Modeling the effect of propofol and remifentanil combinations for sedation-analgesia in endoscopic procedures using an Adaptive Neuro Fuzzy Inference System (ANFIS)

Anesthesia and Analgesia

Volumn 112, Issue 2, 2011, Pages 331-339

  Gambus P L ^a   Jensen, E W ^b   Jospin, M ^b   Borrat, X ^a   Pallí, G Martínez ^a   Fernandez Candil J ^a   Valencia, J F ^b   Barba, X ^a   Caminal, P ^b   Troconiz I F ^c  

^a HOSPITAL CLÍNIC   (Spain)

^b UNIVERSITAT POLITÈCNICA DE CATALUNYA   (Spain)

^c UNIVERSITY OF NAVARRA   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

PROPOFOL; REMIFENTANIL;

ACCURACY; ADAPTIVE NEURO FUZZY INFERENCE SYSTEM; ADULT; AGED; ANALGESIA; ANALYTICAL ERROR; ARTICLE; AUTOREGRESSIVE AUDITORY EVOKED POTENTIAL INDEX; BISPECTRAL INDEX; CONCENTRATION RESPONSE; CONSCIOUSNESS LEVEL; ECHOGRAPHY; ELECTROENCEPHALOGRAM; ENDOSCOPY; EVOKED AUDITORY RESPONSE; FEMALE; FUZZY LOGIC; HUMAN; INFUSION SYSTEM; MAJOR CLINICAL STUDY; MALE; MATHEMATICAL MODEL; MEDIAN ABSOLUTE PERFORMANCE ERROR; MEDIAN ROOT MEAN SQUARED ERROR; NOCICEPTIVE STIMULATION; PREDICTIVE VALUE; PRIORITY JOURNAL; RAMSAY SEDATION SCALE SCORE; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; SCORING SYSTEM; SEDATION; SIGNAL TRANSDUCTION; VALIDATION STUDY;

EID: 79251635183     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/ANE.0b013e3182025a70     Document Type: Article

References (23)

