CN112057700A - System, device and storage medium for determining base consciousness value in anesthesia maintenance period - Google Patents
System, device and storage medium for determining base consciousness value in anesthesia maintenance period Download PDFInfo
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- CN112057700A CN112057700A CN202010923129.5A CN202010923129A CN112057700A CN 112057700 A CN112057700 A CN 112057700A CN 202010923129 A CN202010923129 A CN 202010923129A CN 112057700 A CN112057700 A CN 112057700A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16804—Flow controllers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4821—Determining level or depth of anaesthesia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36014—External stimulators, e.g. with patch electrodes
- A61N1/36021—External stimulators, e.g. with patch electrodes for treatment of pain
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Abstract
The invention discloses a system, a device and a storage medium for determining a basic consciousness value in an anesthesia maintenance period, wherein the system comprises S1, and prompts an operator to control an analgesic IOC2 value to be 29-31 after the system monitors that an operation starts to be stimulated with nociception; s2, when the system monitors that the analgesia control is finished, the dosage of the analgesic is determined, and then the sedation depth is adjusted; s3, the system monitors that analgesia is sufficient, and reduces sedation to make IOC1 equal to IOC 2. The invention provides a system, a device and a storage medium for determining a basic consciousness value in an anesthesia maintenance period, wherein after the dosage of an analgesic drug of a patient after an operation is started is determined, the anesthesia maintenance basic consciousness value of each patient is determined, the value is a critical value between deep sedation and shallow sedation, and the critical value between the deep sedation and the shallow sedation is provided, so that the sedation depth of each patient can be accurately controlled according to the operation requirement, the awakening time of the anesthesia patient can be accurately controlled, and each operation patient can be awakened within ten minutes after the anesthetic is stopped.
Description
Technical Field
The invention relates to the field of medical anesthesia, in particular to a system, a device and a storage medium for determining a basic consciousness value in an anesthesia maintenance period.
Background
Ensuring that patients receive surgical treatment smoothly under painless and safe conditions is a basic task of anesthesia clinic, but the task is only a part of the work content of modern anesthesia disciplines. The anesthesia work also comprises preparation and treatment before and after anesthesia, monitoring and treatment of critical patients, emergency resuscitation, pain treatment and the like. In order to complete clinical anesthesia, the basic theory of anesthesia and the skilled application of various anesthesia techniques are required to be mastered, and the characteristics of various surgical operations are required to be familiar. Analgesia and sedation are closely related and independent concepts, and analgesia in anesthesia is the basis of full sedation; from the pharmacology, the sedative has the analgesic effect, and the analgesic has the sedative effect; from the current monitoring means, the analgesia degree can be evaluated only if the patient loses consciousness completely and the consciousness is in a biological level, otherwise, the true analgesia degree cannot be obtained under the influence of subjective pain. In the past, deep sedation and shallow sedation are just one concept, and there is no clear boundary between deep sedation and shallow sedation; it is not available to many doctors, especially young patients, in anesthesia clinics.
Disclosure of Invention
The invention solves the key technical problem of digitalization of the critical value between deep sedation and shallow sedation of each surgical patient after the surgery is started. Therefore, the primary objective of the present invention is to provide a system, an apparatus and a storage medium for determining a base consciousness value (which is a critical value between deep sedation and shallow sedation) of the sedation depth of each surgical patient during the anesthesia maintenance period, wherein the base consciousness value of the sedation depth of each surgical patient is determined during the anesthesia, so that the sedation depth can be precisely controlled according to the surgical needs, and the time for the anesthesia patient to wake up can be precisely controlled. When analgesia is sufficient, IOC2 is more than IOC1 and light sedation is achieved, the larger the difference between the two values is, the lighter sedation is; IOC2 is less than IOC1 for deep sedation, the greater the difference between the two values, the deeper the sedation; with the sedation depth basic consciousness value, the anaesthetist can know clearly what narcotic should be adjusted and how much, and the operation requirements can be met.
In order to achieve the above object, the present invention provides an electronic device, which includes an electronic device, a memory and a processor, wherein the memory stores a base consciousness value system operable on the processor for determining a sedation depth during an anesthesia maintenance period, and when the base consciousness value system for determining a sedation depth during an anesthesia maintenance period is executed by the processor, the following steps are implemented:
s1, after the system monitors that the operation starts to be stimulated harmfully, prompting an operator to control the analgesic IOC2 value to be 29-31;
s2, when the system monitors that the analgesia control is finished, the dosage of the analgesic is determined, and then the sedation depth is adjusted;
s3, when the system detects adequate analgesia, the IOC1 is made equal to IOC2 by gradually decreasing the rate of sedation pump.
In one embodiment, for a surgery with stronger orthopedic noxious stimulation, when the analgesic IOC2 value is high, the system pushes the quick-acting analgesic to control the analgesia as early as possible, and then the long-acting analgesic is used for maintaining the surgery analgesia.
