Adaptive bolus-based targeted glucose regulation of hyperglycaemia in critical care
dc.contributor.author | Chase, Geoff | |
dc.contributor.author | Shaw, Geoff | |
dc.contributor.author | Lin, J. | |
dc.contributor.author | Doran, C.V. | |
dc.contributor.author | Hann, C.E. | |
dc.contributor.author | Robertson, M.B. | |
dc.contributor.author | Browne, P.M. | |
dc.contributor.author | Lotz, T. | |
dc.contributor.author | Wake, G.C. | |
dc.contributor.author | Broughton, R. | |
dc.date.accessioned | 2007-07-24T05:11:20Z | |
dc.date.available | 2007-07-24T05:11:20Z | |
dc.date.issued | 2005 | en |
dc.description.abstract | Critically ill patients are often hyperglycemic and extremely diverse in their dynamics. Consequently, fixed protocols and sliding scales can result in error and poor control. A two-compartment glucose-insulin system model that accounts for time-varying insulin sensitivity and endogenous glucose removal, along with two different saturation kinetics is developed and verified in proof-of-concept clinical trials for adaptive control of hyperglycemia. The adaptive control algorithm monitors the physiological status of a critically ill patient, allowing real-time tight glycemic regulation. The bolus-based insulin administration approach is shown to result in safe, targeted stepwise glycemic reduction for three critically ill patients. | en |
dc.identifier.citation | Chase, J.G., Shaw, G.M., Lin, J., Doran, C.V., Hann, C.E., Robertson, M.B., Browne, P.M., Lotz, T., Wake, G.C., Broughton, R. (2005) Adaptive bolus-based targeted glucose regulation of hyperglycaemia in critical care. Medical Engineering and Physics, 27(1), pp. 1-11. | en |
dc.identifier.issn | 1350-4533 | |
dc.identifier.uri | http://hdl.handle.net/10092/271 | |
dc.language.iso | en | |
dc.publisher | University of Canterbury. Mechanical Engineering. | en |
dc.rights.uri | https://hdl.handle.net/10092/17651 | en |
dc.subject | adaptive control | en |
dc.subject | critical care | en |
dc.subject | glucose-insulin system model | en |
dc.subject | hyperglycemia | en |
dc.subject | insulin bolus | en |
dc.subject.marsden | Fields of Research::290000 Engineering and Technology::291500 Biomedical Engineering | en |
dc.title | Adaptive bolus-based targeted glucose regulation of hyperglycaemia in critical care | en |
dc.type | Journal Article |
Files
Original bundle
1 - 1 of 1