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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