In one embodiment, administration of a booster to the patient is avoided prior to controlling analgesia.
In one embodiment, prior to administration to the patient, the type of drug and the rate of administration to be administered during the maintenance period will also be displayed and instructed by the operator to modify the type of administration and the rate of pumping.
In one embodiment, IOC1 is greater than IOC2 when sedation is greater, and the system equates IOC2 to IOC1 by decreasing sedation.
A method of operating a basal awareness systems for determining a depth of sedation for a maintenance period of anesthesia, the method of operating a basal awareness systems for determining a depth of sedation for a maintenance period of anesthesia comprising:
after the system monitors that the operation starts to have the noxious stimulation, the system prompts an operator to control the analgesic IOC2 value to be in a range from 29 to 31;
the system monitors that the analgesia control is finished, the dosage of the analgesic is determined, and the sedation depth is adjusted;
under conditions where the system monitors adequate analgesia, IOC1 is made equal to IOC2 by progressively decreasing the rate of sedation pump.
In one embodiment, where the analgesic and sedative are administered to a patient, the rate of administration is: the analgesic should be administered quickly and controlled as soon as possible; sedatives are administered by stepwise adjustment of the pump speed.
In one embodiment, prior to administration to the patient, the type of drug and the rate of administration to be administered during the maintenance period will also be displayed and instructed by the operator to modify the type of administration and the rate of pumping.
A computer readable storage medium having stored thereon a system for determining a value of basal awareness for maintaining anesthesia, the system for determining a value of basal awareness for maintaining anesthesia, when executed by a processor, performing the steps of the method for operating the system for determining a value of basal awareness for maintaining anesthesia.
The invention has the following beneficial effects:
sedation depth basal awareness value: under conditions of adequate analgesia, IOC1 was made equal to IOC2 by reducing the dose of sedative; the boundary between deep sedation and shallow sedation is actually controlled by the fact that when IOC2 is greater than IOC1, the shallow sedation is achieved, the greater the difference between the two values, the shallower the sedation; when IOC2 is less than IOC1, the deep sedation is achieved, the greater the difference between the two values, the greater the sedation.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the structures shown in the drawings without creative efforts.
FIG. 1 is a schematic view of an electronic device according to the present invention.
FIG. 2 is a flow chart illustrating the operation of the system for determining a baseline awareness for anesthesia maintenance according to the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more clearly and completely apparent, the technical solutions in the embodiments of the present invention will be described below with reference to the accompanying drawings in the embodiments of the present invention. It is to be understood that the described embodiments are merely a few embodiments of the invention, and not all embodiments.
All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that all the directional indicators (e.g., upper, lower, left, right, front, and rear … …) in the embodiment of the present invention are only used to explain the relative position relationship between the components, the movement condition, etc. in a specific state (as shown in the drawing), and if the specific posture is changed, the directional indicator is changed accordingly.
Descriptions in this specification as relating to "first", "second", etc. are for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicit to any indicated technical feature or quantity. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature.
In the description of the present invention, "a plurality" means at least two, e.g., two, three, etc., unless specifically limited otherwise.
In the present invention, unless otherwise expressly specified or limited, the terms "connected," "secured," and the like are to be construed broadly, and for example, "secured" may be a fixed connection, a removable connection, or an integral molding; can be mechanically or electrically connected; they may be directly connected or indirectly connected through intervening media, or they may be connected internally or in any other suitable relationship, unless expressly stated otherwise. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
In addition, the technical solutions in the embodiments of the present invention may be combined with each other, but it must be based on the realization of those skilled in the art, and when the technical solutions are contradictory or cannot be realized, such a combination of technical solutions should not be considered to exist, and is not within the protection scope of the present invention.
The invention provides a basal consciousness value system for determining the sedation depth in the anesthesia maintenance period. Referring to fig. 1, a schematic diagram of an operating environment of a preferred embodiment of a system for determining a level of sedation during a maintenance phase of anesthesia according to the present invention is shown.
In the present embodiment, the subconscious circle of mind system 12 for determining the sedation depth during anesthesia maintenance is installed and operated in the electronic device 1.
The electronic device 1 is a device capable of automatically performing numerical calculation and/or information processing in accordance with a command set or stored in advance. The electronic device 1 may be a computer, or may be a single network server, a server group composed of a plurality of network servers, or a cloud composed of a large number of hosts or network servers based on cloud computing, where the cloud computing is one of distributed computing, and is a super virtual computer composed of a group of loosely coupled computers, and in the present embodiment, is an injection pump for implementing anesthesia.
