Evidence map›Paper›PMID 40164328›Full record

ArticleJournal of advanced research2025

Online and personalised control of the Depth of hypnosis during induction using fractional order PID.

Marcian Mihai, Isabela Birs, Erwin Hegedus, Amani Ynineb, Dana Copot, Robain De Keyser, Clara M Ionescu, Samir Ladaci, Cristina I Muresan, Martine Neckebroek

Abstract read
In one paragraph

Article in Journal of advanced research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marcian MihaiTechnical University of Cluj-Napoca, Department of Automation, Cluj-Napoca, Romania. Electronic address: Marcian.Mihai@aut.utcluj.ro.
Isabela BirsTechnical University of Cluj-Napoca, Department of Automation, Cluj-Napoca, Romania; Ghent University, Department of Electromechanics, Systems and Metal Engineering, Research Group on Dynamical Systems and Control, Tech Lane Science Park 125, Gent 9052, Belgium. Electronic address: Isabela.Birs@aut.utcluj.ro.
Erwin HegedusTechnical University of Cluj-Napoca, Department of Automation, Cluj-Napoca, Romania. Electronic address: Erwin.Hegedus@aut.utcluj.ro.
Amani YninebGhent University, Department of Electromechanics, Systems and Metal Engineering, Research Group on Dynamical Systems and Control, Tech Lane Science Park 125, Gent 9052, Belgium. Electronic address: amani.ynineb@ugent.be.
Dana CopotGhent University, Department of Electromechanics, Systems and Metal Engineering, Research Group on Dynamical Systems and Control, Tech Lane Science Park 125, Gent 9052, Belgium. Electronic address: dana.copot@ugent.be.
Robain De KeyserGhent University, Department of Electromechanics, Systems and Metal Engineering, Research Group on Dynamical Systems and Control, Tech Lane Science Park 125, Gent 9052, Belgium. Electronic address: robain.dekeyser@ugent.be.
Clara M IonescuTechnical University of Cluj-Napoca, Department of Automation, Cluj-Napoca, Romania; Ghent University, Department of Electromechanics, Systems and Metal Engineering, Research Group on Dynamical Systems and Control, Tech Lane Science Park 125, Gent 9052, Belgium. Electronic address: claramihaela.ionescu@ugent.be.
Samir LadaciEcole Nationale Polytechnique, Department of Electronics, 10 Rue des Frères Oudek, El Harrach 16200 Algiers, Algeria. Electronic address: Samir.ladaci@g.enp.edu.dz.
Cristina I MuresanTechnical University of Cluj-Napoca, Department of Automation, Cluj-Napoca, Romania. Electronic address: Cristina.Muresan@aut.utcluj.ro.
Martine NeckebroekGhent University Hospital, Department of Anesthesia, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: martine.neckebroek@ugent.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe integration of information technology and control engineering has significantly increased in clinical practice research, especially in the management of drug dosing for general anaesthesia.

objectiveThe main focus of the research is to achieve a personalised control of the Depth of Hypnosis based on a novel approach. The primary objective is to regulate the Bispectral Index by administering Propofol during the hypnotic phase of anaesthesia.

methodsA fractional order time delay model is proposed to replace the conventional PK-PD model. This model is estimated online during the induction phase. A fractional order Proportional-Integral-Derivative (PID) controller is then individually tuned for each patient.

resultsThe closed loop simulation results demonstrate that the proposed controllers effectively minimise undershoot and achieve a short time to reach the desired time-to-target for the majority of the patients. The analysis indicates that the proposed controller is capable of maintaining the BIS signal within a safe range. Comparative analyses with similar research are provided to effectively contextualise this study within the existing literature. Disturbance rejection tests during the maintenance phase are performed to demonstrate the effectiveness of personalised control.

conclusionThe online adaptation that this research brings, compared to the previous attempts, allows for significantly improved results for the hypnosis phase.

Indexed as

HypnosisPropofolComputer SimulationHumansPrecision MedicinePropofolAnaesthesiaClosed loop control of anaesthesiaDelay time estimationDrug dosingFractional-order models for hypnosisOnline fractional order controlPersonalised anaesthesia

Identifiers

PMID40164328
PMCPMC12685514

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.