Title :
Algorithm for optimal linear model-based control with application to pharmacokinetic model-driven drug delivery
Author :
Jacobs, James R.
Author_Institution :
Duke Univ. Med. Center, Durham, NC, USA
Abstract :
Computerized pharmacokinetic-model-driven administration of intravenous anesthetic agents has been implemented using a variety of algorithms to control the drug infusion regimen. All such algorithms are similar to the extent that they use a linear pharmacokinetic model of the drug being administered to determine drug infusion rates that theoretically achieve and maintain plasma drug concentrations (setpoints) specified by the physician. Since the behavior of the pharmacokinetic model can be computed for any input, it should be possible to achieve regulation of the drug infusion rates that is flexible (i.e. the physician can interactively adjust the setpoint), practical, and analytically optimized; these objectives are realized by the algorithm described.
Keywords :
biocontrol; computerised control; optimal control; patient treatment; physiological models; computerised-drug delivery; control algorithm; drug infusion rates; drug infusion regimen; intravenous anesthetic agents; linear pharmacokinetic model; optimal linear model-based control; pharmacokinetic model-driven drug delivery; plasma drug concentrations; regulated drug infusion rates; setpoints; Algorithm design and analysis; Anesthetic drugs; Argon; Communication system control; Drug delivery; Mathematical model; Optimal control; Physics computing; Plasma properties; Plasma simulation; Algorithms; Infusion Pumps; Linear Models; Models, Biological; Pharmacokinetics;
Journal_Title :
Biomedical Engineering, IEEE Transactions on