In the present embodiment, the electronic device 1 may include, but is not limited to, a memory 11, a processor 12 and a network interface 13, which are communicatively connected to each other through a system bus, wherein the memory 11 stores a system 612 for determining an anesthesia maintenance base awareness value, which is executable on the processor 12. It is noted that fig. 1 only shows the electronic device 1 with components 11-13, but it is to be understood that not all shown components are required to be implemented, and that more or less components may be implemented instead. The storage 11 includes a memory and at least one type of readable storage medium. The memory provides cache for the operation of the electronic device 1; the readable storage medium may be a nonvolatile storage medium such as a flash memory, a hard disk, a multimedia card, a card type memory 11 (e.g., SD or DX memory 11, etc.), a random access memory 11(RAM), a static random access memory 11(SRAM), a read only memory 11(ROM), an electrically erasable programmable read only memory 11(EEPROM), a programmable read only memory 11(PROM), a magnetic memory 11, a magnetic disk, an optical disk, etc. In some embodiments, the readable storage medium may be an internal storage unit of the electronic apparatus 1, such as a hard disk of the electronic apparatus 1; in other embodiments, the non-volatile storage medium may also be an external storage device of the electronic apparatus 1, such as a plug-in hard disk provided on the electronic apparatus 1, a Smart Media Card (SMC), a Secure Digital (SD) Card, a Flash memory Card (Flash Card), and the like. In this embodiment, the readable storage medium of the memory 11 is generally used for storing an operating system and various types of application software installed in the electronic device 1, such as a base awareness value system 12 for determining a sedation depth during anesthesia maintenance in an embodiment of the present invention. Further, the memory 11 may also be used to temporarily store various types of data that have been output or are to be output.
The processor 12 may be, in some embodiments, a Central Processing Unit (CPU) 12, a controller, a microcontroller, a microprocessor 12, or other data Processing chip. The processor 12 is used for controlling the overall operation of the electronic apparatus 1, such as performing control and processing related to data interaction or communication with the other devices. In this embodiment, the processor 12 is configured to run program codes stored in the memory 11 or process data, such as determining an anesthesia maintenance base awareness value system 12.
The network interface 13 may include a wireless network interface 13 or a wired network interface 13, and the network interface 13 is generally used for establishing a communication connection between the electronic apparatus 11 and other electronic devices.
The system for determining a basal awareness value for maintaining anesthesia 12 comprises at least one computer readable instruction stored in the memory 11, the at least one computer readable instruction being executable by the processor 12 to implement embodiments of the present invention.
Wherein the above-mentioned system for determining a basal awareness value for a sedation depth during a maintenance period of anesthesia, when executed by the processor, performs the steps of:
after the system monitors that the operation starts to have the noxious stimulation, the system prompts an operator to control the analgesic IOC2 value to be in a range from 29 to 31;
the system monitors that the analgesia control is finished, the dosage of analgesic is determined, and then the depth of shock is adjusted;
under conditions where the system monitors adequate analgesia, IOC1 is made equal to IOC2 by stepping down the rate of sedation drug pumping.
Preferably, for the operation with stronger orthopedic noxious stimulation, when the analgesic IOC2 value is high, the system pushes the fast-acting analgesic first and then adds the long-acting analgesic.
Preferably, administration of a booster to the patient is avoided prior to controlling analgesia.
Preferably, before the administration to the patient, the type of drug and the administration rate at which the drug is to be administered during the maintenance period will also be displayed, and the operator will be instructed to modify the type of administration and the pump rate.
Preferably, IOC1 is greater than IOC2 when sedation is greater and IOC2 is equal to IOC1 by the system by decreasing sedation.
A method of operating a basal awareness systems for determining the depth of sedation during a maintenance phase of anesthesia, the method of operating a basal awareness systems for determining maintenance phase of anesthesia comprising:
after the system monitors that the operation starts to have the noxious stimulation, the system prompts an operator to control the analgesic IOC2 value to be in a range from 29 to 31;
the system monitors that the analgesia control is finished, the dosage of the analgesic is determined, and the sedation depth is adjusted;
under conditions where the system monitors adequate analgesia, IOC1 is made equal to IOC2 by progressively decreasing the rate of sedation drug pumping.
Preferably, when administering analgesics and sedatives to a patient, the rate of administration is: the analgesic should be administered quickly and controlled as soon as possible; sedatives are administered by stepwise adjustment of the pump speed.
Preferably, before the administration to the patient, the type of drug and the administration rate at which the drug is to be administered during the maintenance period will also be displayed, and the operator will be instructed to modify the type of administration and the pump rate.
A computer readable storage medium having stored thereon a system for determining a basal awareness maintenance value for anesthesia, the system for determining a basal awareness maintenance value for anesthesia when executed by a processor implementing the steps of a method of operating a basal awareness value system for determining a depth of sedation during a maintenance period of anesthesia.
It should be noted that, in this document, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises the element.
