title: Design of a recognition system to predict movement during anesthesia.
abstract: The need for a reliable method of predicting movement during anesthesia has existed since the introduction of anesthesia. This paper proposes a recognition system, based on the autoregressive (AR) modeling and neural network analysis of the electroencephalograph (EEG) signals, to predict movement following surgical stimulation. The input to the neural network will be the AR parameters, the hemodynamic parameters blood pressure (BP) and heart rate (HR), and the anesthetic concentration in terms of the minimum alveolar concentration (MAC). The output will be the prediction of movement. Design of the system and results from the preliminary tests on dogs are presented in this paper. The experiments were carried out on 13 dogs at different levels of halothane. Movement prediction was tested by monitoring the response to tail clamping, which is considered to be a supramaximal stimulus in dogs. The EEG data obtained prior to tail clamping was processed using a tenth-order AR model and the parameters obtained were used as input to a three-layer perceptron feedforward neural network. Using only AR parameters the network was able to correctly classify subsequent movement in 85% of the cases as compared to 65% when only hemodynamic parameters were used as the input to the network. When both the measures were combined, the recognition rate rose to greater than 92%. When the anesthetic concentration was added as an input the network could be considerably simplified without sacrificing classification accuracy. This recognition system shows the feasibility of using the EEG signals for movement during anesthesia.
authors.affiliation: Becton Dickinson and Company, Franklin Lakes, NJ 07417, USA.
authors.forename: A
authors.initials: A
authors.lastname: Sharma
authors.forename: R J
authors.initials: RJ
authors.lastname: Roy
mesh_terms: D000776:Anesthesiology / Q000295:instrumentation*; D000818:Animals; D004285:Dogs; D004569:Electroencephalography; D004867:Equipment Design; D016343:Monitoring, Intraoperative / Q000295:instrumentation*; D009068:Movement / Q000502:physiology*; D016571:Neural Networks, Computer; D012815:Signal Processing, Computer-Assisted