. . . . . "Automatick\u00E9 d\u00E1vkov\u00E1n\u00ED rokuronia na b\u00E1zi fuzzy logiky u dlouh\u00FDch neurochirurgick\u00FDch v\u00FDkon\u016F"@cs . . "automatic control; fuzzy logic; rocuronium; neuromuscular blockade"@en . . . "411140" . "Automatick\u00E9 d\u00E1vkov\u00E1n\u00ED rokuronia na b\u00E1zi fuzzy logiky u dlouh\u00FDch neurochirurgick\u00FDch v\u00FDkon\u016F" . "Automatick\u00E9 d\u00E1vkov\u00E1n\u00ED rokuronia na b\u00E1zi fuzzy logiky u dlouh\u00FDch neurochirurgick\u00FDch v\u00FDkon\u016F" . "Automatic control of rocuronium-induced neuromuscular block during long-lasting neurosurgical interventions"@en . "1" . "B\u011Blohl\u00E1vek, Radim" . "6"^^ . . . "Anesteziologie & intenzivn\u00ED medic\u00EDna" . . "C\u00EDl studie: B\u011Bhem celkov\u00E9 anestezie mus\u00ED b\u00FDt hloubka nervosvalov\u00E9ho bloku dostate\u010Dn\u00E1 pro zaji\u0161t\u011Bn\u00ED odpov\u00EDdaj\u00EDc\u00EDch opera\u010Dn\u00EDch podm\u00EDnek, ale ne tak hlubok\u00E1, aby to znemo\u017Enilo jej\u00ED antagonizov\u00E1n\u00ED na konci operace. Vhodnou technikou pro d\u00E9letrvaj\u00EDc\u00ED operace je kontinu\u00E1ln\u00ED infuze kurarimimetika, ale ru\u010Dn\u00ED \u0159\u00EDzen\u00ED rychlosti infuzn\u00ED pumpy je \u010Dasov\u011B n\u00E1ro\u010Dn\u00E9. Auto\u0159i p\u0159edkl\u00E1daj\u00ED mo\u017Enost vyu\u017Eit\u00ED fuzzy logiky p\u0159i konstrukci za\u0159\u00EDzen\u00ED (hardware, software) pro automatick\u00E9 d\u00E1vkov\u00E1n\u00ED rokuronia b\u011Bhem celkov\u00E9 anestezie. Typ studie: klinick\u00E1, prospektivn\u00ED. N\u00E1zev a s\u00EDdlo pracovi\u0161t\u011B: Klinika anesteziologie a resuscitace univerzitn\u00ED nemocnice. Materi\u00E1l a metoda: Po souhlasu etick\u00E9 komise a informovan\u00E9ho souhlasu jsme vyvinut\u00FD syst\u00E9m (Relax 2005) pou\u017Eili k udr\u017Een\u00ED svalov\u00E9 relaxace u nemocn\u00FDch podstupuj\u00EDc\u00EDch intrakrani\u00E1ln\u00ED neurochirurgick\u00FD v\u00FDkon v tot\u00E1ln\u00ED intraven\u00F3zn\u00ED anestezii. Hloubku blok\u00E1dy (TOF-ratio, T1) jsme stanovovali pomoc\u00ED monitoru Datex-Ohmeda S/5TM, data byla bezdr\u00E1tov\u011B p\u0159en\u00E1\u0161ena do po\u010D\u00EDta\u010De, kter\u00FD na jejich z\u00E1klad\u011B automaticky \u0159\u00EDdil rychlost infuzn\u00ED pumpy s rokuroniem k udr\u017Een\u00ED c\u00EDlov\u00E9 hodnoty nervosvalov\u00E9ho bloku (T1 = 10 % v\u00FDchoz\u00ED hodnoty). \u00DA\u010Dinnost regulace jsme hodnotili podle spot\u0159eby rokuronia a parametru RMSD (root mean square deviation) jako indexu kol\u00EDs\u00E1n\u00ED T1 kolem c\u00EDlov\u00E9 hodnoty nervosvalov\u00E9 blok\u00E1dy. V\u00FDsledky: Pr\u016Fm\u011Brn\u00E1 provozn\u00ED doba syst\u00E9mu Relax 2005 byla u ka\u017Ed\u00E9ho nemocn\u00E9ho 171,7 (SD 81,4) min. B\u011Bhem n\u00ED syst\u00E9m udr\u017Eel stabiln\u00ED \u00FArove\u0148 nervosvalov\u00E9ho bloku s pr\u016Fm\u011Brnou odchylkou od