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Regulation of hypnosis in Propofol anesthesia administration based on non-linear control strategy

机译:基于非线性控制策略的异丙酚麻醉中催眠的调节

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Continuous adjustment of Propofol in manual delivery of anesthesia for conducting a surgical procedure overburdens the workload of an anesthetist who is working in a multi-tasking scenario. Going beyond manual administration and Target Controlled Infusion, closed-loop control of Propofol infusion has the potential to offer several benefits in terms of handling perturbations and reducing the effect of inter-patient variability. This paper proposes a closed-loop automated drug administration approach to control Depth Of Hypnosis in anesthesia. In contrast with most of the existing research on anesthesia control which makes use of linear control strategies or their improved variants, the novelty of the present research lies in applying robust control strategy i.e. Sliding Mode Control to accurately control drug infusion. Based on the derived patient's model, the designed controller uses measurements from EEG to regulate DOH on Bispectral Index by controlling infusion rate of Propofol. The performance of the controller is investigated and characterized with real dataset of 8 patients undergoing surgery. Results of this in silico study indicate that for all the patients, with 0% overshoot observed, the steady state error lies in between ±5. Clinically, this implies that in all the cases, without any overdose, the controller maintains the desired DOH level for smooth conduction of surgical procedures.
机译:在进行手术的手动麻醉过程中不断调整异丙酚的剂量会加重麻醉师在多任务场景中的工作量。除了手动给药和目标控制输注以外,丙泊酚输注的闭环控制还可能在处理扰动和减少患者间变异性方面带来一些好处。本文提出了一种控制麻醉中催眠深度的闭环自动药物管理方法。与利用线性控制策略或其改进方案的大多数现有麻醉控制研究相反,本研究的新颖之处在于应用鲁棒的控制策略,即滑模控制来精确控制药物输注。基于导出的患者模型,设计的控制器使用EEG的测量值通过控制丙泊酚的输注速率来调节双光谱指数上的DOH。使用8位接受手术治疗的患者的真实数据集对控制器的性能进行了调查和表征。这项计算机模拟研究的结果表明,对于所有患者,观察到0%的过冲,稳态误差都在±5之间。临床上,这意味着在所有情况下,在没有任何用药过量的情况下,控制器可保持所需的DOH水平,以顺利进行外科手术。

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