Title :
Automated control of blood glucose in the or and surgical ICU
Author :
Hsu, Jason J. ; Wang, Joseph I. ; Lee, Amy ; Li, Daniel Y. ; Chen, Charlotte H. ; Huang, Stephanie ; Liu, Alex ; Yoon, Bo-Kyung ; Kim, Sang-Keun ; Tsai, Tsung-Jui
Author_Institution :
Dept. of Biomed. Eng., Johns Hopkins Univ., Baltimore, MD, USA
Abstract :
A device which integrates existing intravenous continuous glucose monitors and infusion pumps into a central hub for automated intravenous intensive insulin therapy, targeting non-diabetic critically-ill patients is presented. Additionally, a fuzzy logic based controller that is capable of automatically making closed-loop decisions to achieve tight glycemic control between a euglycemic range of 90 to 120 mg/dl is presented. Initial bench top testing shows a significant improvement in glycemic control with fuzzy logic control when compared to manual infusion protocols currently used in hospitals; future animal testing will be performed to verify these results in vivo.
Keywords :
biochemistry; biomedical equipment; blood; closed loop systems; drugs; fuzzy control; medical control systems; medical disorders; pumps; OR; animal testing; automated blood glucose control; automated intravenous intensive insulin therapy; automatically making closed-loop decisions; central hub; euglycemic; fuzzy logic based controller; fuzzy logic control; glycemic control; infusion pumps; manual infusion protocols; nondiabetic critically-ill patients; operating room; surgical ICU; surgical intensive care unit; Automation; Biomedical Engineering; Blood Chemical Analysis; Blood Glucose; Decision Support Systems, Clinical; Fuzzy Logic; Humans; Hyperglycemia; Hypoglycemic Agents; Insulin; Insulin Infusion Systems; Intensive Care Units; Monitoring, Physiologic; Operating Rooms;
Conference_Titel :
Engineering in Medicine and Biology Society, 2009. EMBC 2009. Annual International Conference of the IEEE
Conference_Location :
Minneapolis, MN
Print_ISBN :
978-1-4244-3296-7
Electronic_ISBN :
1557-170X
DOI :
10.1109/IEMBS.2009.5333239