CN112509665A - Intelligent target guide capacity management system for perioperative fluid infusion - Google Patents
Intelligent target guide capacity management system for perioperative fluid infusion Download PDFInfo
- Publication number
- CN112509665A CN112509665A CN202011459263.0A CN202011459263A CN112509665A CN 112509665 A CN112509665 A CN 112509665A CN 202011459263 A CN202011459263 A CN 202011459263A CN 112509665 A CN112509665 A CN 112509665A
- Authority
- CN
- China
- Prior art keywords
- svv
- infusion
- loop
- liquid
- transfusion
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Images
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
-
- 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
- A61M5/172—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 electrical or electronic
- A61M5/1723—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 electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
-
- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/18—Status alarms
- G08B21/185—Electrical failure alarms
-
- 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
- A61M5/172—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 electrical or electronic
- A61M5/1723—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 electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure
- A61M2005/1726—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 electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure the body parameters being measured at, or proximate to, the infusion site
Abstract
The invention discloses an intelligent target guiding capacity management system for perioperative fluid infusion, which comprises an input end, a loop regulator, an output end and an alarm device, wherein the input end is connected with the loop regulator; the input end comprises an external connecting device, the external connecting device is used for connecting bagged or bottled crystals, colloids or blood products, different types of liquid are separately infused, and the lower end of the connecting part is provided with an adjusting device which is used for manually setting the initial liquid infusion rate and counting the infusion amount; the loop regulator comprises a signal end and a transfusion loop; the output end outputs target liquid according to the infusion speed and the infusion type regulated by the loop regulator, and a three-way interface is arranged to deliver vasoactive drugs. The invention can accurately identify the state of the target parameter, and automatically adjust the fluid infusion speed and the infusion type through the preset path, thereby achieving the purpose of intelligent capacity management.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to an intelligent target guide volume management system for perioperative fluid infusion.
Background
Fluid therapy is an important component of perioperative anesthesia management. Target-oriented fluid therapy (GDFT) is a new perioperative fluid management scheme developed under the concept of accelerated rehabilitation surgery, and the requirement of individual volume management is met by reflecting the volume state of a body in real time mainly through monitoring dynamic hemodynamic parameters. Clinical studies on GDFT have been directed to most surgical fields, where the advantages of optimizing cardiac preload, improving tissue perfusion and arterial oxygenation have been clinically validated. However, since the GDFT is a dynamic capacity management method, not only much effort is required to be consumed in the perioperative management process, but also the precision is unclear.
Disclosure of Invention
The invention aims to provide an intelligent target-oriented capacity management system for perioperative fluid infusion, which can accurately identify the state of a target parameter and automatically adjust the fluid infusion speed and the infusion type through a preset path so as to achieve the aim of intelligent capacity management.
In order to achieve the purpose, the invention provides the following technical scheme:
an intelligent target-oriented capacity management system for perioperative fluid infusion, the system comprising an input, a loop regulator, an output and an alarm device;
the input end comprises an external connecting device, the external connecting device is used for connecting bagged or bottled crystals, colloids or blood products, different types of liquid are separately infused, and the lower end of the connecting part is provided with an adjusting device which is used for manually setting the initial liquid infusion rate and counting the infusion amount;
the loop regulator comprises a signal end and a transfusion loop, wherein the signal end is used for receiving parameters MAP, SV, SVV and CI from a hemodynamics monitoring system and receiving signals from a temperature collector; a transfusion loop circuit: according to the temperature signal received by the signal end, the automatic liquid heating is started when the body temperature is lower than 36 ℃, meanwhile, a transfusion loop which takes SVV and CI as target objects is arranged, the SVV is maintained at 8-13%, and the CI is more than 2.5 L.min-1·m-2；
The output end outputs the target liquid according to the fluid infusion speed and the infusion type regulated by the loop regulator, the blood transfusion mode can be switched, and a three-way interface is arranged to deliver vasoactive drugs;
an alarm device: and when a loop is blocked or broken, a preset alarm event occurs, the parameter threshold value reaches a warning line, the liquid is insufficient or needs to be replaced, and the like, the alarm is started.
Preferably, the infusion amount used for counting by the adjusting device comprises crystals, colloids and blood products, and various liquid infusion amounts are automatically counted after the operation.
Preferably, the hemodynamics monitoring system comprises an instrument which can determine SV, SVV and CI parameters of the organism by FloTrac/Vigileo, CNAP and Licco.
