© The Institution of Engineering and Technology
Venous needle dislodgement (VND) is a life-threatening complication during haemodialysis (HD) treatment. When VND occurs, it only takes a few minutes for blood loss in an adult patient. According to the ANNA (American Nephrology Nurses’ Association) VND survey reports, VND is a concerning issue for the nephrology nurses/staff and patients. To ensure HD care and an effective treatment environment, this Letter proposes a combination of fractional order shape index ratio (SIR) and fuzzy colour relation analysis (CRA) to detect VND. If the venous needle drops out, clinical examinations show that both heart pulses and pressure wave variations have a low correlation at the venous anatomic site. Therefore, fractional order SIR is used to quantify the differences in transverse vibration pressures (TVPs) between the normal condition and meter reading. Linear regression shows that the fractional order SIR has a high correlation with the TVP variation. Fuzzy CRA is designed in a simple and visual message manner to identify the risk levels. A worst-case study demonstrated that the proposed model can be used for VND detection in clinical applications.
References
-
-
1)
-
17. Das, S.: ‘Functional fractional calculus for system identification and control’ (Springer Berlin Heidelberg, New York, 2008), .
-
2)
-
3. Hurst, J.: ‘A costly complication: venous needle dislodgement’, Ren. Bus. Today, 2010, 5, (9), pp. 18–22.
-
3)
-
9. R. Fields: ‘When needles dislodge, dialysis can turn deadly’, 2010. .
-
4)
-
11. Polaschegg, H.-D.: ‘Venous needle dislodgement: the pitfalls of venous pressure measurement and possible alternatives, a review’, J. Ren. Care, 2010, 36, (1), pp. 41–48 (doi: 10.1111/j.1755-6686.2010.00142.x).
-
5)
-
6)
-
22. Knuttel, A., Boehlau-Godau, M.: ‘Spatially confined and temporally resolved refractive index and scattering evaluation in human performed with optical coherence tomography’, J. Biomed. Opt., 2000, 5, (1), pp. 83–92 (doi: 10.1117/1.429972).
-
7)
-
20. Lin, C.-H.: ‘Assessment of bilateral photoplethysmography for lower limb peripheral vascular occlusive disease using color relation analysis classifier’, Comput. Method Program Biomed., 2011, 103, (3), pp. 121–131 (doi: 10.1016/j.cmpb.2010.06.014).
-
8)
-
5. American Nephrology Nurses’ Association (ANNA): .
-
9)
-
16. Ikeda, F.: ‘A numerical algorithm of discrete fractional calculus by using inhomogeneous sampling data’, Trans. Soc. Instrum. Control Eng., 2006, 42, (8), pp. 941–948 (doi: 10.9746/sicetr1965.42.941).
-
10)
-
2. Hurst, J.: ‘It can happen without warning: venous needle dislodgement’, Ren. Bus. Today, 2009, 4, (9), pp. 18–22.
-
11)
-
8. Li, C.-M., Du, Y.-C., Wu, J.-X., Lin, C.-H., Ho, Y.-R., Chen, T.: ‘Dynamic analysis with a fractional-order chaotic system for estimation of peripheral arterial disease in diabetic foot’, Meas. Sci. Technol., 2013, 24, (8) (doi: 10.1088/0957-0233/24/8/085701).
-
12)
-
10. Van Waeleghem, J.P., Chamney, M., Lindley, E.J., et al: ‘Venous needle dislodgment: how to minimize the risks’, J. Ren. Care, 2008, 34, (4), pp. 163–168 (doi: 10.1111/j.1755-6686.2008.00047.x).
-
13)
-
4. Reines, G.G., Gutierrez, W.: ‘Clinical review: hemorrhagic shock’, Crit. Care, 2004, 8, (5), pp. 373–381 (doi: 10.1186/cc2851).
-
14)
-
11. Krishna, B.T.: ‘Studies on fractional order differentiators and integrators: a survey’, Signal Process., 2011, 91, (3), pp. 386–426 (doi: 10.1016/j.sigpro.2010.06.022).
-
15)
-
1. Axley, B., Speranza-Reid, J., Williams, H.: ‘Venous needle dislodgement in patients on hemodialysis’, Nephrol. Nurs. J., 2012, 39, (6), pp. 435–445..
-
16)
-
18. Charef, A., Bensouici, T.: ‘Design of digital FIR variable fractional order integrator and differentiator’, Signal Image Video Process., 2012, 6, (4), pp. 679–689 (doi: 10.1007/s11760-010-0197-1).
-
17)
-
24. Doering, E.: ‘NI myRIO-project essentials guide’ (National Technology and Science Press, 2014).
-
18)
-
12. Frinak, S., Zasuwa, G., Yee, J., et al: ‘Method of monitoring dislodgement of venous needles in dialysis patients’. , March 25, 2010.
-
19)
-
14. Holmer, M., Sandberg, F., Solem, K., et al: ‘Extracting sardiac signal from the extracorporeal pressure sensors of a hemodialysis machine’, IEEE Trans. Biomed. Eng., 2015, 62, (5), pp. 1305–1315 (doi: 10.1109/TBME.2014.2385964).
-
20)
-
21)
-
6. Dinwiddie, L.C.: ‘Vascular access for hemodialysis’, in American Nephrology Nurses' Association: ‘Core curriculum for nephrology nursing’ (C.S. Counts, 2008), pp. 756–758.
-
22)
-
23. Khan, T., Shrestha, R., Shamin Imtiaz, Md., et al: ‘Colour-reproduction algorithm for transmitting variable video frames and its application to capsule endoscopy’, IET Healthc. Technol. Lett., 2015, 2, (2), pp. 52–57, (doi: 10.1049/htl.2014.0086).
-
23)
-
13. Fulkerson, B.N., Braig, J.R.: ‘System and method for detection of disconnection in an extracorporeal blood circuit’. , September 16, 2010.
-
24)
-
7. Mactier, R., Worth, D.: ‘Minimizing the risks of needle dislodgement during haemodialysis’, Artery, 2007, 41, (3), pp. 9–13.
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