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Control of rocuronium-induced neuromuscular blockade via online identification of a two-parameters Wiener model

Title
Control of rocuronium-induced neuromuscular blockade via online identification of a two-parameters Wiener model
Type
Article in International Conference Proceedings Book
Year
2012
Authors
Da Silva, MM
(Author)
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Rabico, R
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Mendonca, T
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Wigren, T
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Conference proceedings International
Pages: 571-576
Universite Libre de Bruxelles
Bruxelles, 11 July 2012 through 13 July 2012
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Authenticus ID: P-008-6FX
Abstract (EN): A closed-loop controller for rocuronium-induced neuromuscular blockade using the first twitch of a train-of-four electromyographic stimulation as the measured signal is presented. Central to this development is the use of a two-parameters Wiener model, previously proposed to atracurium. The controller includes recursive parameters identification by an EKF, inversion of the nonlinearity using the current nonlinear parameter estimate and a pole placement controller for the exactly linearized system. Numerical tests on the performance of this adaptive structure were carried out on a bank of 500 simulated standard PK/PD models. The developed controller steers the neuromuscular blockade to a desired reference, tracking a constant or varying profile. It is also able to deal with parameter-varying systems and works well in noisy scenarios. These capabilities are crucial when testing this structure in a real clinical environment. © 2012 IFAC.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 6
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