Intensive Care Unit. Glasgaw 意識分級表 (Glasgow Coma Scale) (Normal: 15 points ; Nearly die: 3...

Intensive Care Unit

Glasgaw意識分級表 (Glasgow Coma Scale)(Normal: 15 points ; Nearly die: 3 points)

一、 張眼反應 (Eye opening)

4. 自發性 (Spontaneous) 3. 對說話 (To speech) 2. 對疼痛 (To pain) 1. 不能張眼 (No eye opening)

二、運動反應能力 (Motor response)

6. 遵照命令 (Obey commands)5. 反應剌激部位 (Localize to stimili)4. 縮回反應 (Withdrawal)3. 屈曲反應 (Flexion, Bending)2. 伸展反應 (Extension)1. 癱瘓 (Flaccid)

三、說話能力 (Verbal response)

5. 對話適當 (Appropriate conversation) 4. 對話昏亂 (Confused conversation) 3. 說話不適切 (Inappropriate speech) 2. 說話不可理解 (Incomprehensive speec

h) 1. 不會說話 (Mute)

Intelligent Modelling and Control in Neurosurgical ICU

Intracranial Pressure (ICP) Measurement

The Monitoring Clinical Signs in Neurosurgical ICU

HP Monitor

INVOS 3100PC

A Three-layer ANN for Modelling of ICP viaNon-invasive Clinical Signs

Input Layer Hidden Layer Output Layer

rSO2

HR

EtCO2

MAP

Bias

Desired Output(ICP)

Training Output

0 20 40 60 80 100 120 140 160 180 2000

0.5

1

1.5

2

2.5

3x 10

-3

Training epoch

RM

SE

The Comparison of RMSE of Four Neural Network Structures

Method

Training Epochs

RMSE10-3

BP 200 1.27

BPTT 200 1.66

Elman 200 0.12

SRNTT 200 0.08

The intracranial pressure control of patients using fuzzy logic applied in neurosurgical intensive care unit

Patients: Seventeen patients with head injury

Three control types: Group A: RBC (rule-base controller) Group B: FLC (fuzzy logic controller) Group C: SOFLC (self-organizing fuzzy logic controller)

Patients and Methods:

Real timedisplay

Vital signs

History data

Fig. 5 Computer interface in NICU using VB program

HPMonitor

Patient

Graseby 3500 Artificial

Ventilation

The Controlling ICP Signals in Neurosurgical ICU

Moving Average

5 min: ICP (Current)

30min: ICP (B_line)

If Error > Tolerance then Inf. Rate↑

TCD:Transcranial Doppler

Ultrasound Sensor

Computer Screen:

Transducer Box:

ICU Vital Signs’ Monitor (HP)

NoteBook

AutoregulationMechanism

Current works