Preferably, the specific scheme of the infusion loop is as follows: if SVV is 8-13% in operation, CI is more than 2.5 L.min-1·m-2Keeping the infusion speed unchanged; if the SVV is less than 8%, pausing or slowing down the infusion speed until the SVV is more than 8%; if the SVV is more than 13 percent, after 4mL/kg/h of colloidal fluid is statically injected for 5min, the SVV is still more than 13 percent, and the growth amount of the SVV exceeds 10 percent, the colloidal fluid is continuously infused until the SVV is less than 13 percent, if the SVV is still more than 13 percent, the growth amount of the SVV is less than 10 percent or the CI is continuously less than 2.5 L.min-1·m-2When intravenous administration of vasoactive agents is contemplated; intravenous administration of vasoactive agents is considered if MAP < 65mmHg appears intraoperatively; the system repeats the measurement and adjustment on average after every 5 min.
Preferably, the alarm parameters and thresholds of the alarm device are set manually.
Compared with the prior art, the invention has the beneficial effects that:
(1) the invention combines products of an intelligent era with the medical industry, develops a multi-loop regulator taking SVV and CI as target targets by receiving parameters from hemodynamic monitoring systems such as FloTrac/Vigileo, CNAP and Licco, sets a transfusion loop to control an input channel and an output channel, can accurately identify the state of the target parameters by a machine after assembly, and automatically adjusts the liquid supplementing speed and the transfusion type through a preset path, thereby achieving the purpose of intelligent capacity management;
(2) adding a temperature management module in the capacity management path, and forming a temperature destructor by presetting control parameters and a programming curve of a target temperature so as to realize automatic temperature change of the liquid;
(3) an alarm system is independently arranged outside the main loop, and alarm is started under the conditions that loop faults occur, preset alarm events occur, parameter threshold values reach warning lines, liquid surplus is insufficient or the liquid surplus needs to be replaced and the like, so that the safety of the whole capacity management process is ensured.
Drawings
FIG. 1 is a flow chart of an intelligent target-oriented volume management system for perioperative fluid infusion in accordance with an embodiment of the present invention;
FIG. 2 is a path diagram of an infusion loop in an embodiment of the present invention;
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the 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.
Referring to fig. 1, an intelligent target guidance capacity management system for perioperative fluid infusion includes an input terminal, a loop regulator, an output terminal, and an alarm device;
the input end comprises an external connecting device, the external connecting device is used for connecting bagged or bottled crystals, colloids or blood products, different types of liquid are separately infused, an adjusting device is arranged at the lower end of the connecting part and used for manually setting an initial liquid infusion rate and counting infusion amount, the initial liquid infusion rate comprises the crystals, the colloids and the blood products, and after the operation, various types of liquid infusion amount are automatically counted;
the loop regulator comprises a signal end and a transfusion loop, wherein the signal end is used for receiving parameters MAP (mean arterial pressure), SV (stroke volume), SVV (stroke volume variation rate) and CI (heart volume) from a hemodynamic monitoring system such as FloTrac/Vigileo, CNAP and LiccoIndex) while receiving signals from the temperature collectors; a transfusion loop circuit: according to the temperature signal received by the signal end, the automatic liquid heating is started when the body temperature is lower than 36 ℃, meanwhile, a transfusion loop which takes SVV and CI as target objects is arranged, the SVV is maintained at 8-13%, and the CI is more than 2.5 L.min-1·m-2(ii) a The specific scheme of the infusion loop is as follows: referring to FIG. 2, if SVV is 8-13%, CI is greater than 2.5 L.min-1·m-2Keeping the infusion speed unchanged; if the SVV is less than 8%, pausing or slowing down the infusion speed until the SVV is more than or equal to 8%; if SVV is more than 13%, after 4mL/kg/h of colloidal fluid is statically injected for 5min, SVV is still more than 13%, and delta SV (increment of SVV) exceeds 10%, the colloidal fluid is continuously infused until SVV is less than 13%, if SVV is still more than 13%, increment of delta SV is less than 10% or CI is continuously less than 2.5 L.min-1·m-2When the drug is administered, it is considered to administer a vasoactive drug such as dobutamine intravenously (the type and rate of the drug are set by the anesthesiologist); when MAP (mean arterial pressure) < 65mmHg is appeared during the operation, the intravenous administration of the vasoactive drugs such as phenylephrine (the type and the rate of the drugs are set by an anesthesiologist) is considered; the system repeats the measurement and adjustment on average after every 5 min.
