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Biomedical subjects

D A Linkens

Publications and source records attributed to D A Linkens.

At least 19 recordsLinked to original sources

Control strategies for nonlinear dynamics of muscle relaxant anaesthesia.

Using modern nonlinear identification techniques, dose-response dynamics for two muscle relaxant trials have been obtained. A so-called NARMAX model has been found for Vecuronium applied to a dog, and Atracurium given to a human. With the relaxant dynamics structure thus obtained, the work proceeded to the control phase. Simple three-term PID controllers were first designed with their parameters being optimised, off-line, using the Simplex method. The non-adaptive nature of this class of controllers makes their robustness open to question when the system parameters for which they have been optimised change. Hence, adaptive controllers in the form of linear and nonlinear generalised minimum variance self-tuners, generalised predictive control and nonlinear k-step ahead predictive controllers are also considered. All of these latter control approaches are shown to be satisfactory, in terms of transient and steady-state performance.

Algorithms

Development of an expert system advisor for anaesthetic control.

A review is given of numerous approaches which have been taken to provide automated control of depth of anaesthesia. Most of these approaches use a single indicator for anaesthetic state, and do not perform adequately for such a complex system. It is desirable, therefore, to merge a number of qualitative clinical signs and quantitative on-line measurements to provide decision-support for control of anaesthetic depth. The paper describes such an expert system called Resac (Real time Expert System for Advice and Control). Details of the knowledge representation and inference structure are given, together with the method adopted for propagating uncertainty measures, combining fuzzy information and merging quantitative and qualitative indicators. The importance of good human machine interface design is shown via the GEM-based graphics of Resac.

Anesthesiology

Towards a standardized anaesthetic state using enflurane and morphine.

General anaesthesia was maintained in 22 patients undergoing major surgery using a proportional-plus-integral control system. The system automatically adjusted the dose of enflurane according to the systolic arterial pressure (SAP). Additional morphine was administered if the system's demand for enflurane exceeded preset limits. In 21 patients, satisfactory control of SAP was achieved and anaesthesia was clinically adequate; no awareness was reported and the mean recovery time was 6.7 min (SD 3.5 min).

Adult

Self-organising learning control and its application to muscle relaxant anaesthesia.

The concept of a self-organising control system is attractive in biomedicine because of the imprecise nature of available physiological models. In this paper a particular strategy called a self-organising controller (SOC) originating from the work of Barron on aerospace systems is applied to the control of muscle relaxant anaesthesia. The SOC algorithm, which requires no prior knowledge of system dynamics, is described, both in single variable and multivariable format. Simulation results are presented for SOC performance on a well-established pancuronium model. Three implementations are described, being the use of a general purpose language, a SUN workstation approach, and a parallel computer transputer solution. The latter approach becomes important for multivariable control because of the computing-intensive nature of SOC. The transputer is shown to be a suitable vehicle for implementation in terms of speed and parallelism for SOC.

Algorithms

A self-tuning Smith predictor applied to the control of blood pressure: simulation studies.

Significant time-delays occur in the response of blood pressure to drug therapy. The classical Smith predictor algorithm used to eliminate such delays is extended here to the principle of self-tuning under mis-match conditions. Two delay-free controller algorithms are investigated, being a self-tuning pole-placement and a self-tuning PID structure. Extensive simulation studies using the well-known Slate model have demonstrated the good transient performance obtained with this self-tuning Smith principle in various combinations, and under realistic variability of patient dynamics.

Algorithms

Automatic control of neuromuscular block with atracurium.

We have developed and tested a system for providing automatic control of neuromuscular block with atracurium. The degree of neuromuscular block was monitored in the small muscles of the hand using a Datex Relaxograph, and the signal was used as the controlled variable for a proportional plus integral controller. A preloaded integral was used to shorten the period of stabilization. The system was tested in 36 patients undergoing surgery and found to produce stable block. For a target T1 of 20% of control value, the mean block was 18.7 (SD 1.3) % of baseline T1 and the mean consumption of atracurium was 5.39 (SD 1.23) micrograms kg-1 min-1. The block was sufficiently stable to act as a background for studies of pharmacological and physiological interactions with atracurium.

Adult

Analysis of biological rhythms using an interactive structured autoregressive modelling technique.

A method of spectral-type analysis for rhythmic biomedical data is presented based on autoregressive modelling techniques. The emphasis has been on portability between data-processing machines, so that the programmes are written in FORTRAN 4 for the ICL 1900 series computers. The programmes are structured in blocks allowing for simple alteration to an interactive mode allowing the calculation and display of pre-filtering stages, model coefficients, the pole-zero plot, residuals, AR frequency spectrum, FFT of raw and filtered data. The method works on a small number of cycles and gives a direct read out of significant spectral components.

Animals

A data analysis microcomputer package (DAMP) for biomedical signals.

The advent of cheap, powerful microcomputer systems makes the analysis of data via sophisticated techniques available to the personnel who are non-specialists in computing systems. The DAMP package described here is intended for use on personal computers and has therefore been written in BASIC for portability. The analysis techniques are powerful, comprising algorithms to perform sample-data generation, plotting displays, digital data filtering, auto-correlation functions, fast Fourier transforms and autoregressive modelling. The last technique contains a number of options including the display of z-plane plots, frequency response of the model, residual plotting and auto-correlation of the residuals. Illustrative results are shown from psychological mood data and rat locomotor activity. The package is designed both to instruct a user in the techniques of spectral analysis, and also to provide a range of methods for investigating time and frequency behaviour of biomedical data.

Biomedical Engineering

Colonic myoelectrical activity in man: comparison of recording techniques and methods of analysis.

Both monopolar and bipolar recordings of human colonic myoelectrical activity have been made on 29 occasions from implanted serosal electrodes attached to either the ascending colon or transverse colon. Visual and computer analysis of the signals were made and the incidences of the two electrical rhythms present in the colon were compared for the two recording techniques, recording sites, and methods of analysis. The percentage incidence of both rhythms was similar for the mono and bipolar recording techniques in both parts of the colon. The incidence of the two rhythms in the transverse colon was approximately twice that recorded in the ascending colon, this being true for both recording techniques and methods of analysis, but neither was detected for more than 50% of the time. It is concluded that the methods of data analysis probably account for the differing incidences of electrical activity in the human colon that have been reported previously.

Adult