https://scholars.lib.ntu.edu.tw/handle/123456789/297255
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | Shieh, J.-S. | en_US |
dc.contributor.author | Chang, L.-W. | en_US |
dc.contributor.author | Wang, M.-S. | en_US |
dc.contributor.author | Wang, Y.-P. | en_US |
dc.contributor.author | Yang, Y.-P. | en_US |
dc.contributor.author | Sun, W.-Z. | en_US |
dc.contributor.author | YEE-PIEN YANG | en_US |
dc.creator | YEE-PIEN YANG;Sun, W.-Z.;Yang, Y.-P.;Wang, Y.-P.;Wang, M.-S.;Chang, L.-W.;Shieh, J.-S. | - |
dc.date.accessioned | 2018-09-10T04:09:48Z | - |
dc.date.available | 2018-09-10T04:09:48Z | - |
dc.date.issued | 2002 | - |
dc.identifier.issn | 01400118 | - |
dc.identifier.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-0036125478&partnerID=MN8TOARS | - |
dc.identifier.uri | http://scholars.lib.ntu.edu.tw/handle/123456789/297255 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036125478&doi=10.1007%2fBF02347706&partnerID=40&md5=7aec5785691780dd0e8da169202cd247 | - |
dc.description.abstract | Pain control in conscious patients was investigated using a push-button, demand-driven supply of drugs. A fuzzy logic patient-controlled analgesia (PCA) algorithm was compared with a conventional algorithm, for alfentanil administration in extracorporeal shock-wave lithotripsy. The conventional PCA algorithm used an initial dose of 0.25 mg, a fixed infusion rate of 60 mg h-1 and a fixed bolus size of 0.2 mg with a 1 min lockout. The fuzzy logic PCA algorithm used an initial dose of 0.25 mg, a changeable infusion rate and a bolus size of 0.1 or 0.05 mg. The infusion rate was adjusted according to a look-up table that accepted the button-pressing history over the last three lockout intervals. The look-up table was designed using fuzzy logic. The bolus size was adjusted according to the button-pressing history over the past two lockout intervals. Twelve patients were treated using conventional PCA, and thirteen were treated with PCA + fuzzy logic control (FLC). PCA + FLC patients consumed 45% less drug. Also, PCA + FLC patients had a mean delivery/demand ratio of 82%, compared with 60% in conventional PCA. When the pain intensity scale was analysed, PCA + FLC patients had acceptable pain intensity at 62%, compared with 44% in conventional PCA. | - |
dc.language | en | en |
dc.relation.ispartof | Medical and Biological Engineering and Computing | en_US |
dc.source | AH | - |
dc.subject | Extracorporeal shock-wave lithotripsy; Fuzzy logic control; Pain intensity scale; Pain model; Patient-controlled analgesia | - |
dc.subject.other | Algorithms; Fuzzy sets; Patient treatment; Shock waves; Infusion rate; Biomedical engineering; alfentanil; adult; aged; algorithm; article; bolus injection; clinical article; controlled study; dose response; drug delivery system; drug infusion; extracorporeal lithotripsy; female; human; intermethod comparison; male; model; nephrolithiasis; pain; pain assessment; patient controlled analgesia; rating scale | - |
dc.title | Pain model and fuzzy logic patient-controlled analgesia in shock-wave lithotripsy | - |
dc.type | journal article | en |
dc.identifier.pmid | 11954700 | - |
dc.identifier.scopus | 2-s2.0-0036125478 | - |
dc.relation.pages | 128-136 | - |
dc.relation.journalvolume | 40 | - |
dc.relation.journalissue | 1 | - |
item.fulltext | no fulltext | - |
item.grantfulltext | none | - |
item.openairetype | journal article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.cerifentitytype | Publications | - |
crisitem.author.dept | Mechanical Engineering | - |
crisitem.author.orcid | 0000-0003-3979-7400 | - |
crisitem.author.parentorg | College of Engineering | - |
顯示於: | 機械工程學系 |
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