c\u00EDlov\u00E9 hodnoty -0,19 (0,26) %. Parametr RMSD byl 1,02 (0,72) %. B\u011Bhem regula\u010Dn\u00ED f\u00E1ze dos\u00E1hla spot\u0159eba rokuronia 0,31 (0,23) mg.kg-1. hod-1. Po zastaven\u00ED syst\u00E9mu bylo mo\u017En\u00E9 do 15 minut dos\u00E1hnout dostate\u010Dn\u00E9ho zotaven\u00ED z \u00FA\u010Dinku rokuronia. Z\u00E1v\u011Br: P\u0159esnost syst\u00E9mu, hodnocen\u00E1 na z\u00E1klad\u011B pr\u016Fm\u011Brn\u00E9 odchylky T1 od c\u00EDlov\u00E9 hodnoty a indexu RMSD, vysoce p\u0159ev\u00FD\u0161ila klinick\u00E9 po\u017Eadavky. Spot\u0159eba rokuronia le\u017Eela na doln\u00ED hranici doporu\u010Dovan\u00E9 v\u00FDrobcem." . "ADAMUS, Milan" . "RIV/61989592:15110/07:33116420!RIV12-MZ0-15110___" . "P(ND7665)" . "[0A554500BD1D]" . "C\u00EDl studie: B\u011Bhem celkov\u00E9 anestezie mus\u00ED b\u00FDt hloubka nervosvalov\u00E9ho bloku dostate\u010Dn\u00E1 pro zaji\u0161t\u011Bn\u00ED odpov\u00EDdaj\u00EDc\u00EDch opera\u010Dn\u00EDch podm\u00EDnek, ale ne tak hlubok\u00E1, aby to znemo\u017Enilo jej\u00ED antagonizov\u00E1n\u00ED na konci operace. Vhodnou technikou pro d\u00E9letrvaj\u00EDc\u00ED operace je kontinu\u00E1ln\u00ED infuze kurarimimetika, ale ru\u010Dn\u00ED \u0159\u00EDzen\u00ED rychlosti infuzn\u00ED pumpy je \u010Dasov\u011B n\u00E1ro\u010Dn\u00E9. Auto\u0159i p\u0159edkl\u00E1daj\u00ED mo\u017Enost vyu\u017Eit\u00ED fuzzy logiky p\u0159i konstrukci za\u0159\u00EDzen\u00ED (hardware, software) pro automatick\u00E9 d\u00E1vkov\u00E1n\u00ED rokuronia b\u011Bhem celkov\u00E9 anestezie. Typ studie: klinick\u00E1, prospektivn\u00ED. N\u00E1zev a s\u00EDdlo pracovi\u0161t\u011B: Klinika anesteziologie a resuscitace univerzitn\u00ED nemocnice. Materi\u00E1l a metoda: Po souhlasu etick\u00E9 komise a informovan\u00E9ho souhlasu jsme vyvinut\u00FD syst\u00E9m (Relax 2005) pou\u017Eili k udr\u017Een\u00ED svalov\u00E9 relaxace u nemocn\u00FDch podstupuj\u00EDc\u00EDch intrakrani\u00E1ln\u00ED neurochirurgick\u00FD v\u00FDkon v tot\u00E1ln\u00ED intraven\u00F3zn\u00ED anestezii. Hloubku blok\u00E1dy (TOF-ratio, T1) jsme stanovovali pomoc\u00ED monitoru Datex-Ohmeda S/5TM, data byla bezdr\u00E1tov\u011B p\u0159en\u00E1\u0161ena do po\u010D\u00EDta\u010De, kter\u00FD na jejich z\u00E1klad\u011B automaticky \u0159\u00EDdil rychlost infuzn\u00ED pumpy s rokuroniem k udr\u017Een\u00ED c\u00EDlov\u00E9 hodnoty nervosvalov\u00E9ho bloku (T1 = 10 % v\u00FDchoz\u00ED hodnoty). \u00DA\u010Dinnost regulace jsme hodnotili podle spot\u0159eby rokuronia a parametru RMSD (root mean square deviation) jako indexu kol\u00EDs\u00E1n\u00ED T1 kolem c\u00EDlov\u00E9 hodnoty nervosvalov\u00E9 blok\u00E1dy. V\u00FDsledky: Pr\u016Fm\u011Brn\u00E1 provozn\u00ED doba syst\u00E9mu Relax 2005 byla u ka\u017Ed\u00E9ho nemocn\u00E9ho 171,7 (SD 81,4) min. B\u011Bhem n\u00ED syst\u00E9m udr\u017Eel stabiln\u00ED \u00FArove\u0148 nervosvalov\u00E9ho bloku s pr\u016Fm\u011Brnou