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- W2183048594 abstract "Recently, medical experts have shown that the determination of appropriate intravenous fluid rate (IFR) for intensive care unit (ICU) patient is not too efficient when based on Mean Arterial Pressure (MAP) and Hourly Urine Output (HUO) for an ideal clinical situation. This paper increased the parameters to four by including Heart Beat Rate (HBR) and Central Venous Pressure (CVP) to determine the exact value of IFR. A Mamdani fuzzy type model was employed to develop a reasoning mechanism for four input variables and the method of Centre of area was used to derive a better result. The input variables were formed on rule base system which resulted into 81 different combinations of all possible situations. The process was implemented with fuzzy logic toolbox 2.1 in MATLAB 6.5. An interactive graphical user interface was designed as front end to accept values and display results. The developed software permits the saving of information which could form a medical database for decision making by the medical experts. A series of data were collected and entered into the developed interface which generated output result. In comparing the two-parameter based technique (MAP, HUO) with the new fourparameter (MAP, HUO, HBR and CVP), it was found that there was discrepancy in the rate of the IFR such that most patients (92%) were not given appropriate intravenous fluid. It was also found that IFR values based on latter tested significantly better than IFR values based on the former when compared with human expert judgments." @default.
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- W2183048594 date "2010-01-01" @default.
- W2183048594 modified "2023-09-26" @default.
- W2183048594 title "An Improved Intravenous Fluid Rate Determination Using Fuzzy Logic" @default.
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