Optimal time for constant drug infusion initialization in neuromuscular blockade control

This paper presents a control strategy for neuromuscular blockade (NMB) level, in order to determine the optimal time to initialize the administration of the muscle relaxant rocuronium by means of the continuous infusion of a constant dose. The constant value of muscle relaxant for a particular pati...

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Detalhes bibliográficos
Autor principal: Angela Miranda (author)
Outros Autores: Teresa Mendonca (author), Rocha, P (author)
Formato: book
Idioma:eng
Publicado em: 2014
Assuntos:
Texto completo:https://repositorio-aberto.up.pt/handle/10216/110088
País:Portugal
Oai:oai:repositorio-aberto.up.pt:10216/110088
Descrição
Resumo:This paper presents a control strategy for neuromuscular blockade (NMB) level, in order to determine the optimal time to initialize the administration of the muscle relaxant rocuronium by means of the continuous infusion of a constant dose. The constant value of muscle relaxant for a particular patient undergoing general anesthesia is computed in order to guarantee that the steady-state value of neuromuscular blockade level is the desired reference value. In order to apply this open-loop control strategy, the patient's NMB response to rocuronium is assumed to be modeled by a recently proposed parameter parsimonious model.