1. Shafer SL, Gregg KM. Algorithms to rapidly achieve and maintain stable drug concentrations at the site of drug effect with a computer-controlled infusion pump. J Pharmacokinet Biopharm 1992;20:147-69
2. Ramsay MAE, Savege TM, Simpson BRJ, Goodwin R. Controlled sedation with alphaxalone-alphadolone. BMJ 1974;2:656-9
3. Chernik DA, Gillings D, Laine H, Hendler J, Silver JM, Davidson AB, Schwam EM, Siegel JL. Validity and reliability of the Observer's Assessment of Alertness/Sedation Scale: study with intravenous midazolam. J Clin Psychopharmacol 1990;10:244-51
4. Billard V, Gambús PL, Chamoun N, Stanski DR, Shafer SL. A comparison of spectral edge, delta power, and bispectral index as EEG measures of alfentanil, propofol, and midazolam drug effect. Clin Pharmacol Ther 1997;61:45-58
5. Jensen EW, Lindholm P, Henneberg SW. Autoregressive modeling with exogenous input of middle-latency auditory-evoked potentials to measure rapid changes in depth of anesthesia. Methods Inf Med 1996;35:256-60
6. Takagi T, Sugeno M. Fuzzy identification of systems and its applications to modelling and control. IEEE Trans Syst Man Cybern 1985;15:116-32
7. Jang JSR. ANFIS: adaptive network-based fuzzy inference system. IEEE Trans Syst Man Cybern 1993;23:665-85
8. Short TG, Ho TY, Minto CF, Schnider TW, Shafer SL. Efficient trial design for eliciting a pharmacokinetic-pharmacodynamic model-based response surface describing the interaction between two intravenous anesthetic drugs. Anesthesiology 2002;96:400-8
9. Schnider TW, Minto CF, Shafer SL, Gambús PL, Andresen C, Goodale DB, Youngs EJ. The influence of age on propofol pharmacodynamics. Anesthesiology 1999;90:1502-16
10. Schnider TW, Minto CF, Gambús PL, Andresen C, Goodale DB, Shafer SL, Youngs EJ. The influence of method of administration and covariates on the pharmacokinetics of propofol in adult volunteers. Anesthesiology 1998;88:1170-82
11. Minto CF, Schnider TW, Egan TD, Youngs E, Lemmens HJ, Gambús PL, Billard V, Hoke JF, Moore KH, Hermann DJ, Muir KT, Mandema JW, Shafer SL. Influence of age and gender on the pharmacokinetics and pharmacodynamics of remifentanil. I. Model development. Anesthesiology 1997;86:10-23
12. Revuelta M, Paniagua P, Campos JM, Fernandez JA, Martinez A, Jospin M, Litvan H. Validation of the index of consciousness during sevoflurane and remifentanil anaesthesia: a comparison with the bispectral index and the cerebral state index. Br J Anaesth 2008;101:653-8
13. Jensen EW, Jospin M, Gambús PL, Vallverdu M, Caminal P. Validation of the Index of Consciousness (IoC) during sedation/analgesia for ultrasonographic endoscopy. Conf Proc IEEE Eng Med Biol Soc 2008;2008:5552-5
14. Zhang XS, Roy RJ. Derived fuzzy knowledge model for estimating the depth of anesthesia. IEEE Trans Biomed Eng 2001;48:312-23
15. Varvel JR, Donoho DL, Shafer SL. Measuring the predictive performance of computer-controlled infusion pumps. J Pharmacokinet Biopharm 1992;20:63-94
16. Smith WD, Dutton RC, Smith NT. Measuring the performance of anesthetic depth indicators. Anesthesiology 1996;84:38-51
17. Ellerkmann RK, Bruhn J, Soehle M, Kehrer M, Hoeft A, Kreuer S. Maximizing prediction probability PK as an alternative semiparametric approach to estimate the plasma effect-site equilibration rate constant ke0. Anesth Analg 2009;109:1470-8
18. Struys MM, Vereecke H, Moerman A, Jensen EW, Verhaeghen D, De Neve N, Dumortier FJ, Mortier EP. Ability of the bispectral index, autoregressive modelling with exogenous input-derived auditory evoked potentials, and predicted propofol concentrations to measure patient responsiveness during anesthesia with propofol and remifentanil. Anesthesiology 2003;99:802-12
19. Nieuwenhuijs DJ, Olofsen E, Romberg RR, Sarton E, Ward D, Englbers F, Vuyk J, Mooren R, Teppema LJ, Dahan A. Response surface modeling of remifentanil-propofol interaction on cardiorespiratory control and bispectral index. Anesthesiology 2003;98:312-22
20. Bouillon TW, Bruhn J, Radulescu L, Andresen C, Shafer TJ, Cohane C, Shafer SL. Pharmacodynamic interaction between propofol and remifentanil regarding hypnosis, tolerance of laryngoscopy, bispectral index, and electroencephalographic approximate entropy. Anesthesiology 2004;100:1353-72
21. Kazama T, Takeuchi K, Ikeda K, Ikeda T, Kikura M, Iida T, Suzuki S, Hanai H, Sato S. Optimal propofol plasma concentration during upper gastrointestinal endoscopy in young, middleaged, and elderly patients. Anesthesiology 2000;93:662-9
22. Kern SE, Johnson JO, Westenskow DR. Fuzzy logic for model adaptation of a pharmacokinetic-based closed loop delivery system for pancuronium. Artif Intell Med 1997;11:9-31
23. Kang SH, Poynton MR, Kim KM, Lee H, Kim DH, Lee SH, Bae KS, Linares O, Kern SE, Noh GJ. Population pharmacokinetic and pharmacodynamic models of remifentanil in healthy volunteers using artificial neural network analysis. Br J Clin Pharmacol 2007;64:3-13