4.2 Article

One-Class-Based Intelligent Classifier for Detecting Anomalous Situations During the Anesthetic Process

Journal

LOGIC JOURNAL OF THE IGPL
Volume 30, Issue 2, Pages 326-341

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/jigpal/jzaa065

Keywords

fault detection; one-class; kNN; APE; autoencoder; SVM

Funding

  1. Fundacion Canaria de Investigacion Sanitaria [PIFUN23/18]
  2. Spanish Ministry of Education, Culture and Sport [FPU15/03347]

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This study evaluates different one-class intelligent techniques to detect anomalies in patients undergoing general anesthesia. Closed-loop administration of propofol for anesthesia control has advantages, but anomalies during the process can lead to inaccurate actions and adverse reactions.
Closed-loop administration of propofol for the control of hypnosis in anesthesia has evidenced an outperformance when comparing it with manual administration in terms of drug consumption and post-operative recovery of patients. Unlike other systems, the success of this strategy lies on the availability of a feedback variable capable of quantifying the current hypnotic state of the patient. However, the appearance of anomalies during the anesthetic process may result in inaccurate actions of the automatic controller. These anomalies may come from the monitors, the syringe pumps, the actions of the surgeon or even from alterations in patients. This could produce adverse side effects that can affect the patient postoperative and reduce the safety of the patient in the operating room. Then, the use of anomaly detection techniques plays a significant role to avoid this undesirable situations. This work assesses different one-class intelligent techniques to detect anomalies in patients undergoing general anesthesia. Due to the difficulty of obtaining real data from anomaly situations, artificial outliers are generated to check the performance of each classifier. The final model presents successful performance.

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