Información del artículo
Resumen
Este artículo se centra en el modelado y control de la hipnosis durante la anestesia de pacientes sometidos a intervenciones quirúrgicas. Por un lado en este trabajo se aborda el problema del modelado del proceso presentando resultados validados con pacientes reales. Asimismo, se propone un controlador avanzado para regular el estado hipnótico. El algoritmo empleado se basa en combinar una acción nominal obtenida a partir de la dinámica inversa juntamente con una acción correctora que se obtiene a partir de un controlador predictivo. El trabajo persigue desarrollar una técnica que permita la regulación del estado del paciente y que tenga características de adaptabilidad a los diferentes individuos. Se muestran resultados preliminares de la estrategia propuesta para demostrar la eficiencia del sistema.
Palabras clave:
Anestesia
BIS
Propofol
Control
Control PID
Control Predictivo
Control Adaptativo
El Texto completo está disponible en PDF
Referencias
[Absalom et al., 2002a]
A.R. Absalom, Sutcliffe, G.N.C. Kenny.
Closed-loop Control of Anesthesia Using Bispectral Index. Performance Assessment in Patients Undergoing Major Orthopedic Surgery under Combined General and Regional Anesthesia. Anesthesiology;, 96 (2002), pp. 67-73
[Absalom et al., 2002b]
A.R. Absalom, K. Leslie, G.N.C. Kenny.
(2). Closed loop control of sedation for colonoscopy using the Bispectral Index. Anaesthesia, 57 (2002), pp. 690-709
[Absalom and Kenny, 2003]
Absalom, A.R., Kenny, G.N. C. (2003). Closed-loop control of propofol anaesthesia using bispectral indexTM: performance assessment in patients receiving computer controlled propofol and manually controlled remifentanil infusions for minor surgery. British Journal of Anaesthesia 90 (6): 737-741 (2003).
[Box et al., 1994]
Box, G.E.P., Jenkins, G.M., and Reinsel, G.C. (1994). Time Series Analysis: Forecasting and Control. Third edition. Prentice-Hall.
[Dumont et al., 2009]
G.A. Dumont, A. Martinez, J.M. Ansermino.
Robust control of depth of anesthesia. International Journal of Adaptive Control and Signal Processing;, 23 (2009), pp. 435-454
[Furutani et al., 2005]
Furutani, E., Sawaguchi, Y., Shirakami, G., Araki, M. and Fukuda, K. (2005). A hypnosis control system using a model predictive controller with online identification of individual parameters. Proceedings of the 2005 IEEE Conference on Control Applications. Toronto, Canada, August 28-31.
[Gentillini, 2001]
Gentillini, A.L. (2001), Feedback Control of Hypnosis and Analgesia in Humans, Tesis Doctoral, Diss. ETH No. 14070, ETH, Zurich.
[Hemmerling, 2007]
T.M. Hemmerling.
Automated Anesthesia. Advances in Anesthesia, 25 (2007), pp. 17-39
[Ionescu et al., 2008]
C.M. Ionescu, R. De Keyser, B.C. Torrico, T. De Smet, M.M. Struys, J.E. Normey-Rico.
Robust Predictive Control Strategy Applied for Propofol Dosing Using BIS as a Controlled Variable During Anesthesia. IEEE Transactions On Biomedical Engineering.
55, No., 9 (2008), pp. 2161-2170
[Kenny and Mantzaridis, 1999]
G.N.C. Kenny, H. Mantzaridis.
Closed-loop control of propofol anaesthesia.
British Journal of Anaesthesia, 83 (1999), pp. 223-228
[Liu et al., 2006]
Liu, N., Chazot, T., Genty, A., Landais, A., Restoux, A., McGee, K., Laloë, P.A., Trillat, B., Barvais, L., Fischler, M. (2006). Titration of Propofol for Anesthetic Induction and Maintenance Guided by the Bispectral Index: Closed-loop versus Manual Control. A Prospective, Randomized, Multicenter Study. Anesthesiology; 104:686-95 © 2006 American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins, Inc.
[Marsh et al., 1991]
B. Marsh, M. White, N. Morton, G.N.C. Kenny.
Pharmacokinetic model driven infusion of Propofol in children.
Br J Anaesth., 67 (1991), pp. 41-48
[Mayo et al., 1950]
C.W. Mayo, R.G. Bickford, A. Faulconer.
Electroencephalographically controlled anesthesia in abdominal surgery. Journal of the American Medical Association;, 144 (1950), pp. 1081-1083
[Méndez et al., 2009a]
J.A. Méndez, S. Torres, J.A. Reboso, H. Reboso.
