Fuzzy modelling for controlled anaesthesia in hospital operating theatres

Abstract Balanced anaesthesia introduces the problem of drug interactions. In this paper, the effect concentrations of anaesthetic and analgesic drugs are used to model the pharmacodynamic interactions of the two drugs on the cardiovascular parameters, and on the auditory evoked potentials. An adaptive network-based fuzzy inference system is used to model the different signals. A stimulus model is used to establish the effects of surgical stimulus on the cardiovascular parameters. This model is constructed into a Mamdani type of fuzzy model, using anaesthetist's knowledge described by fuzzy IF–THEN rules. Clinical data are used to construct the patient model.

[1]  M. Mahfouf,et al.  Multivariable fuzzy control for the simultaneous administration of the anaesthetic and the analgesic drugs , 2003, 2003 European Control Conference (ECC).

[2]  F. Engbers,et al.  On the Study and Practice of Intravenous Anaesthesia , 1999, Springer Netherlands.

[3]  C Thornton,et al.  Evoked responses in anaesthesia. , 1998, British journal of anaesthesia.

[4]  Jaap Vuyk The Effect of Opioids on the Pharmacokinetics and Pharmacodynamics of Propofol , 2000 .

[5]  E Olofsen,et al.  Propofol Anesthesia and Rational Opioid Selection: Determination of Optimal EC50‐EC95 Propofol‐Opioid Concentrations that Assure Adequate Anesthesia and a Rapid Return of Consciousness , 1997, Anesthesiology.

[6]  B. Philip,et al.  Ambulatory anesthesia experience with remifentanil. , 1999, Anesthesia and analgesia.

[7]  G. Nappi,et al.  Pupillary and cardiovascular responses to the cold-pressor test. , 1995, Journal of the autonomic nervous system.

[8]  D. A. Linkens,et al.  Anaesthesia monitoring and control using fuzzy logic fusion , 1998 .

[9]  Michio Sugeno,et al.  Fuzzy identification of systems and its applications to modeling and control , 1985, IEEE Transactions on Systems, Man, and Cybernetics.

[10]  David J. Hermann,et al.  The Pharmacokinetics of the New Short‐acting Opioid Remifentanil (GI87084B) in Healthy Adult Male Volunteers , 1993, Anesthesiology.

[11]  J. Vuyk,et al.  TCI: supplementation and drug interactions , 1998, Anaesthesia.

[12]  J. Vuyk,et al.  Pharmacokinetic and pharmacodynamic interactions between opioids and propofol. , 1997, Journal of clinical anesthesia.

[13]  N. Morton,et al.  Pharmacokinetic model driven infusion of propofol in children. , 1991, British journal of anaesthesia.

[14]  S L Shafer,et al.  Response Surface Model for Anesthetic Drug Interactions , 2000, Anesthesiology.

[15]  Catarina Sofia,et al.  Advanced signal processing and control in anaesthesia. , 2002 .

[16]  M Elkfafi Intelligent signal processing of evoked potentials for control of anaesthesia. , 1995 .

[17]  C. Reilly,et al.  Remifentanil in combination with propofol for spontaneous ventilation anaesthesia. , 1998, British journal of anaesthesia.

[18]  Jyh-Shing Roger Jang,et al.  ANFIS: adaptive-network-based fuzzy inference system , 1993, IEEE Trans. Syst. Man Cybern..

[19]  P. Glass,et al.  Anesthetic drug interactions: an insight into general anesthesia--its mechanism and dosing strategies. , 1998, Anesthesiology.

[20]  M. McAuliffe,et al.  Anesthetic drug interactions. , 1995, CRNA : the clinical forum for nurse anesthetists.

[21]  C. Doré,et al.  The auditory evoked response as an indicator of awareness. , 1989, British journal of anaesthesia.