Through the above description of the embodiments, those skilled in the art will clearly understand that the above embodiment method can be implemented by a general hardware platform of software plus advocate, and certainly can be implemented by hardware, but in many cases, the former is a better embodiment. Based on such understanding, the technical solutions of the present invention may be embodied in the form of a software product, which is stored in a storage medium (such as ROM/RAM, magnetic disk, optical disk) and includes instructions for enabling a terminal device (such as a mobile phone, a computer, a server, an air conditioner, or a network device) to execute the method according to the embodiments of the present invention.
The preferred embodiments of the present invention have been described above with reference to the accompanying drawings, and are not to be construed as limiting the scope of the invention. The above-mentioned serial numbers of the embodiments of the present invention are merely for description and do not represent the merits of the embodiments. Additionally, while a logical order is shown in the flow diagrams, in some cases, the steps shown or described may be performed in an order different than here.
Those skilled in the art can implement the invention in various modifications, such as features from one embodiment can be used in another embodiment to yield yet a further embodiment, without departing from the scope and spirit of the invention. Any modification, equivalent replacement and improvement made within the technical idea of using the present invention should be within the scope of the right of the present invention.
Claims (9)
1. An electronic device comprising a memory, a processor, the memory having stored thereon a system for determining a maintenance of consciousness based on anesthesia maintenance operable on the processor, the system for determining a maintenance of consciousness based on anesthesia maintenance when executed by the processor performing the steps of:
s1, after the system monitors that the operation starts to be stimulated harmfully, prompting an operator to control the analgesic IOC2 value to be 29-31;
s2, when the system monitors that the analgesia control is finished, the dosage of the analgesic is determined, and then the sedation depth is adjusted;
s3, the system monitors that analgesia is sufficient, and reduces sedation to make IOC1 equal to IOC 2.
2. The electronic device of claim 1, wherein for surgery with strong orthopedic noxious stimulation, when the analgesic IOC2 value is high, the system pushes the fast analgesic first and then uses the strong analgesic.
3. The electronic device of claim 1, wherein prior to controlling analgesia, the patient is prevented from administering a boosting-type drug.
4. The electronic device of claim 1, wherein before the administration of the drug to the patient, the type of drug to be administered during the maintenance period and the administration rate are displayed, and the operator is instructed to modify the type of drug to be administered and the pump rate.
5. The electronic device of claim 1 wherein the IOC1 is greater than IOC2 when sedation is greater and the system equates IOC2 to IOC1 by reducing the amount of sedation drug.
6. An operation method of a system for determining a value of basal awareness for maintaining anesthesia, the operation method comprising:
after the system monitors that the operation starts to have the noxious stimulation, the system prompts an operator to control the injury index IOC2 value to be in a range from 29 to 31;
the system monitors that the analgesia control is finished, the dosage of the analgesic is determined, and the sedation depth is adjusted;
in the state where the system monitors adequate analgesia, IOC1 is made equal to IOC2 by decreasing the sedative.
7. The method of operating a system for determining a basal awareness maintenance of anesthesia value of claim 6, wherein, in administering analgesics and sedatives to the patient, the rate of administration is: the analgesic should be administered quickly and controlled as soon as possible; sedatives are administered by stepwise adjustment of the pump speed.
8. The method of claim 4 wherein prior to administering the drug to the patient, the type of drug and the rate of administration of the drug to be administered during the maintenance phase are also displayed and are instructed by the operator to modify the type of administration and the rate of administration.
9. A computer-readable storage medium, having stored thereon a system for determining a basal awareness value for maintenance of anesthesia, the system for determining a sedation depth during maintenance of anesthesia, when executed by a processor, implementing the steps of the method for operating a system for determining a basal awareness value for a sedation depth during maintenance of anesthesia of any of claims 6 to 8.
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| CN202010923129.5A CN112057700A (en) | 2020-09-04 | 2020-09-04 | System, device and storage medium for determining base consciousness value in anesthesia maintenance period |
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| CN202010923129.5A CN112057700A (en) | 2020-09-04 | 2020-09-04 | System, device and storage medium for determining base consciousness value in anesthesia maintenance period |
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Cited By (1)
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| CN113017564A (en) * | 2021-02-24 | 2021-06-25 | 西安交通大学医学院第一附属医院 | Nursing system and method after oral surgery of children |
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Effective date of registration: 20220303 Address after: 518000 Sunshine Industrial Zone, Sunshine Road, Xili Street, Nanshan District, Shenzhen City, Guangdong Province, 6 buildings 601-2 Applicant after: Shenzhen city Weihaokang medical instrument Ltd. Applicant after: Shanghai ruianxing Medical Technology Co., Ltd Address before: 518000 Sunshine Industrial Zone, Sunshine Road, Xili Street, Nanshan District, Shenzhen City, Guangdong Province, 6 buildings 601-2 Applicant before: Shenzhen city Weihaokang medical instrument Ltd. |