Forecasting the unresponsiveness to verbal command on the basis of EEG frequency progression during anesthetic induction with propofol.
The objective of this study is to model the association between the electroencephalogram (EEG) spectral features and the novel r scale representing the sedative effects of the propofol anesthetic drug. On the basis of the r scale, the unresponsiveness to the verbal command (LVC) is forecasted. EEG recordings are taken from a 16-patient study population undergoing propofol anesthetic induction. EEG was filtered into consecutive 4-Hz passbands up to 28 Hz. Of these time-series, the amplitude envelopes were extracted and used as input features to the first and the second-order polynomial multiple linear regression models. The values r epsilon [0.4, 1] were predicted with the R2 value of 0.775 with a cross validation. The LVC times were forecasted with the median error of 5%-7% or equivalently 10-13 s. In contrast, using the median of the measured LVC times of the training population as a forecast, the corresponding error was 12% or 26 s. The results suggest an acceptable correlation between the r scale and the EEG spectrum in the studied range. Moreover, the r values of an individual can be predicted using a population model. The suggested framework enables forecasting the LVC, which may open new possibilities for steering the drug administration.
Koskinen
Miika
M
Department of Electrical and Information Engineering, University of Oulu, FIN-90014 Oulu, Finland. miika.koskinen@ee.oulu.fi
Mustola
Seppo
S
Seppäinen
Tapio
T
D000328:Adult; D000465:Algorithms; D000758:Anesthesia / Q000379:methods; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D001307:Auditory Perception / Q000187:drug effects / Q000502:physiology; D003243:Consciousness / Q000187:drug effects* / Q000502:physiology*; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D004360:Drug Therapy, Computer-Assisted / Q000379:methods*; D004569:Electroencephalography / Q000187:drug effects* / Q000379:methods*; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D015742:Propofol / Q000008:administration & dosage*
D018686:Anesthetics, Intravenous; D015742:Propofol