Decision-making strategy for automatic recognition of sedation states

Abstract

Introduction: Anesthesiology is the medical specialty concerned with the specific care of patients during surgical and intensive care procedures. This specialty, based on scientific and technological advances, has incorporated the use of electroencephalographic monitoring, facilitating the continuous control in the use of anesthesia for patient´s sedation states during surgeries, with an adequate concentration of drugs. Objective: proposal for a classification strategy for automatic recognition of three sedation states in electroencephalographic signals. Methods: we used, with written informed consent, the electroencephalographic records of 27 patients undergoing abdominal surgery, excluding those with a history of epilepsy, cerebrovascular disease and other neurological conditions. A total of 12 drugs to produce anesthesia and two muscle relaxants with 19 electrodes, mounted according to the International System 10 -20, were applied. Artifacts in the records were eliminated and artificial intelligence techniques were applied to perform automatic recognition of sedation states. Results: a strategy based on the use of support vector machines with a multiclass algorithm One-against-Rest and the Cosine Similarity metric was proposed to perform the automatic recognition of three sedation states: deep, moderate and light, in signals recorded by the frontal channel F4 and the occipital channels O1 and O2. A comparison was carried out between the proposal showed and other classification methods. Conclusions: a balanced accuracy of 92.67% is computed about the recognition of the three states of sedation in the signals recorded by the electroencephalographic channel F4, which helps in a better anesthetic monitoring process.

Keywords

• señales electroencefalográficas
• estados de sedación anestésica
• reconocimiento automático
• máquinas de soporte vectorial