Nonlinear subspace-based extended prediction self-adaptive control for individualized anesthesia care

Throughout reported studies of closed-loop anesthesia control, model-based control strategies have been applied as a series of effective and promising algorithms. However, due to intra- and inter-subject variations, the accuracy of identified model and robustness of control algorithm seem especially crucial. At this point, a combination of subspace-based Wiener system identification method and Extended Prediction Self-Adaptive Control (EPSAC), which can be regarded as a data-driven model predictive control strategy, have been applied to solve the individualized anesthesia care problem and achieved an acceptable performance. The suggested entire algorithm, which can be operated with little prior knowledge, is effective to control nonlinear Wiener system with the advantages of precision and stability. In Simulation Section, 24 diverse virtual patients in the Wang's Anesthesia Simulator have been successfully employed to demonstrate the efficiency and robustness of the proposed method.

[1]  R N Upton,et al.  The two-compartment recirculatory pharmacokinetic model--an introduction to recirculatory pharmacokinetic concepts. , 2004, British journal of anaesthesia.

[2]  R. De Keyser,et al.  EPSAC Predictive Control of Blood Glucose Level in Type I Diabetic Patients , 2005, Proceedings of the 44th IEEE Conference on Decision and Control.

[3]  Morten Lauge Pedersen,et al.  Encyclopedia of Life Support Systems (EOLSS) , 2005 .

[4]  Youqing Wang,et al.  A Subspace-based Wiener System Identification Method for the Individualized Anesthesia Care , 2014 .

[5]  J Schüttler,et al.  Population Pharmacokinetics of Propofol: A Multicenter Study , 2000, Anesthesiology.

[6]  U. Kruger,et al.  Dynamic Principal Component Analysis Using Subspace Model Identification , 2005, ICIC.

[7]  Cockshott,et al.  Population Pharmacokinetics of Propofol: A Multicenter Study , 2000, Anesthesiology.

[8]  Samer Charabati,et al.  A randomized controlled trial demonstrates that a novel closed-loop propofol system performs better hypnosis control than manual administration , 2010, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[9]  Julio E. Normey-Rico,et al.  Robust Predictive Control Strategy Applied for Propofol Dosing Using BIS as a Controlled Variable During Anesthesia , 2008, IEEE Transactions on Biomedical Engineering.

[10]  Michel Struys,et al.  EPSAC‐controlled anesthesia with online gain adaptation , 2008 .

[11]  Guy A. Dumont,et al.  Robust control of depth of anesthesia , 2008 .

[12]  Eiko Furutani,et al.  A Model-Predictive Hypnosis Control System Under Total Intravenous Anesthesia , 2008, IEEE Transactions on Biomedical Engineering.

[13]  S L Shafer,et al.  The influence of age on propofol pharmacodynamics. , 1999, Anesthesiology.

[14]  M. Struys,et al.  The Performance of Compartmental and Physiologically Based Recirculatory Pharmacokinetic Models for Propofol: A Comparison Using Bolus, Continuous, and Target-Controlled Infusion Data , 2010, Anesthesia and analgesia.

[15]  Edmond I. Eger,et al.  Comparison of Kinetics of Sevoflurane and Isoflurane in Humans , 1992 .

[16]  S. Ding,et al.  Closed-loop subspace identification: an orthogonal projection approach , 2004 .

[17]  S. Shafer,et al.  The Influence of Method of Administration and Covariates on the Pharmacokinetics of Propofol in Adult Volunteers , 1998, Anesthesiology.

[18]  Youqing Wang,et al.  An enriched simulation environment for evaluation of closed-loop anesthesia , 2014, Journal of Clinical Monitoring and Computing.

[19]  Ngai Liu,et al.  Closed-loop control of consciousness during lung transplantation: an observational study. , 2008, Journal of cardiothoracic and vascular anesthesia.

[20]  R. De Keyser,et al.  Adaptive EPSAC predictive control of the hypnotic component in anesthesia , 2012, Proceedings of 2012 IEEE International Conference on Automation, Quality and Testing, Robotics.