Schwarzhaupt A, Torkzadeh D D, Kiencke U
Institut für Industrielle Informations technik, Universität Karlsruhe(TH).
Biomed Tech (Berl). 1999 May;44(5):120-8. doi: 10.1515/bmte.1999.44.5.120.
The present paper describes the intra-operative evaluation of circulation dynamics during open-heart surgery, with the aim of providing the anaesthetist with objective data for assessing patient status during the procedure. For this purpose, the parameters pulse wave velocity and biological impedance were used. With the aid of these parameters it is possible, in the extracorporeal model, to detect different kinds of stenosis, volume losses, vessel dilatation and vessel constriction. In addition, the influence of arteriosclerosis on circulation dynamics was investigated. The assignment of the parameters to various events is effected using a "decision tree" and a neural network. Finally, the technique is verified using data obtained from animal experiments.
本文描述了心脏直视手术期间循环动力学的术中评估,目的是为麻醉师提供评估手术过程中患者状态的客观数据。为此,使用了脉搏波速度和生物阻抗参数。借助这些参数,在体外模型中能够检测出不同类型的狭窄、容量损失、血管扩张和血管收缩。此外,还研究了动脉硬化对循环动力学的影响。使用“决策树”和神经网络将这些参数与各种情况进行关联。最后,使用从动物实验获得的数据对该技术进行了验证。