppl 1).
17. Agarwal J, Puri GD, Mathew PJ. Comparison of closed loop vs. manual administration of propofol using the bispectral index in cardiac surgery. Acta Anaesthesiol Scand 2009; 53:390-397.
18. Gentilini A, Schaniel C, Morari M, et al. A new paradigm for the closed-loop intraoperative administration of analgesics in humans. IEEE Trans Biomed Eng 2002; 49:289-299.
19. Hemmerling TM, Charabati S, Salhab E, et al. The Analgoscore: a novel score to monitor intraoperative nociception and its use for closed-loop application of remifentanil. J Comput 2009;4: 311-318.
20. Hemmerling TM, Charabati S, Mathieu PA. McSleepy: a completely automatic anesthesia delivery system [abstract S46]. STA Meeting 2009 January.
21. Wong DT, Kamming D, Salenieks ME, et al. Preadmission anesthesia consultation using telemedicine technology: a pilot study. Anesthesiology 2004; 100:1605-1607.
22. Cone SW, Gehr L, Hummel R, et al. Case report of remote anesthetic monitoring using telemedicine. Anesth Analg 2004; 98:386-388.
23. Ihmsen H, Naguib K, SchneiderG, et al. Teletherapeutic drug administration by long distance closed-loop control of propofol. Br JAnaesth2007; 98:189-195.