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INTRODUCTION
REPRESENTATIVE STUDY
METHODS
The PACCS integrates:
vital sign monitor (Philips MP2)
Philips MP2
Panasonic Toughbook H2
RESULTS
MAP was maintained within 5 mmHg of MAP target as followed:
CL group: 90% of the time
MD group: 54% of the time (P = 0.08)
PHP infusion rate was adjusted 41 25 times during one hour
protocol.
mmHg
CONCLUSION
-10
75
-20
MD group
-30
20
10
20
30
40
50
MD
% time
100
10
60
CL
50
10
mmHg
REFERENCES
25
-10
-20
CL group
-30
0
10
20
Minutes
30
40
50
60
-20
-15
-10
-5
0
5
10
15
MAP measured - MAP target (mmHg)
20
INTRODUCTION
Perioperative episodes of hypotension increase the risk of cardiovascular
events and mortality.
Tight control of perioperative blood pressure (BP) using automated closed
loop (CL) control of pressor infusion is one approach to mitigate these
risks.
We developed a prototype automated critical care system (PACCS) for
decision support and closed loop delivery of fluid and drugs.
Objective: Test the performance of the closed loop pressor algorithm and
compare it to that of an expert anesthesiologist.
METHODS
bedside
Philips MP2
Panasonic Toughbook H2
RESULT
mmHg
10
0
-10
-20
-30
20 0
10
20
10
20
30
40
50
60
mmHg
10
0
-10
-20
-30
0
Minutes
30
40
50
60
Fig 2: Percentage of time (%) that MAP measured was within target
100
75
% time
MD
50
CL
25
0
-20
-15
-10
-5
0
5
MAP measured - MAP target (mmHg)
10
15
20
REPRESENTATIVE STUDY
MD vs.CL blood pressure control with phenylephrine infusion
CONCLUSION