Paper: Modelling estimation and control in the relief of post-operative pain

作者: O.L.R. Jacobs , R.E.S. Bullingham , P. Lammer , H.J. McQuay , G. O'Sullivan

DOI: 10.1016/0005-1098(85)90072-X

关键词: Kalman filterSimulationSimulated patientComputer scienceEstimationControl (management)FentanylPatient-controlled analgesiaStochastic controlWork (physics)

摘要: The paper arises from collaborative work to explore contributions which the technology of control engineering can make pain relief. One particular demand analgesia system was studied in Fentanyl intravenously infused relieve during first day after total hip-replacement. A mathematical model is presented modelled as difference between discomfort and comfort measured by frequency at patient presses a button. This inherently nonlinear because there no button-pressing when exceeds discomfort. novel estimation scheme handle nonlinearity implemented an on-line microcomputer provide model-based stochastic control. Experimental results trials on 20 real patients 500 simulated validate show that gives substantially better relief than achieved conventional analgesia, robust against modelling errors. Directions for further are indicated it concluded promise basis research mechanisms its

参考文章(14)
PHILIP H. SECHZER, Studies in pain with the analgesic-demand system. Anesthesia & Analgesia. ,vol. 50, pp. 1- 10 ,(1971) , 10.1213/00000539-197101000-00001
H.J. McQuay, R.E.S. Bullingham, R.A. Moore, D. Phil, Acute opiate tolerance in man. Life Sciences. ,vol. 28, pp. 2513- 2517 ,(1981) , 10.1016/0024-3205(81)90593-2
T. Pavlidis, E. Jury, Analysis of a new class of pulse-frequency modulated feedback systems IEEE Transactions on Automatic Control. ,vol. 10, pp. 35- 43 ,(1965) , 10.1109/TAC.1965.1098054
A. Tamsen, P. Hartvig, B. Dahlström, B. Lindström, M. Hson Holmdahl, Patient Controlled Analgesic Therapy in the Early Postoperative Period Acta Anaesthesiologica Scandinavica. ,vol. 23, pp. 462- 470 ,(1979) , 10.1111/J.1399-6576.1979.TB01475.X
O. L. R. Jacobs, P. Atkinson, Introduction to Control Theory ,(1974)
R. W. Jones, C. C. Li, A. U. Meyer, R. B. Pinter, Pulse Modulation in Physiological Systems, Phenomenological Aspects Ire Transactions on Bio-medical Electronics. ,vol. 8, pp. 59- 67 ,(1961) , 10.1109/TBMEL.1961.4322853
Philip H. Sechzer, Objective Measurement of Pain Anesthesiology. ,vol. 29, pp. 209- 209 ,(1968) , 10.1097/00000542-196801000-00104
WILLIAM H. FORREST, PETER W. R. SMETHURST, MARTIN E. KIENITZ, Self-administration of Intravenous Analgesics Anesthesiology. ,vol. 33, pp. 363- 364 ,(1970) , 10.1097/00000542-197009000-00023