The output end outputs the target liquid according to the fluid infusion speed and the infusion type regulated by the loop regulator, the blood transfusion mode can be switched (the system is suspended, the blood transfusion speed is regulated by fixing a signal path), and meanwhile, a three-way interface is arranged to give the vasoactive drugs (the anaesthetist sets the types and the dosage of the drugs according to the specific situation of the patient in the perioperative period);
an alarm device: when a loop is blocked or broken, a preset alarm event occurs, the parameter threshold value reaches a warning line, the liquid is insufficient or needs to be replaced, and the like, the alarm is started, and the alarm parameter and the threshold value can be manually set.
The foregoing is merely exemplary and illustrative of the present invention and various modifications, additions and substitutions may be made by those skilled in the art to the specific embodiments described without departing from the scope of the present invention as defined in the accompanying claims.
Claims (5)
1. An intelligent target-oriented volume management system for perioperative fluid infusion, characterized by: the system comprises an input end, a loop regulator, an output end and an alarm device;
the input end comprises an external connecting device, the external connecting device is used for connecting bagged or bottled crystals, colloids or blood products, different types of liquid are separately infused, and the lower end of the connecting part is provided with an adjusting device which is used for manually setting the initial liquid infusion rate and counting the infusion amount;
the loop regulator comprises a signal end and a transfusion loop, wherein the signal end is used for receiving parameters MAP, SV, SVV and CI from a hemodynamics monitoring system and receiving signals from a temperature collector; a transfusion loop circuit: according to the temperature signal received by the signal end, the automatic liquid heating is started when the body temperature is lower than 36 ℃, meanwhile, a transfusion loop which takes SVV and CI as target objects is arranged, the SVV is maintained at 8-13%, and the CI is more than 2.5 L.min-1·m-2；
The output end outputs the target liquid according to the fluid infusion speed and the infusion type regulated by the loop regulator, the blood transfusion mode can be switched, and a three-way interface is arranged to deliver vasoactive drugs;
an alarm device: and when a loop is blocked or broken, a preset alarm event occurs, the parameter threshold value reaches a warning line, the liquid is insufficient or needs to be replaced, and the like, the alarm is started.
2. An intelligent target-oriented volume management system for perioperative fluid infusion as claimed in claim 1, wherein: the transfusion amount which is used for counting by the adjusting device comprises crystals, colloids and blood products, and various liquid transfusion amounts are automatically counted after the operation.
3. An intelligent target-oriented volume management system for perioperative fluid infusion as claimed in claim 1, wherein: the hemodynamics monitoring system comprises an instrument which can measure SV, SVV and CI parameters of an organism by FloTrac/Vigileo, CNAP and Licco.
4. The system of claim 1, wherein the infusion circuit is configured as follows: if SVV is 8-13% in operation, CI is more than 2.5 L.min-1·m-2Keeping the infusion speed unchanged; if the SVV is less than 8%, pausing or slowing down the infusion speed until the SVV is more than 8%; if the SVV is more than 13 percent, after 4mL/kg/h of colloidal fluid is statically injected for 5min, the SVV is still more than 13 percent, and the growth amount of the SVV exceeds 10 percent, the colloidal fluid is continuously infused until the SVV is less than 13 percent, if the SVV is still more than 13 percent, the growth amount of the SVV is less than 10 percent or the CI is continuously less than 2.5 L.min-1·m-2When intravenous administration of vasoactive agents is contemplated; intravenous administration of vasoactive agents is considered if MAP < 65mmHg appears intraoperatively; the system repeats the measurement and adjustment on average after every 5 min.
