title: A cascade feedback control approach for hypnosis.
abstract: This article studies the problem of controlling the drug administration during an anesthesia process, where muscle relaxation, analgesia, and hypnosis are regulated by means of monitored administration of specific drugs. On the basis of a seventh-order nonlinear pharmacokinetic-pharmacodynamic representation of the hypnosis process dynamics, a cascade (master/slave) feedback control structure for controlling the bispectral index (BIS) is proposed. The master controller compares the measured BIS with its reference value to provide the expired isoflurane concentration reference to the slave controller. In turn, the slave controller manipulates the anesthetic isoflurane concentration entering the anesthetic system to achieve the reference from the master controller. The advantage of the proposed cascade control structure with respect to its noncascade counterpart is that the former provides operation protection against BIS measurement failures. In fact, under a BIS measurement fault, the master control feedback is broken and the slave controller operates under a safe reference value. Extensive numerical simulations are used to illustrate the functioning of the proposed cascade control structure.
authors.affiliation: Programa de Investigación en Matemáticas Aplicadas y Computación, Instituto Mexicano del Petróleo, Lazaro Cardenas 152, Col. San Bartolo Atepehuacan, CP 07730 Mexico. hpuebla@imp.mx
authors.forename: Hector
authors.initials: H
authors.lastname: Puebla
authors.forename: José
authors.initials: J
authors.lastname: Alvarez-Ramírez
mesh_terms: D000280:Administration, Inhalation; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D003198:Computer Simulation; D004360:Drug Therapy, Computer-Assisted / Q000379:methods*; D005246:Feedback / Q000502:physiology; D006801:Humans; D006991:Hypnosis, Anesthetic / Q000379:methods*; D007530:Isoflurane / Q000008:administration & dosage* / Q000493:pharmacokinetics*; D008168:Lung / Q000187:drug effects / Q000502:physiology*; D008954:Models, Biological; D008991:Monitoring, Physiologic / Q000379:methods; D015656:Respiratory Mechanics / Q000187:drug effects / Q000502:physiology*
chemical_list: D018685:Anesthetics, Inhalation; D007530:Isoflurane