ROBUST CONTROL OF END-TIDAL CO₂ USING THE H_∞ LOOP-SHAPING APPROACH

Abstract

Mechanically ventilated patients require appropriate settings of respiratory control variables to maintain acceptable gas exchange. To control the carbon dioxide (CO2) level effectively and automatically, system identification based on a human subject was performed using a linear affine model and a nonlinear Hammerstein structure. Subsequently, a robust controller was designed using the H∞ loop-shaping approach, which synthesizes the optimal controller based on a specific objective by achieving stability with guaranteed performance. For demonstration purposes, the closed-loop control ventilation system was successfully tested in a human volunteer. The experimental results indicate that the blood CO2 level may indeed be controlled noninvasively by measuring end-tidal CO2 from expired air. Keeping the limited amount of experimental data in mind, we conclude that H∞ loop-shaping may be a promising technique for control of mechanical ventilation in patients with respiratory insufficiency.