Medical Devices: Evidence and Research (Oct 2024)
Intelligent Generating Controller a Desflurane Concentration Value Which Helps to Decrease Blood Pressure
Abstract
Pawel Ratajczyk,1 Bartosz Dominikowski,2 Agnieszka Czylkowska,3 Bartlomiej Rogalewicz,3 Cezary Kulak,4 Tomasz Gaszynski1 1Department of Anaesthesiology and Intensive Therapy, Medical University of Lodz, Lodz, Poland; 2Institute of Electrical Engineering Systems, Lodz University of Technology, Lodz, Poland; 3Institute of General and Ecological Chemistry, Lodz University of Technology, Lodz, Poland; 4Medical Simulation Center, Medical University of Lodz, Lodz, PolandCorrespondence: Tomasz Gaszynski, Department of Anaesthesiology and Intensive Therapy, Medical University of Lodz, Kopcinskiego Str 22, Lodz, 90-153, Poland, Email [email protected]: The aim of the article is to determine the appropriate concentration of desflurane to effectively counteract the increase in blood pressure resulting from surgical stress. In medical practice, this increase is often limited by using additional doses of opioid drugs. Additional medications or higher doses of those already used may adversely affect your health. During anesthesia, physician must note the use of drugs and remember them, especially those that he has recently administered, which affect his concentration. For this purpose, the authors decided to propose support for the selection of desflurane concentration so that frequent use of opioid drugs is not necessary. The authors used a system based on AI issues to accomplish this task. The learned system supports the anesthesiologist’s work by imitating him.Patients and Methods: The proposed method for selecting the desflurane concentration is based on a fuzzy controller. This system includes a learning mechanism that allows for minimizing the operating error. The main advantage of this system is the ability to build a function allowing the selection of anesthesia parameters without knowledge of the mathematical description of the process. To accomplish this task, you need an expert who will provide information in the construction of logical if-then sentences (points in space). The fuzzy controller connects the points in the consideration space appropriately, generating a hypersurface. The algorithm test was performed only by computer without the participation of patients.Results: The operation of the proposed algorithm was verified by computer simulation. The authors of the article analyzed the compliance of the obtained results with the table provided by the expert. The desflurane concentration values obtained by computer simulation are similar to those given in the table Minimal driver error does not affect the patient’s clinical response. This error results from the functions used in the fuzzy system and its settings. The results of the performance test of the proposed algorithm are presented in a time course, and it has the shape of a step function. The work proposes a function that allows you to enter the time needed for the body’s reaction to reach the desired Etdes level.Conclusion: In this study, a controller was created to support the selection of the concentration of desflurane allowing for a reduction in blood pressure (resulting from surgical stress). The results obtained by computer simulation provide valuable insights for optimizing anesthesia. This system can also be used as an important simulation program for teaching purposes.Keywords: fuzzy logic, anesthetic support, desflurane, mathematical models of desflurane
