A synthesis method for automatic handling of inter-patient variability in closed-loop anesthesia

This paper presents a convex-optimization-based technique to obtain PID parameters, used to control the infusion rate of the anesthetic drug propofol. Controller design is based on a set of identified patient models, relating propofol infusion to an EEG-based conciousness index. The main contribution lies in the method automatically taking inter-patient variability into account, i.e., it guarantees robustness (sensitivity peak) and performance (disturbance rejection) over a set of patient models, without the need for manual intervention.

[1]  Joseph Rinehart,et al.  Closed-Loop Pharmacology in Anesthesia and Critical Care: Benefits and Limitations , 2015, International anesthesiology clinics.

[2]  Luc Barvais,et al.  Titration of Propofol for Anesthetic Induction and Maintenance Guided by the Bispectral Index: Closed-loop versus Manual Control: A Prospective, Randomized, Multicenter Study , 2006, Anesthesiology.

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

[4]  Satinder Gombar,et al.  A Multicenter Evaluation of a Closed-Loop Anesthesia Delivery System: A Randomized Controlled Trial , 2016, Anesthesia and analgesia.

[5]  Stephen P. Boyd,et al.  Computing optimal uncertainty models from frequency domain data , 2002, Proceedings of the 41st IEEE Conference on Decision and Control, 2002..

[6]  K.J. ÅSTRÖM,et al.  Design of PI Controllers based on Non-Convex Optimization , 1998, Autom..

[7]  Kristian Soltesz,et al.  Robust closed‐loop control of induction and maintenance of propofol anesthesia in children , 2013, Paediatric anaesthesia.

[8]  Alan L. Yuille,et al.  The Concave-Convex Procedure , 2003, Neural Computation.

[9]  Guy A. Dumont,et al.  Dynamic behavior of BIS, M-entropy and neuroSENSE brain function monitors , 2011, Journal of Clinical Monitoring and Computing.

[10]  Kristian Soltesz,et al.  Design and Clinical Evaluation of Robust PID Control of Propofol Anesthesia in Children , 2014, IEEE Transactions on Control Systems Technology.

[11]  Laurent Beydon,et al.  Closed-Loop Coadministration of Propofol and Remifentanil Guided by Bispectral Index: A Randomized Multicenter Study , 2011, Anesthesia and analgesia.

[12]  Guy Albert Dumont,et al.  Quantifying cortical activity during general anesthesia using wavelet analysis , 2006, IEEE Transactions on Biomedical Engineering.

[13]  Guy A. Dumont,et al.  Quantification of the Variability in Response to Propofol Administration in Children , 2013, IEEE Transactions on Biomedical Engineering.

[14]  Alireza Karimi,et al.  A toolbox for robust PID controller tuning using convex optimization , 2012 .

[15]  Manfred Morari,et al.  Modeling and closed-loop control of hypnosis by means of bispectral index (BIS) with isoflurane , 2001, IEEE Transactions on Biomedical Engineering.

[16]  Stephen P. Boyd,et al.  PID design by convex-concave optimization , 2013, 2013 European Control Conference (ECC).

[17]  M. Struys,et al.  Comparison of Closed-loop Controlled Administration of Propofol Using Bispectral Index as the Controlled Variable versus “Standard Practice” Controlled Administration , 2001, Anesthesiology.

[18]  M. Janda,et al.  Clinical evaluation of a simultaneous closed‐loop anaesthesia control system for depth of anaesthesia and neuromuscular blockade * , 2011, Anaesthesia.

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