Infusion pressure control using blood pressure
View Patent ↗Methods, systems, and software for controlling infusion pressure, such as during a medical procedure, using systemic blood pressure are described. Systemic blood pressure, such as brachial arm blood pressure or radial artery blood pressure, may be used to estimate central retinal artery blood pressure to estimate critical closing pressure. Further, the disclosure relates to controlling infusion pressure to prevent an increase in intraocular pressure above the estimated critical closing pressure when such is not desired, and, when such is desired, using systemic blood pressure and infusion pressure to control an intentional increase in intraocular pressure above the estimated critical closing pressure to stop intraocular bleeding.
1. A method for controlling infusion pressure during an intraocular surgical procedure, the method comprising:
determining an infusion pressure of a patient's eye with a first pressure determining device;
determining a blood pressure indicative of a patient's central retinal artery blood pressure with a second pressure determining device;
determining, with a processor, an estimated critical closing pressure of a central retinal artery of the eye based on the blood pressure indicative of a patient's central retinal artery blood pressure;
comparing, with the processor, the infusion pressure to the estimated critical closing pressure; and
triggering an alarm when the infusion pressure reaches a selected pressure relative to the estimated critical closing pressure,
wherein determining a blood pressure indicative of a patient's central retinal artery blood pressure with a second pressure determining device comprises:
determining a patient's systemic blood pressure with the second pressure determining device; and
converting the systemic blood pressure into an estimated central retinal artery blood pressure with the processor.
2. The method of claim 1 , wherein determining a patient's systemic blood pressure with the second pressure determining device comprises determining at least one of the patient's brachial artery blood pressure or radial artery blood pressure with the second pressure determining device.
3. The method of claim 1 , wherein converting the systemic blood pressure into the estimated central retinal artery blood pressure with the processor comprises converting, with the processor, the systemic blood pressure into the estimated central retinal artery blood pressure using an ophthalmodynamometry offset.
4. The method of claim 1 , wherein triggering an alarm when the infusion pressure reaches a selected pressure relative to the estimated critical closing pressure comprises triggering at least one of a visual or audible alarm.
5. The method of claim 1 further comprising automatically adjusting infusion pressure when the infusion pressure is at a selected value relative to the estimated critical closing pressure.
6. The method of claim 5 , wherein automatically adjusting infusion pressure when the infusion pressure is at a selected value relative to the estimated critical closing pressure comprises automatically reducing infusion pressure when the infusion pressure is equal to or greater than the selected pressure and wherein the selected pressure is the estimated critical closing pressure.
7. A non-transitory computer program product for controlling infusion pressure, the computer program product comprising machine-readable instructions embodied on tangible media operable when executed to:
read an infusion pressure of a patient's eye;
determine an estimate of a patient's central retinal artery blood pressure;
determine an estimated critical closing pressure of a central retinal artery of the eye based on the estimated central retinal artery blood pressure; and
trigger an alarm when the infusion pressure reaches a selected pressure relative to the estimated critical closing pressure comprises machine-readable instructions operable when executed to trigger at least one of a visual or audible alarm.
8. The computer program product of claim 7 , wherein the machine-readable instructions operable when executed to determine an estimate of a patient's central retinal artery blood pressure comprises machine-readable instructions operable when executed to:
read a patient's systemic blood pressure; and
convert the systemic blood pressure into the estimated central retinal artery blood pressure.
9. The computer program product of claim 8 , wherein the machine-readable instructions operable when executed to read a patient's systemic blood pressure comprises machine-readable instructions operable when executed to read at least one of the patient's brachial artery blood pressure or radial artery blood pressure.
10. The computer program product of claim 7 , wherein the machine-readable instructions operable when executed to convert the systemic blood pressure into the estimated central retinal artery blood pressure comprises machine-readable instructions operable when executed to convert the systemic blood pressure into the estimated central retinal artery blood pressure with an ophthalmodynamometry offset.
11. The computer program product of claim 7 further comprising machine-readable instructions operable when executed to trigger an alarm when the infusion pressure reaches a selected pressure relative to the estimated critical closing pressure.
12. A non-transitory computer program product for controlling infusion pressure, the computer program product comprising machine-readable instructions embodied on tangible media operable when executed to:
read an infusion pressure of a patient's eye;
determine an estimate of a patient's central retinal artery blood pressure;
determine an estimated critical closing pressure of a central retinal artery of the eye based on the estimated central retinal artery blood pressure; and
automatically adjust infusion pressure when the infusion pressure is at a selected value relative to the estimated critical closing pressure.
13. The computer program product of claim 12 , wherein the machine readable instructions operable when executed to automatically adjust infusion pressure when the infusion pressure is at a selected value relative to the estimated critical closing pressure comprises machine readable instructions operable when executed to automatically reduce infusion pressure when the infusion pressure is equal to or greater than the selected pressure and wherein the selected pressure is the estimated critical closing pressure.