2016
DOI: 10.1088/1741-2560/13/6/066019
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An adaptive and generalizable closed-loop system for control of medically induced coma and other states of anesthesia

Abstract: These results have significant implications for clinically viable CLAD design for a wide range of anesthetic states, with potential cost-saving and therapeutic benefits.

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Cited by 42 publications
(52 citation statements)
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“…To formulate the dynamical model for neural activity, we exploit a latent state-space formulation. A state-space model consists of a state equation and an observation equation [17][18][19]21,22,35,42,46,47,49,53,[60][61][62][63]68,70,72 . We build three dynamical models: a single-scale dynamical model for spiking activity, a single-scale dynamical model for LFP activity, and a multiscale dynamical model for combined spike-LFP activity.…”
Section: Methodsmentioning
confidence: 99%
“…To formulate the dynamical model for neural activity, we exploit a latent state-space formulation. A state-space model consists of a state equation and an observation equation [17][18][19]21,22,35,42,46,47,49,53,[60][61][62][63]68,70,72 . We build three dynamical models: a single-scale dynamical model for spiking activity, a single-scale dynamical model for LFP activity, and a multiscale dynamical model for combined spike-LFP activity.…”
Section: Methodsmentioning
confidence: 99%
“…Moreover, the application of a closed-loop system has guided the controlled release of a treatment drug in a medical context. Yang and Shanechi (2016) used a closed-loop system to monitor the brain state via EEG and control the level of burst suppression (i.e., amount of reduction in bursts of increased electrical activity); this feedback approach was successfully used to regulate, in real time, the injection of an anesthetic drug to keep the patient in a constant state.…”
Section: Applications Of Open- and Closed-loop Systemsmentioning
confidence: 99%
“…Finally, the calibration algorithm has the potential to be generalized to Bayesian filters beyond the KF and PPF, e.g., the unscented Kalman filter [ 42 ], an adaptive filter with a binomial distribution as the observation model [ 44 ], or hybrid spike-LFP filters [ 91 ]. The derivations of Eqs (7) and (8) in theorems 1 and 3 are based on the recursive equation for estimation error dynamics, which is derived from the desired Bayesian filter.…”
Section: Discussionmentioning
confidence: 99%
“…A calibration algorithm that can write an explicit function for the effect of the learning rate on error and/or convergence time for both linear and nonlinear observation models would also provide a novel approach for learning rate selection in other signal processing domains [ 41 – 47 ]. For example, in image processing [ 43 ], in electrocardiography [ 41 ], in anesthesia control [ 44 ], in automated heart beat detection [ 46 , 47 ], and in unscented Kalman filters [ 42 ], adaptive filters with learning rates are used in decoding system states or in learning system parameters in real time (see Discussions ).…”
Section: Introductionmentioning
confidence: 99%