5. An intelligent target-oriented volume management system for perioperative fluid infusion as claimed in claim 1, wherein: the alarm parameters and thresholds of the alarm device can be set manually.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011459263.0A CN112509665A (en) | 2020-12-11 | 2020-12-11 | Intelligent target guide capacity management system for perioperative fluid infusion |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011459263.0A CN112509665A (en) | 2020-12-11 | 2020-12-11 | Intelligent target guide capacity management system for perioperative fluid infusion |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN112509665A true CN112509665A (en) | 2021-03-16 |
Family
ID=74973835
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011459263.0A Pending CN112509665A (en) | 2020-12-11 | 2020-12-11 | Intelligent target guide capacity management system for perioperative fluid infusion |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN112509665A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2023280158A1 (en) * | 2021-07-05 | 2023-01-12 | 深圳市人民医院 | Capacity management apparatus and device for emergency treatment, and storage medium |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1652718A (en) * | 2002-03-15 | 2005-08-10 | 匹兹堡大学高等教育联邦体系 | Use of aortic pulse pressure and flow in bedside hemodynamic management |
| US6939307B1 (en) * | 1997-05-13 | 2005-09-06 | Colin Dunlop | Method and apparatus for monitoring haemodynamic function |
| CN201832201U (en) * | 2010-09-03 | 2011-05-18 | 港基(香港)有限公司 | Full-automatic intelligent infusion monitor networked with hospital management system |
| CN109846464A (en) * | 2018-12-29 | 2019-06-07 | 曹乃钊 | The system for non-invasive measurement and data processing system of blood flow mechanics parameter |
| CN211381312U (en) * | 2019-04-10 | 2020-09-01 | 洛阳凡智电子科技有限公司 | Telemedicine system for battlefield rescue |
-
2020
- 2020-12-11 CN CN202011459263.0A patent/CN112509665A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6939307B1 (en) * | 1997-05-13 | 2005-09-06 | Colin Dunlop | Method and apparatus for monitoring haemodynamic function |
| CN1652718A (en) * | 2002-03-15 | 2005-08-10 | 匹兹堡大学高等教育联邦体系 | Use of aortic pulse pressure and flow in bedside hemodynamic management |
| CN201832201U (en) * | 2010-09-03 | 2011-05-18 | 港基(香港)有限公司 | Full-automatic intelligent infusion monitor networked with hospital management system |
| CN109846464A (en) * | 2018-12-29 | 2019-06-07 | 曹乃钊 | The system for non-invasive measurement and data processing system of blood flow mechanics parameter |
| CN211381312U (en) * | 2019-04-10 | 2020-09-01 | 洛阳凡智电子科技有限公司 | Telemedicine system for battlefield rescue |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2023280158A1 (en) * | 2021-07-05 | 2023-01-12 | 深圳市人民医院 | Capacity management apparatus and device for emergency treatment, and storage medium |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US5190522A (en) | Device for monitoring the operation of a delivery system and the method of use thereof | |
| US4551133A (en) | Patient controlled medication infusion system | |
| CN101883521B (en) | Method for detecting at least one characteristic relating to a patient's glucose metabolism and device for performing said method | |
| US20020068015A1 (en) | Apparatus and method for control of ultrafiltration in extracorporeal treatment of blood | |
| JP2010523230A (en) | Automatic treatment system and method | |
| US20110106047A1 (en) | Methods, devices, and systems for parallel control of infusion device | |
| US20070055198A1 (en) | Blood Volume Controller During Fluid Removal | |
| US7811247B2 (en) | Method and arrangement for monitoring an administration of at least one medication | |
| US3847138A (en) | Method and system for controlled automated administration of drugs to patients | |
| CN112509665A (en) | Intelligent target guide capacity management system for perioperative fluid infusion | |
| Torrance | The control of the hepatic arterial circulation | |
| EP1382363A1 (en) | Closed loop system for controlling blood glucose levels | |
| US10449281B2 (en) | Method and device for creating turbulence by pulsating flow | |
| Plasse et al. | Portable infusion pumps in ambulatory cancer chemotherapy | |
| Hamon et al. | Effects of fentanyl administration on general and cerebral haemodynamics in sick newborn infants | |
| KR102099733B1 (en) | A method and a system for controlling discomfort level | |
| CN102215889B (en) | Method and device for recognition of paravasal bleeding | |
| Potter et al. | Closed loop control of vasoactive drug infusion: a preliminary report | |
| CN211535986U (en) | Radiation intervention operating room extension transfusion system | |
| US10994066B2 (en) | Infusion line with a facility to promote mixing of an infusion solution with a further fluid, apparatuses and method | |
| Prosnitz et al. | Mechanism of intrarenal blood flow redistribution after carotid artery occlusion | |
| US20030171733A1 (en) | Safety concept for a control loop for dynamically dosing medicaments | |
| EP3218028B1 (en) | Cardioplegic agent delivery system | |
| CN109771801A (en) | A kind of monitoring and therapeutic apparatus for draining and displacing cerebrospinal fluid and pressurizing | |
| CN215083097U (en) | Adjusting device for medical equipment |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |