Total Intravenous Anaesthesia with an Integrated Computer Control System

Abstract An integrated multivariable computer control system is currently under development to assist anaesthetists in the administration of anaesthetic, analgesic and muscle relaxant infusions for total intravenous anaesthesia This multivariable system is the integration of several single variable systems developed by the research team. A serimultiplexer, vas developed by the research team to allow communication of multiple infusion and monitoring devices via a single computer serial port. Initially the system was arranged with pharmacokinetic model-driven systems for the anaesthetic and analgesic agents and a Relaxograph (Datex) monitor was used for fuzzy closed-loop control of neuromuscular block (NMB).

[1]  Depth of anaesthesia , 1993, Anaesthesia.

[2]  D. Linkens,et al.  Performance assessment of a fuzzy controller for atracurium-induced neuromuscular block. , 1996, British journal of anaesthesia.

[3]  H. Schwilden,et al.  Closed-loop feedback control of propofol anaesthesia by quantitative EEG analysis in humans. , 1989, British journal of anaesthesia.

[4]  L. Kearse,et al.  Bispectral Analysis of the Electroencephalogram Correlates with Patient Movement to Skin Incision during Propofol/Nitrous Oxide Anesthesia , 1994, Anesthesiology.

[5]  D.A. Linkens,et al.  Automated delivery of muscle relaxants using fuzzy logic control , 1994, IEEE Engineering in Medicine and Biology Magazine.

[6]  D. A. Davis,et al.  The Use of the Time Domain Analyzed EEG in Conjunction with Cardiovascular Parameters for Monitoring Anesthetic Levels , 1981, IEEE Transactions on Biomedical Engineering.

[7]  D A Linkens,et al.  Development of a portable closed-loop atracurium infusion system: systems methodology and safety issues , 1996, International journal of clinical monitoring and computing.

[8]  R. Bickford,et al.  THE CLINICAL APPLICATION OF AUTOMATIC ANESTHESIA , 1951, Anesthesiology.

[9]  G. Plourde Depth of anaesthesia , 1991, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[10]  W W Mapleson,et al.  Computer assistance in the control of depth of anaesthesia. , 1984, British journal of anaesthesia.

[11]  H Schwilden,et al.  Total intravenous anaesthesia with propofol and alfentanil by computer‐assisted infusion , 1988, Anaesthesia.

[12]  D A Linkens,et al.  Development of a pharmacokinetic model-based infusion system for ketamine analgesia , 1996, International journal of clinical monitoring and computing.