Adaptive Computer Control of Anesthesia in Humans. Computer Methods in Biomechanics and Biomedical Engineering, 12 (2009), pp. 727-734
[Méndez et al., 2009b]
Méndez, J.A., Torres, S., Reboso, J.A., Reboso, H. (2009)(2). Modelbased controller for anesthesia automation. Proceedings of the IEEE Conference on Automation Science and Engineering, Bangalore, India.
[Morley et al., 2000]
A. Morley, J. Derrick, P. Mainland, B.B. Lee, T.G. Short.
Closed loop control of anaesthesia: an assessment of the bispectral index as the target of control.
Anaesthesia, 55 (2000), pp. 953-959
[Niño et al., 2009]
J. Niño, R. De Keyser, S. Syafiie, C. Ionescu, M.M. Struys.
EPSAC-controlled anesthesia with online gain adaptation. International Journal of Adaptative Control and Signal Processing;, 23 (2009), pp. 455-471
[Reboso et al., 2007]
Reboso J.A., Méndez, J.A., Reboso, H., González-Miranda, F. (2007). Closed-Loop Control of Propofol Infusion using the BIS: Preliminary Results. Book of Abstracts of the First World Congress of Total Intravenous Anesthesia-TC, Venice.(Italy).
[Sakai et al., 2000]
T. Sakai, A. Matsuki, P.F. White, A.H. Giesecke.
Use of an EEG-bispectral closed-loop delivery system for administering propofol. Acta Anaesthesiologica Scandinavica;, 44 (2000), pp. 1007-1010
[Sawaguchi et al., 2003]
Sawaguchi, Y., Purutani, E., Shirakami, G., Araki, M. and Fukuda, K. (2003). A model predictive sedation control system under total intravenous anesthesia. Proc. of the IEEE EMBS Asian-Pacific Conference on Biomedical Engineering, pp. 358-359.
[Schnider et al., 1998]
T.W. Schnider, C.F. Minto, P.L. Gambus, C. Anderson, D.B. Goodale, S.L. Shafer, E.J. Youngs.
The Influence of method of administration and covariates on the pharmacokinetics of propofol in adult volunteer.
Anesthesiology, 88 (1998), pp. 1170-1182
[Sigl and Chamoun, 1994]
J.C. Sigl, N.G. Chamoun.
An introduction to bispectral analysis for the electroencephalogram.
Journal of Clinical Monitoring, 10 (1994), pp. 392-404
[Söderström and Stoica, 1989]
Söderström, T., and Stoica, P. (1989). System Identification. Prentice Hall International.
[Sreenivas et al., 2008]
Sreenivas, Y., Samavedham, L. and Rangaiah, G.P. (2008). Advanced Regulatory Controller for Automatic Control of Anesthesia. Proceedings of the 17th World Congress The International Federation of Automatic Control Seoul, Korea, July 6-11.
[Sreenivas et al., 2009]
Y. Sreenivas, L. Samavedham, G.P. Rangaiah.
Advanced Control Strategies for the Regulation of Hypnosis with Propofol.
Ind. Eng. Chem. Res., 48 (2009), pp. 3880-3897
[Struys et al., 2000]
M.M. Struys, T. De Smet, B. Depoorter, L.F. Versichelen, E.P. Mortier, F.J. Dumortier, S.L. Shafer, G. Rolly.
Comparison of plasma compartment versus two methods for effect compartmentcontrolled target controlled infusion for Propofol.
Anesthesiology, 92 (2000), pp. 399-406
[Struys et al., 2001]
M.M. Struys, T. De Smet, L.F. Versichelen, S. Van De Velde, R. Van den Broecke, E.P. Mortier.
A Comparison of Closed-loop Controlled Administration of Propofol Using Bispectral Index as the Controlled Variable versus “Standard Practice” Controlled Administration. Anesthesiology;, 95 (2001), pp. 6-17
[Syafiie et al., 2009]
Syafiie, S., Niño, J., Ionescu, C., and De Keyser, R. (2009). NMPC for Propofol Drug Dosing during Anesthesia Induction. L. Magni et al. (Eds.): Nonlinear Model Predictive Control, LNCIS 384, pp. 501-509.
[Torrico et al., 2007]
Torrico, B.C., De Keyser, R., Ionescu, C., Normey-Rico, J.E. (2007). Predictive Control with Robust Dead-Time Compensation: Application to drug dosing during Anesthesia. Prepints of the 7th IFAC Symposium on Nonlinear Control Systems. 21-24 August, 2007, Pretoria, South Africa.
[Vanluchene et al., 2004]
A.L.G. Vanluchene, H. Vereecke, O. Thas, E.P. Mortier, S.L. Shafer, M.M. Struys.
Spectral Entropy as an electroencephalographic measure of anesthetic drug effect.
Anesthesiology, 101 (2004), pp. 34-42
Copyright © 2011. Elsevier España, S.L.. Todos los derechos reservados