Nociception Level During Anaesthesia

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    kij

    i

    j

    k10

    V1 V2 V3

    E0

    Ce = 0

    EC50

    E

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    In Out

    preopioid intensity

    postopioidintensity

    preopioid intensity

    postopioid intensity

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    In Out

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    T M

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    RNorm

    RNorm

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    kij

    massi ce

    i, j = 1,..., 3

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    i

    P

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    scale

    i i= 1, ..., 35

    P

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    j j >5

    j = 1, 0

    scale

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    rho

    RNorm

    j

    , 1 j J, 0 k Kj

    j

    1

    j =12(j1)/2, 2 j J

    tp

    |Wf(p1)| and |Wf(p2)| T1

    sign(Wf(p1)).sign(Wf(p2))< 0, p2 p1 tp

    ta p1 tb p2

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    |Wf(ta)| and |Wf(tb)| T2

    |Wf(ta 1)| and |Wf(tb+ 1)| < T2

    T1 T2

    T1= 31w, T2= w

    w

    1

    = 0

    = 1

    Wj f(t) Wj f(t)

    W Wjf(t) f(t)

    (t) WSf(t)

    W WSf(t)

    S= j = int

    log2

    ts+ 0.5

    ts

    |WSf(t)| > Tu (t) = 0 Tu

    |WSf(t t)| < Ts (t) = 1 Ts

    t

    |WSf(t)| < Ts

    |W WSf(t)| < Tw (t) = 1 Tw

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    j j > 5

    j = 1, 0

    j

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    1 w Wf WWf

    Signali, i = 1, ..., 8

    In n = 3 Out m = 5

    In (t) = 1

    n

    ni=1

    Signali(t)

    Out(t) = 1

    m

    mi=1

    Signali(t)

    Signali 0.9, i= 1, ..., 8

    (t)

    (t) 0.9

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    Out

    (t) 0.9

    In Out

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    In Out

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    In Out

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    preopioid intensity

    opioid50

    scale

    opioid

    postopioid intensity

    postopioid intensity=

    preopioid intensity1 opioidopioid+(opioid50preopioid intensity)

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    preopioid intensity

    T SS= preopioid intensityRemifentanil Ce

    3 ng/ml

    postopioid intensity

    postopioid intensity

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    (t)

    postopioid intensity

    y(t)

    x(t + Ts) = Ax(t) + Bu(t)

    y(t) = Cx(t) + Du(t)

    M SE

    F it Error

    M SE=n

    i=1

    (yh(i) y(i))2

    n

    F it Error=n

    i=1

    |yh(i) y(i)|

    n

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    postopioid intensity

    postopioid intensity

    postopioid intensity

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    postopioid intensity

    signal(t)

    signal(t)

    signalN(t)

    signalN(t) = signal(t) mean(signal(t))

    mean(signal(t))

    t

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    In Out

    preopioid intensity

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    postopioid intensity

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    2

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    CO2

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    2

    T M

    T M

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    a

    T M

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    SEPAmp

    SEPAmp0

    R RNorm

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    RNorm

    RNorm

    RNorm

    RNorm

    RNorm

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    log10

    RNorm

    RNorm

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    RNorm

    RNorm

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    RNorm

    RNorm

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    ke0

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    i (i = 1, ..., 11

    ke0

    ke0

    m1(t)m2(t)m3(t)

    Ce(t)

    =

    k12 k13 k10 k21 k31 0

    k12 k21 0 0k13 0 k31 0ke0V1

    0 0 ke0

    m1(t)m2(t)m3(t)Ce(t)

    +

    1000

    r(t)

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    E0

    EC50 (g/ml)

    ke0 (min1)

    E(t) =E0

    1

    Ce(t)

    Ce(t) + EC50

    r(t)

    y

    u

    u

    r

    y

    u

    x= f(x) + G(x)u

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    y= h(x)

    x

    u

    f

    G

    h(x)

    x=

    m1(t)m2(t)m3(t)Ce(t)

    , u= r(t)

    f(x) =k12 k13 k10 k21 k31 0

    k12 k21 0 0k13 0 k31 0ke0V1

    0 0 ke0

    x

    G(x) =

    1000

    h(x) =E0

    1

    x(4)

    x(4) + EC50

    Lab b a

    Lab= b

    xa

    r= 2

    y(2) =L2fh + LG(Lfh) u

    y(2) =f(x) + G(x)u

    G

    f

    G

    (x) =LG(Lfh) =

    x h

    xfG

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    f(x) =L2fh=

    x

    h

    xf

    f

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    s=

    d

    dt+

    r1e

    e

    r

    e= y yd

    yd

    s= y(1) y(1)r

    yr y yd

    yd

    G

    f

    G

    f

    G

    f

    G(x) = (1 + )G(x), || D

    f(x) f(x)

    u=

    G(x)1

    y(2)r f(x) k sgn(s)

    G(x)

    f

    k

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    sgn(s) =

    1, s 0

    (1 D)k= + Dy(2)r f(x)

    +

    s

    sat(s/) =

    1, s s/, < s < 1, s

    G

    s = 0

    |s(t= 0)| /

    (r 1)/

    =0.3

    TA

    vS

    A 1

    3TA

    S1

    5vS

    TA= 10s

    vS = 1/5Hz = 1/30Hz TA

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    ke0

    yd(t) =

    86.89, t

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    ke0

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    kg

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    n

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    >

    >

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    kij massi

    ce

    i, j= 1, ..., 3

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    http://www.drugbank.ca/drugs/DB00899/structurehttp://www.drugbank.ca/drugs/DB00899/structure
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    http://www.drugbank.ca/drugs/DB00818/structurehttp://www.drugbank.ca/drugs/DB00818/structure
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    co2

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    T M