odchylkou od c\u00EDlov\u00E9 hodnoty -0,19 (0,26) %. Parametr RMSD byl 1,02 (0,72) %. B\u011Bhem regula\u010Dn\u00ED f\u00E1ze dos\u00E1hla spot\u0159eba rokuronia 0,31 (0,23) mg.kg-1. hod-1. Po zastaven\u00ED syst\u00E9mu bylo mo\u017En\u00E9 do 15 minut dos\u00E1hnout dostate\u010Dn\u00E9ho zotaven\u00ED z \u00FA\u010Dinku rokuronia. Z\u00E1v\u011Br: P\u0159esnost syst\u00E9mu, hodnocen\u00E1 na z\u00E1klad\u011B pr\u016Fm\u011Brn\u00E9 odchylky T1 od c\u00EDlov\u00E9 hodnoty a indexu RMSD, vysoce p\u0159ev\u00FD\u0161ila klinick\u00E9 po\u017Eadavky. Spot\u0159eba rokuronia le\u017Eela na doln\u00ED hranici doporu\u010Dovan\u00E9 v\u00FDrobcem."@cs . . "CZ - \u010Cesk\u00E1 republika" . "Automatick\u00E9 d\u00E1vkov\u00E1n\u00ED rokuronia na b\u00E1zi fuzzy logiky u dlouh\u00FDch neurochirurgick\u00FDch v\u00FDkon\u016F"@cs . "RIV/61989592:15110/07:33116420" . "1214-2158" . . . "2"^^ . . "Automatic control of rocuronium-induced neuromuscular block during long-lasting neurosurgical interventions"@en . . "18" . "15110" . "Objective: During balanced anaesthesia, the degree of neuromuscular block (NMB) must be sufficient to provide adequate surgical conditions but not as excessive as to make it difficult to antagonize at the end of surgery. An appropriate technique for long-lasting operations is continuous relaxant infusion but manual control of pump speed can be time-consuming. We present a device (both hardware and software) for fuzzy control of NMB during general anaesthesia. Design: clinical, prospective study. Setting: Department of Anaesthesiology and Intensive Care Medicine, University Hospital. Material and Methods: After local ethics committee approval and informed consent, the Relax 2005 system was clinically used in 80 patients undergoing intracranial neurosurgical intervention to maintain a stable depth of NMB during total intravenous anaesthesia. The degree of block (TOF-ratio, T1) was determined using Datex-Ohmeda S/5TM monitor wirelessly interfaced to a PC for data collection; the computer was programmed to ensure a stable level (target T1 = 10 % of baseline) of block by controlling the rocuronium (ROC) infusion pump. The efficacy of regulation was assessed by ROC consumption and root mean square deviation (RMSD) as an index of T1 variation around the preset NMB level. Results: The total operating period was 171.7 (SD 81.4) min in each patient. During regulation phase, the system automatically maintained a stable degree of NMB with mean T1 error -0.19 (0.26) % and RMSD 1.02 (0.72) %. The ROC consumption was 0.31 (0.23) mg.kg-1. hr-1. After stopping the system, adequate recovery from the block was reached within 15 minutes. Conclusion: Based on mean T1 deviation from the target and RMSD values, the precision of regulation was far beyond the clinical requirements. The ROC consumption was at the lower limit recommended by the manufacturer."@en . "1"^^ .