Decision-assist method of resuscitation of patients

• US 9,061,101 B2
• Filed: 11/18/2013
• Issued: 06/23/2015
• Est. Priority Date: 03/19/2007
• Status: Active Grant

• Current Assignee: The United States of America As Represented By The Secretary of Agriculture, Board of Regents of the University of Texas System (University of Texas System)
• Original Assignee: The United States of America As Represented By The Secretary of Agriculture, Board of Regents of the University of Texas System (University of Texas System)
• Inventors: Salinas, Jose, Kramer, George C., Cancio, Leopoldo C., Chung, Kevin, Mann, Elizabeth, Wolf, Steven E., Guy, Drew A.
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): CARPENTER, WILLIAM R
• Application Number:
  US14/083,004
• Publication Number:
  US 20140142539A1
• Time in Patent Office: 582 Days
• Field of Search: 604/31, 604/65, 604/66, 604/131, 604/151, 604/503, 604/504, 600/582
• US Class Current: 1/1
• CPC Class Codes: A61B 5/20 for measuring urological functions restricted to the evaluation of the urinary system A61B5/4375 takes precedence
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61M 2202/0496 Urine
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A method for providing decision-assist to medical staff resuscitating a burn patient includes receiving patient information, calculating an infusion rate, outputting the infusion rate, obtaining a urinary output, calculating a new infusion rate using infusion rate model based constants, and outputting the new infusion rate. In some embodiments, the method includes notifying medical staff when problems arise, displaying information regarding the resuscitation, and setting limits regarding the infusion rates.

Claims

1. A method for providing decision-assist during resuscitation of a patient, the method comprising:

receiving patient data including a percentage of total body surface area into a processor;

calculating with the processor an initial infusion rate based on at least the patient data;

outputting the initial infusion rate from the processor;

obtaining with the processor a current urinary output from a urine output meter;

calculating with the processor a new infusion rate based on at least the current infusion rate, the current urinary output, an infusion rate constant, an urinary constant; and

outputting from the processor the new infusion rate.

2. The method according to claim 1, further comprising:

repeating obtaining the current urinary output, calculating the new infusion rate, and outputting the infusion rate until receiving a notification to terminate the method.

3. The method according to claim 1, further comprising:

determining whether the urinary output is below a predetermined threshold;

notifying medical staff when at least one problem exists; and

after notifying, receiving instructions to continue or terminate the method.

4. The method according to claim 1, further comprising waiting for a period of time prior to obtaining the urinary output.

5. The method according to claim 4, wherein the period of time is determined based on current physiological information regarding the patient.

6. The method according to claim 1, wherein outputting the infusion rate includes displaying the set infusion rate on a display.

7. The method according to claim 6, wherein outputting the infusion rate includes displaying a graphical representation of the infusion rate over time.

8. The method according to claim 1, further comprising displaying a graphical representation of urinary output over time on a display.

9. The method according to claim 1, further comprising selecting the desired urinary output from an end of a target urinary output range closest to the current urinary output when urinary output is outside of the target urinary output range.

10. The method according to claim 1, further comprising selecting the desired urinary output from a mid-point of a target urinary output range.

11. The method according to claim 1, further comprising selecting the desired urinary output from an end of a target urinary output range furthest from the current urinary output when urinary output is outside of the target urinary output range.

12. The method according to claim 1, wherein the infusion rate constant is selected based on hours past burn and the urinary constant is set to a predetermined value.

13. The method according to claim 1, further comprising calculating with the processor the new infusion rate to a predetermined infusion rate when the new infusion rate is below the predetermined infusion rate.

14. The method according to claim 1, further comprising selecting with the processor a function for calculating the new infusion rate based on hours post burn.

15. The method according to claim 1, wherein obtaining the current urinary output includes reading of a urine flow from a sensor in the urine output meter.

16. A method for providing decision-assist during resuscitation of a patient, the method comprising:

receiving with a processor patient data including a percentage of total body surface area;

calculating with the processor an initial infusion rate based on at least the patient data;

outputting from the processor the initial infusion rate;

obtaining with the processor a current urinary output from a sensor;

calculating with the processor a new infusion rate based on at least the current infusion rate, the current urinary output, an infusion rate constant, an urinary constant, and at least one of a patient'"'"'s weight and the percentage total body surface area; and

outputting with the processor the new infusion rate to a display.

17. The method according to claim 16, wherein the sensor is part of a urine output meter.

18. The method according to claim 16, further comprising selecting with the processor the desired urinary output from one of the following:

a mid-point of a target urinary output range; and

an end of a target urinary output range furthest from the current urinary output when urinary output is outside of the target urinary output range.

19. A method for providing decision-assist during resuscitation of a patient, the method comprising:

receiving with a processor patient data including a percentage of total body surface area, a patient'"'"'s weight, and hours post burn;

calculating with the processor an initial infusion rate based on at least the patient data;

outputting from the processor the initial infusion rate;

obtaining with the processor a current urinary output from a urine output meter;

calculating with the processor a new infusion rate based on at least the current infusion rate, the current urinary output, an infusion rate constant, an urinary constant, the patient'"'"'s weight, and the percentage of total body surface area where the patient'"'"'s weight and the percentage total body surface area provide modifier values for calculating the new infusion rate;

displaying the new infusion rate on a display received from the processor; and

receiving with the processor a different infusion rate or an acceptance of the new infusion rate.

20. The method according to claim 19, further comprising selecting with the processor the desired urinary output from one of the following:

a mid-point of a target urinary output range; and

an end of a target urinary output range furthest from the current urinary output when urinary output is outside of the target urinary output range.