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首页> 外文会议>Mediterranean Conference on Control and Automation >Perspectives on Hybrid Control of the Anesthesia-Hemodynamic System in the Pandemic Context*
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Perspectives on Hybrid Control of the Anesthesia-Hemodynamic System in the Pandemic Context*

机译：大流行环境中麻醉 - 血液动力学系统的杂交控制的透视*

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This paper provides a visionary perspective on human-machine collaboration in a medical cyber-physical system (MCPS) during the 2020 pandemic context. For the time being, medical specialists in the operating room (OR) or Intensive Care Units (ICU) face special responsibilities when the procedures involve a patient with an infectious disease (e.g., COVID-19) that can cause several complications. The added workload of the anesthesiologist can be diminished by the context-aware pervasive assistance in the decision- making process for maintaining the optimal anesthesia and hemodynamics of the patient. A self-aware control system, with feedback from patient’s monitored parameters and several surgical/ICU contextual data, is able to adapt his action accordingly, increasing treatment accuracy. The three main parts of general anesthesia (neuromuscular blockade, hypnosis and analgesia) and the hemodynamics (cardiac output, blood pressure) are perused from a global objective viewpoint, while intersecting the anesthesiologist’s action upon his request. The integrative anesthesiologist-in-the-loop cyber-physical system (CPS) is emerging as an intelligent solution for hybrid control of anesthesia’s depth, instead of total autonomous closed-loop controllers. This paper aims to create awareness throughout the anesthesiologists about the usefulness of integrating automation and data exchange in their clinical practice for providing increased attention to alarming situations. Moreover, it proposes an opening horizon for multi-disciplinary research. Hence, the connection between clinical and engineering frameworks envisages significant patient safety.
机译：本文在2020大流行环境期间提供了一种关于医疗网络 - 物理系统（MCP）中的人机合作的有远见的透视。暂时，手术室（或）或重症监护单位（ICU）的医疗专家（ICU）当程序涉及具有传染病（例如Covid-19）的患者可能导致几种并发症的患者。在决策过程中，可以通过在维持患者的最佳麻醉和血流动力学的决策过程中的上下文的普遍援助来减少麻醉师的增加的工作量。一个自我意识的控制系统，具有来自患者监控参数的反馈和多种外科/ ICU语境数据，能够相应地调整他的行动，提高治疗准确性。一般麻醉（神经肌肉障碍，催眠和镇痛）的三个主要部分和血流动力学（心脏输出，血压）从全球目标观点均采用，同时与他的要求相结合了麻醉师的行动。环路循环学家的循环学家 - 物理系统（CPS）是智能化解决麻醉控制的智能解决方案，而不是总自主闭环控制器。本文旨在在整个麻醉学家中创造意识，了解在临床实践中整合自动化和数据交换的有用性，以便增加对惊人的情况。此外，它提出了一个用于多学科研究的开放地平线。因此，临床和工程框架之间的联系设想了显着的患者安全性。

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