title: Adaptive computer control of anesthesia in humans.
abstract: This paper presents an efficient computer control technique for regulation of anesthesia in humans. The anesthetic used is propofol and the objective is to control the degree of hypnosis of the patient. The paper describes the basic hardware/software setup of the system and the closed-loop methodologies. The bispectral index (BIS) is considered as the feedback signal. The control methods proposed here are based in the use of proportional integral controllers with dead-time compensation to avoid undesirable oscillations in the BIS signal during the process. The compensation is based on the Smith predictor. To guarantee the applicability of the method to different patients, an adaptive module to tune the compensator is developed. Some real and simulated results are presented in this work to attest the efficiency of the methods used.
authors.affiliation: Departmento de Ingenieria de Sistemas y Automática y ATC, de la Universidad de La Laguna, La Laguna, Tenerife, Spain. jamendez@ull.es
authors.forename: Juan Albino
authors.initials: JA
authors.lastname: Méndez
authors.forename: Santiago
authors.initials: S
authors.lastname: Torres
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Reboso
authors.forename: Héctor
authors.initials: H
authors.lastname: Reboso
mesh_terms: D000758:Anesthesia / Q000379:methods*; D006801:Humans; D013813:Therapy, Computer-Assisted