A Review of Modern Control Strategies for Clinical Evaluation of Propofol Anesthesia Administration Employing Hypnosis Level Regulation.

Regulating the depth of hypnosis during surgery is one of the major objectives of an anesthesia infusion system. Continuous administration of Propofol infusion during surgical procedures is essential but it unduly increases the load of an anesthetist working in a multitasking scenario in the operati...

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Publicado en:BioMed Research International Vol. 2017; pp. 1 - 13
Autores principales: Ilyas, Muhammad, Butt, Muhammad Fasih Uddin, Bilal, Muhammad, Mahmood, Khalid, Khaqan, Ali, Ali Riaz, Raja
Formato: equations & formulas tables/charts Journal Article
Publicado: Wiley-Blackwell 3/30/2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 3/30/2017
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      pub: Wiley-Blackwell
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        10.1155/2017/7432310
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        atl: A Review of Modern Control Strategies for Clinical Evaluation of Propofol Anesthesia Administration Employing Hypnosis Level Regulation.
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        au:
          Ilyas, Muhammad
          Butt, Muhammad Fasih Uddin
          Bilal, Muhammad
          Mahmood, Khalid
          Khaqan, Ali
          Ali Riaz, Raja
        affil: Department of Electrical Engineering, COMSATS Institute of Information Technology, Islamabad 45550, Pakistan
      sug:
        subj:
          Hypnosis
          Propofol Administration and Dosage
          Patient Safety
          Propofol Pharmacodynamics
          Propofol Pharmacokinetics
          Barthel Index
          Clinical Assessment Tools
          Algorithms
      ab: Regulating the depth of hypnosis during surgery is one of the major objectives of an anesthesia infusion system. Continuous administration of Propofol infusion during surgical procedures is essential but it unduly increases the load of an anesthetist working in a multitasking scenario in the operation theatre. Manual and target controlled infusion systems are not appropriate to handle instabilities like blood pressure and heart rate changes arising due to interpatient and intrapatient variability. Patient safety, large interindividual variability, and less postoperative effects are the main factors motivating automation in anesthesia administration. The idea of automated system for Propofol infusion excites control engineers to come up with more sophisticated systems that can handle optimum delivery of anesthetic drugs during surgery and avoid postoperative effects. A linear control technique is applied initially using three compartmental pharmacokinetic and pharmacodynamic models. Later on, sliding mode control and model predicative control achieve considerable results with nonlinear sigmoid model. Chattering and uncertainties are further improved by employing adaptive fuzzy control and H∞ control. The proposed sliding mode control scheme can easily handle the nonlinearities and achieve an optimum hypnosis level as compared to linear control schemes, hence preventing mishaps such as underdosing and overdosing of anesthesia.
      pubtype: Academic Journal
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        equations & formulas
        tables/charts
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      ougenre: Article
    language: English
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