Skip to main content
Log in

A Fuzzy Logic-Based Decision Support System on Anesthetic Depth Control for Helping Anesthetists in Surgeries

  • Original Paper
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

In this study, a fuzzy logic-based anesthetic depth decision support system (ADDSS) was realized for anesthetic depth control to help anesthetists in surgeries. Depth of anesthesia for a patient can change according to anesthetic agent and characteristic properties of a patient such as age, weight, etc. During the surgery, depth of anesthesia of a patient is determined by the experience of anesthetist controlling of systolic arterial pressure (SAP) and heart pulse rate (HPR) parameters. Anesthetists could have tired and lost attention by inhaling of anesthetic gas leaks in long lasted operations. For that reason, improper anesthetic depth could be applied to the patients. So anesthesia could not be safety and comfortable. To remove this unwanted situation, an ADDSS was proposed for anesthetists. By the help of this system, precise anesthetic depth could have provided. Thus, the anesthetist will spend less time to provide anesthetic and the patient will have a safer and less expensive operation. This study was performed under sevoflurane anesthetic.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Marshall, B. E., and Lockenfger, D. E., General anaesthetics, Goodman and Gilman’s, the pharmocological basis of therapeutics. 8th Edition. Oxford: Permagon Press, 1990, pp. 285–311.

    Google Scholar 

  2. Snow J. C., Anestezi El Kitabı: Izmir Guven Kitapevi, Izmir, 1986.

  3. Saraoglu, H. M., and Sanlı, S., Fuzzy logic based anesthetic depth control, 2003 ICIS International Conference on signal processing (ICSP 2003), September 24–26. Çanakkale, Turkey, 2003.

  4. Mahfouf, M., Asbury, A. J., and Likens, D. A., Unconstrained and constrained generalized predictive control of depth of anesthesia during surgery. Control. Eng. Pract. 11:1501–1515, 2003.

    Article  Google Scholar 

  5. Becker, K., Thull, B., Kasmacher-Leidinger, H., Stemmer, J., Rau, G., Kalf, G., and Zimmermann, H., Design and validation of an intelligent patient monitoring and alarm system based on fuzzy logic process model. Artif. Intell. Med. 11:33–53, 1997.

    Article  Google Scholar 

  6. Vefghi, L., and Linkens, D. A., Internal representation in neural networks used for classification of patient anesthetic states and dosage. Comput. Methods Programs Biomed. 59, 1999 pp. 75–89.

    Article  Google Scholar 

  7. Pis P., and Mesiar,R., Fuzzy model of inexact reasoning in medicine. Comput. Methods Programs Biomed. 30:1–8, 1989.

    Article  Google Scholar 

  8. Greenhow, S. G., Linkens, D. A., and Asbury, A., Pilot study of an expert system adviser for controlling general anesthesia. Br. J. Anaesth. 71:359–365, 1993.

    Article  Google Scholar 

  9. Zbinden, A. M., Feigenwinter, P., and Hutmacher, M., Fresh gas utilization of eight circle system. Br. J. Anaesth. 67:492–499, 1991.

    Article  Google Scholar 

  10. Bengstone, J. P., Sonader, H., and Stenquvist, O., Comparison of cost of different anesthetic techniques. Acta Anaesthesiol. Scand. 32:33–35, 1998.

    Google Scholar 

  11. Linkens, D. A. Adaptive and intelligent control in anaesthesia. IEEE Control Syst. Mag. 12(6):6–11, 1992.

    Article  Google Scholar 

  12. Vickers, M. D., Schniede, H., and Wood-Smith, F. G., Drugs in anaesthetic practice. 6th Edition. London: Butterworths, 1984.

    Google Scholar 

  13. Merer, R., Nieuwland J., Zbinden, A. M., and Hacisalihzade, S. S., Fuzzy logic control of blood pressure during anesthesia. IEEE Control Syst. Mag. 12(9):12–17, 1992.

    Article  Google Scholar 

  14. Zadeh, L. A., Fuzzy sets. Inf. Control. 8:38–53, 1967.

    MathSciNet  Google Scholar 

  15. Temurtas, F., Fast detection of the hazardous organic gases in the ambient air using adaptive neuro-fuzzy inference systems. Int. J. Environ. Pollut. 28(3/4), 2006.

  16. Yea, B., Osaki, T., Sugahara, K., and Konishi, R., Improvement of concentration estimation algorithm for inflammable gases utilizing fuzzy rule based neural networks. Sens. Actuators B Chem. 56:181–188, 1999.

    Article  Google Scholar 

  17. Mamdani, E. H., and Assilian, S., An experiment in linguistic synthesis with a fuzzy logic controller. Int. J. Man-Mach. Stud. 7(1):1–13, 1975.

    Article  MATH  Google Scholar 

  18. MATLAB® Documentation (2002) Neural Network Toolbox Help, Version 6.5, Release 13, MathWorks, 3 Apple Hill Drive Natick, MA.

Download references

Acknowledgements

We would like to thank the Kütahya State Hospital officials for providing the medical data for the present study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hamdi Melih Saraoğlu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Saraoğlu, H.M., Şanlı, S. A Fuzzy Logic-Based Decision Support System on Anesthetic Depth Control for Helping Anesthetists in Surgeries. J Med Syst 31, 511–519 (2007). https://doi.org/10.1007/s10916-007-9092-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10916-007-9092-x

Keywords

Navigation