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This paper proposes an adaptive neuro-fuzzy framework to improve drug infusion rate in closed-loop control of anesthesia. The proposed controller provides a sub-optimal propofol administration rate as input to reach the desired bispectral…

系统与控制 · 电气工程与系统科学 2019-10-16 Mohammad Javad Khodaei , Mohammad Hadi Balaghi Inaloo , Amin Mehrvarz , Nader Jalili

We obtain an analytical solution for the time-optimal control problem in the induction phase of anesthesia. Our solution is shown to align numerically with the results obtained from the conventional shooting method. The induction phase of…

最优化与控制 · 数学 2023-09-12 Mohamed A. Zaitri , Cristiana J. Silva , Delfim F. M. Torres

This paper presents a model-based control architecture. Based on the Medical Cyber-physical Systems (MCPS) concept, we construct a safe and reliable automatic anesthesia control closed-loop system. The control architecture uses the…

系统与控制 · 电气工程与系统科学 2021-12-30 Dayang Liu

Significant effort toward the automation of general anesthesia has been made in the past decade. One open challenge is in the development of control-ready patient models for closed-loop anesthesia delivery. Standard depth-of-anesthesia…

神经元与认知 · 定量生物学 2019-12-18 John H. Abel , Marcus A. Badgeley , Taylor E. Baum , Sourish Chakravarty , Patrick L. Purdon , Emery N. Brown

Medical drug infusion problems pose a combination of challenges such as nonlinearities from physiological models, model uncertainty due to inter- and intra-patient variability, as well as strict safety specifications. With these challenges…

系统与控制 · 电气工程与系统科学 2023-01-24 Sophie Hall , Lukas Ortmann , Miguel Picallo , Florian Dörfler

Reinforcement Learning (RL) can be used to fit a mapping from patient state to a medication regimen. Prior studies have used deterministic and value-based tabular learning to learn a propofol dose from an observed anesthetic state. Deep RL…

机器学习 · 计算机科学 2020-09-10 Gabe Schamberg , Marcus Badgeley , Emery N. Brown

Pain management in intensive care usually involves complex trade-offs, since both inadequate and excessive treatment can compromise patient safety. Prior work on reinforcement learning for sedation and analgesia has explored how to optimize…

机器学习 · 计算机科学 2026-05-19 Joel Romero-Hernandez , Oscar Camara

In this paper, a multi-model predictive control approach is used to automate the co-administration of propofol and remifentanil from bispectral index measurement during general anesthesia. To handle the parameter uncertainties in the…

系统与控制 · 电气工程与系统科学 2023-09-18 Bob Aubouin-Pairault , Mirko Fiacchini , Thao Dang

We present a non-linear dynamical system for modelling the effect of drug infusions on the vital signs of patients admitted in Intensive Care Units (ICUs). More specifically we are interested in modelling the effect of a widely used…

机器学习 · 计算机科学 2016-10-11 Konstantinos Georgatzis , Christopher K. I. Williams , Christopher Hawthorne

Accurately predicting anesthetic effects is essential for target-controlled infusion systems. The traditional (PK-PD) models for Bispectral index (BIS) prediction require manual selection of model parameters, which can be challenging in…

机器学习 · 计算机科学 2023-08-07 Yongkang He , Siyuan Peng , Mingjin Chen , Zhijing Yang , Yuanhui Chen

In this paper, an efficient control strategy for physiological interaction based anaesthetic drug infusion model is explored using the fractional order (FO) proportional integral derivative (PID) controllers. The dynamic model is composed…

系统与控制 · 计算机科学 2016-12-01 Saptarshi Das , Sourav Das , Koushik Maharatna

Objectives. Accurately predicting transitions to anesthetic drugs overdosage is a critical challenge in general anesthesia as it requires the identification of EEG indicators relevant for anticipating the evolution of the depth of…

神经元与认知 · 定量生物学 2025-12-18 Christophe Sun , Pierre-Olivier Michel , François David , Nathalie Rouach , Dan Longrois , David Holcman

Estimating intervention effects in dynamical systems is crucial for outcome optimization. In medicine, such interventions arise in physiological regulation (e.g., cardiovascular system under fluid administration) and pharmacokinetics, among…

机器学习 · 计算机科学 2026-02-13 Tomer Meir , Ori Linial , Danny Eytan , Uri Shalit

This paper introduces a continuous-time constrained nonlinear control scheme which implements a model predictive control strategy as a continuous-time dynamic system. The approach is based on the idea that the solution of the optimal…

系统与控制 · 计算机科学 2017-09-20 Marco M. Nicotra , Dominic Liao-McPherson , Ilya V. Kolmanovsky

This work provides a formalized model-invariant safety system for closed-loop anesthesia that uses feedback from measured data for model falsification to reduce conservatism. The safety system maintains predicted propofol plasma…

系统与控制 · 计算机科学 2018-04-20 Mahdi Yousefi , Klaske van Heusden , Ian M. Mitchell , J. Mark Ansermino , Guy A. Dumont

Closed loop anesthesia delivery (CLAD) systems can help anesthesiologists efficiently achieve and maintain desired anesthetic depth over an extended period of time. A typical CLAD system would use an anesthetic marker, calculated from…

定量方法 · 定量生物学 2020-07-14 Sourish Chakravarty , Ayan S. Waite , John H. Abel , Emery N. Brown

Proton Pump Inhibitors (PPIs) are the standard of care for gastric acid disorders but carry significant risks when administered chronically at high doses. Precise long-term control of gastric acidity is challenged by the impracticality of…

系统与控制 · 电气工程与系统科学 2025-07-15 Yutong Li , Ilya Kolmanovsky

Dosage schedule of the Proton Pump Inhibitors (PPIs) is critical for gastric acid disorder treatment. In this paper, we develop a constrained optimization based approach for scheduling the PPIs dosage. In particular, we exploit a…

系统与控制 · 电气工程与系统科学 2023-04-10 Yutong Li , Nan Li , Anouck Girard , Ilya Kolmanovsky

Fluid resuscitation, also called fluid therapy, is commonly used in treatment of critical care patients. Of the variables inherent to fluid therapy treatment, fluid infusion types are well-studied, but volumetric optimization is not.…

系统与控制 · 电气工程与系统科学 2023-12-12 Jacob Grant , Hossein Mirinejad

This paper presents a constraint-enforcing control framework for a class of discrete-time strict-feedback nonlinear systems. The objective is to guarantee closed-loop stability while ensuring forward invariance of a prescribed safe set…

最优化与控制 · 数学 2026-04-29 Jhon Manuel Portella Delgado , Ankit Goel
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