FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical Assessment
Fiber Bragg grating sensors (FBGs) are considered a valid sensing solution for a variety of medical applications. The last decade witnessed the exploitation of these sensors in applications ranging from minimally invasive surgery to biomechanics and monitoring physiological parameters. Recently, pre...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Biosensors |
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| Online Access: | https://www.mdpi.com/2079-6374/12/8/645 |
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| author | Francesca De Tommasi Chiara Romano Daniela Lo Presti Carlo Massaroni Massimiliano Carassiti Emiliano Schena |
| author_facet | Francesca De Tommasi Chiara Romano Daniela Lo Presti Carlo Massaroni Massimiliano Carassiti Emiliano Schena |
| author_sort | Francesca De Tommasi |
| collection | DOAJ |
| description | Fiber Bragg grating sensors (FBGs) are considered a valid sensing solution for a variety of medical applications. The last decade witnessed the exploitation of these sensors in applications ranging from minimally invasive surgery to biomechanics and monitoring physiological parameters. Recently, preliminary studies investigated the potential impact of FBGs in the management of epidural procedures by detecting when the needle reaches the epidural space with the loss of resistance (LOR) technique. In this article, we propose a soft and flexible FBG-based system capable of detecting the LOR, we optimized the solution by considering different designs and materials, and we assessed the feasibility of the optimized soft sensor (SS) in clinical settings. The proposed SS addresses some of the open challenges in the use of a sensing solution during epidural punctures: it has high sensitivity, it is non-invasive, the sensing element does not need to be inserted within the needle, and the clinician can follow the standard clinical practice. Our analysis highlights how the material and the design impact the system response, and thus its performance in this scenario. We also demonstrated the system’s feasibility of detecting the LOR during epidural procedures. |
| first_indexed | 2024-03-09T09:59:10Z |
| format | Article |
| id | doaj.art-3822558c5a004ffba800deb3764221d2 |
| institution | Directory Open Access Journal |
| issn | 2079-6374 |
| language | English |
| last_indexed | 2024-03-09T09:59:10Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biosensors |
| spelling | doaj.art-3822558c5a004ffba800deb3764221d22023-12-01T23:30:28ZengMDPI AGBiosensors2079-63742022-08-0112864510.3390/bios12080645FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical AssessmentFrancesca De Tommasi0Chiara Romano1Daniela Lo Presti2Carlo Massaroni3Massimiliano Carassiti4Emiliano Schena5Unit of Measurements and Biomedical Instrumentation, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, ItalyUnit of Measurements and Biomedical Instrumentation, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, ItalyUnit of Measurements and Biomedical Instrumentation, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, ItalyUnit of Measurements and Biomedical Instrumentation, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, ItalyUnit of Anesthesia, Intensive Care and Pain Management, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, ItalyUnit of Measurements and Biomedical Instrumentation, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128 Rome, ItalyFiber Bragg grating sensors (FBGs) are considered a valid sensing solution for a variety of medical applications. The last decade witnessed the exploitation of these sensors in applications ranging from minimally invasive surgery to biomechanics and monitoring physiological parameters. Recently, preliminary studies investigated the potential impact of FBGs in the management of epidural procedures by detecting when the needle reaches the epidural space with the loss of resistance (LOR) technique. In this article, we propose a soft and flexible FBG-based system capable of detecting the LOR, we optimized the solution by considering different designs and materials, and we assessed the feasibility of the optimized soft sensor (SS) in clinical settings. The proposed SS addresses some of the open challenges in the use of a sensing solution during epidural punctures: it has high sensitivity, it is non-invasive, the sensing element does not need to be inserted within the needle, and the clinician can follow the standard clinical practice. Our analysis highlights how the material and the design impact the system response, and thus its performance in this scenario. We also demonstrated the system’s feasibility of detecting the LOR during epidural procedures.https://www.mdpi.com/2079-6374/12/8/645epidural anesthesiafiber Bragg grating sensorforce measurementsinstrumented syringeLOR detectionsoft sensor |
| spellingShingle | Francesca De Tommasi Chiara Romano Daniela Lo Presti Carlo Massaroni Massimiliano Carassiti Emiliano Schena FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical Assessment Biosensors epidural anesthesia fiber Bragg grating sensor force measurements instrumented syringe LOR detection soft sensor |
| title | FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical Assessment |
| title_full | FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical Assessment |
| title_fullStr | FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical Assessment |
| title_full_unstemmed | FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical Assessment |
| title_short | FBG-Based Soft System for Assisted Epidural Anesthesia: Design Optimization and Clinical Assessment |
| title_sort | fbg based soft system for assisted epidural anesthesia design optimization and clinical assessment |
| topic | epidural anesthesia fiber Bragg grating sensor force measurements instrumented syringe LOR detection soft sensor |
| url | https://www.mdpi.com/2079-6374/12/8/645 |
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