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A technical description of a novel pharmacological anesthesia robot
To control the three components of general anesthesia (hypnosis, analgesia, and neuromuscular blockade), an automated closed-loop, anesthesia-drug delivery system (McSleepy) was developed. Bispectral index was used as the control variable for hypnosis, the analgoscore for analgesia, and phonomyograp...
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| Published in: | Journal of clinical monitoring and computing 2014-02, Vol.28 (1), p.27-34 |
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| Main Authors: | , , , , , , |
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| cited_by | cdi_FETCH-LOGICAL-c405t-88aabcf1762400b6aaf368c575a510496501835a1594eb5d798488805cf619063 |
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| container_end_page | 34 |
| container_issue | 1 |
| container_start_page | 27 |
| container_title | Journal of clinical monitoring and computing |
| container_volume | 28 |
| creator | Wehbe, Mohamad Arbeid, Erik Cyr, Shantale Mathieu, Pierre A. Taddei, Riccardo Morse, Joshua Hemmerling, Thomas M. |
| description | To control the three components of general anesthesia (hypnosis, analgesia, and neuromuscular blockade), an automated closed-loop, anesthesia-drug delivery system (McSleepy) was developed. Bispectral index was used as the control variable for hypnosis, the analgoscore for analgesia, and phonomyography for neuromuscular blockade. McSleepy can be used to control the induction, maintenance and emergence from general anesthesia. To do so, a large touch screen is used to provide a user friendly interface, permitting bidirectional communication: the user giving information about the different stages of anesthesia, and the system prompting the anesthesiologist to perform certain actions such as mask ventilation, intubation or waking-up the patient using audio clips with voice commands. Several safety features were implemented to provide a secure and reliable anesthesia. Preliminary results of 15 patients are presented in this paper. Evaluation of McSleepy was done through an assessment of its clinical performance and using Varvel’s performance indices. The system was found to be clinically useful by providing good precision in drug administration and reliable results for the duration of a general anesthesia. |
| doi_str_mv | 10.1007/s10877-013-9451-8 |
| format | article |
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Bispectral index was used as the control variable for hypnosis, the analgoscore for analgesia, and phonomyography for neuromuscular blockade. McSleepy can be used to control the induction, maintenance and emergence from general anesthesia. To do so, a large touch screen is used to provide a user friendly interface, permitting bidirectional communication: the user giving information about the different stages of anesthesia, and the system prompting the anesthesiologist to perform certain actions such as mask ventilation, intubation or waking-up the patient using audio clips with voice commands. Several safety features were implemented to provide a secure and reliable anesthesia. Preliminary results of 15 patients are presented in this paper. Evaluation of McSleepy was done through an assessment of its clinical performance and using Varvel’s performance indices. 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Bispectral index was used as the control variable for hypnosis, the analgoscore for analgesia, and phonomyography for neuromuscular blockade. McSleepy can be used to control the induction, maintenance and emergence from general anesthesia. To do so, a large touch screen is used to provide a user friendly interface, permitting bidirectional communication: the user giving information about the different stages of anesthesia, and the system prompting the anesthesiologist to perform certain actions such as mask ventilation, intubation or waking-up the patient using audio clips with voice commands. Several safety features were implemented to provide a secure and reliable anesthesia. Preliminary results of 15 patients are presented in this paper. Evaluation of McSleepy was done through an assessment of its clinical performance and using Varvel’s performance indices. 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Bispectral index was used as the control variable for hypnosis, the analgoscore for analgesia, and phonomyography for neuromuscular blockade. McSleepy can be used to control the induction, maintenance and emergence from general anesthesia. To do so, a large touch screen is used to provide a user friendly interface, permitting bidirectional communication: the user giving information about the different stages of anesthesia, and the system prompting the anesthesiologist to perform certain actions such as mask ventilation, intubation or waking-up the patient using audio clips with voice commands. Several safety features were implemented to provide a secure and reliable anesthesia. Preliminary results of 15 patients are presented in this paper. Evaluation of McSleepy was done through an assessment of its clinical performance and using Varvel’s performance indices. The system was found to be clinically useful by providing good precision in drug administration and reliable results for the duration of a general anesthesia.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>23771652</pmid><doi>10.1007/s10877-013-9451-8</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Analgesia Analgesia - instrumentation Analgesia - methods Androstanols - administration & dosage Anesthesia, Closed-Circuit - instrumentation Anesthesia, Closed-Circuit - methods Anesthesiology Automation Computer Graphics Critical Care Medicine Female Health Sciences Humans Hypnosis - instrumentation Hypnosis - methods Intensive Intubation - methods Male Medicine Medicine & Public Health Middle Aged Neuromuscular Blockade - instrumentation Neuromuscular Blockade - methods Original Research Piperidines - administration & dosage Propofol - administration & dosage Reproducibility of Results Robotics Software Statistics for Life Sciences Telemedicine - methods User-Computer Interface |
| title | A technical description of a novel pharmacological anesthesia robot |
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