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  3. Fuzzy logic control of mechanical ventilation during anaesthesia.

Fuzzy logic control of mechanical ventilation during anaesthesia.

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DOI
10.7892/boris.115155
Publisher DOI
10.1093/bja/77.5.636
Abstract
We have examined a new approach, using fuzzy logic, to the closed-loop feedback control of mechanical ventilation during general anaesthesia. This control system automatically adjusts ventilatory frequency (f) and tidal volume (VT) in order to achieve and maintain the end-tidal carbon dioxide fraction (FE'CO2) at a desired level (set-point). The controller attempts to minimize the deviation of both f and VT per kg body weight from 10 bpm and 10 ml kg-1, respectively, and to maintain the plateau airway pressure within suitable limits. In 30 patients, undergoing various surgical procedures, the fuzzy control mode was compared with human ventilation control. For a set-point of FE'CO2 = 4.5 vol% and during measurement periods of 20 min, accuracy, stability and breathing pattern did not differ significantly between fuzzy logic and manual ventilation control. After step-changes in the set-point of FE'CO2 from 4.5 to 5.5 vol% and vice versa, overshoot and rise time did not differ significantly between the two control modes. We conclude that to achieve and maintain a desired FE'CO2 during routine anaesthesia, fuzzy logic feedback control of mechanical ventilation is a reliable and safe mode of control.
Date Issued
1996
Publication Type
Article
Subject(s)
600 Technology > 610 Medicine & health
Language(s)
en
Author(s)
Schäublin, J.
Derighetti, M.
Feigenwinter, P.
Petersen, Steen  
Universitätsklinik für Anästhesiologie und Schmerztherapie  
Zbinden, Alex Martin  
Universitätsklinik für Anästhesiologie und Schmerztherapie  
Additional Credits
Universitätsklinik für Anästhesiologie und Schmerztherapie  
Journal
British journal of anaesthesia
Publisher
Oxford University Press
ISSN
0007-0912
Access(Rights)
open.access
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