Non-invasive Pain Sensor Development for Advanced Control Strategy of Anesthesia - A Conceptual Study

This paper introduces the mechanisms of pain perception in the human body in order to start the challenging task of controlling analgesia as part of general anesthesia. This research proposes a pain sensor, which measures analgesia levels. For control purpose, a prediction model is needed in order to obtain a model-based predictive control (MPC) strategy. This paper proposes to employ a compartmental fractional-order derivative model as a prediction model for the diffusion process that occurs when a drug is taken up by the human body. Simulations are preformed to investigate the effect of the fractional order on the diffusion of Propofol in the human body.

[1]  Richard Magin,et al.  Fractional kinetics in multi-compartmental systems , 2010, Journal of Pharmacokinetics and Pharmacodynamics.

[2]  OpenStax Cnx Anatomy & Physiology , 2011, The Cat.

[3]  J. Wagner Linear pharmacokinetic equations allowing direct calculation of many needed pharmacokinetic parameters from the coefficients and exponents of polyexponential equations which have been fitted to the data , 1976, Journal of Pharmacokinetics and Biopharmaceutics.

[4]  Richard L. Magin,et al.  Fractional calculus models of complex dynamics in biological tissues , 2010, Comput. Math. Appl..

[5]  Jan E. W. Beneken,et al.  Modeling in Anesthesia , 2004, Journal of Clinical Monitoring and Computing.

[6]  Stevan Pilipović,et al.  A new approach to the compartmental analysis in pharmacokinetics: fractional time evolution of diclofenac , 2010, Journal of Pharmacokinetics and Pharmacodynamics.

[7]  J. Proost,et al.  Predictability of Processed Electroencephalography Effects on the Basis of Pharmacokinetic–Pharmacodynamic Modeling during Repeated Propofol Infusions in Patients with Extradural Analgesia , 2001, Anesthesiology.

[8]  N. T. Smith,et al.  Multiple model approach to uptake and distribution of halothane: the use of an analog computer. , 1972, Computers and biomedical research, an international journal.

[9]  Bruce J. West,et al.  FRACTAL PHYSIOLOGY AND CHAOS IN MEDICINE , 1990 .

[10]  Robin De Keyser,et al.  A self-tuning multistep predictor application , 1981, Autom..

[11]  Thomas M. Hemmerling,et al.  The ‘Analgoscore’: a novel score to monitor intraoperative pain and its use for remifentanil closed-loop application , 2007, 2007 IEEE International Conference on Systems, Man and Cybernetics.

[12]  C. Keele Chemical Causes of Pain and Itch , 1957, Medical world.

[13]  Andrew Jenkins,et al.  General Anesthetic Actions on GABAA Receptors , 2010, Current neuropharmacology.

[14]  A. R. Van Cauwenberghe,et al.  Simulations of adaptive controllers for a paper machine headbox , 1983, Autom..

[15]  Robin De Keyser,et al.  Closed loop anesthesia: are we getting close to finding the holy grail? , 2011, Anesthesia and analgesia.