Hu ZhiGang, Pan GuangJian, Wang XinZheng, Li KeHan
Department of Biomedical Engineering Henan University of Science and Technology Luoyang China.
Department of Anesthesiology The First Affiliated Hospital of Henan University of Science and Technology LuoYang China.
Health Sci Rep. 2024 May 14;7(5):e2113. doi: 10.1002/hsr2.2113. eCollection 2024 May.
Anesthetic drugs play a vital role during surgery, however, due to individual differences and complex physiological mechanisms, the prediction of anesthetic drug dosage has always been a challenging problem. In this study, we propose a model for predicting the dosage of anesthetic drugs based on deep learning to help anesthesiologists better control their dosage during surgical procedures.
We design a model based on the artificial neural network to predict the dosage of preoperative anesthetic, and use the SELU activation function and the loss function for weighted regularization to solve the problem of unbalanced sample. Moreover, we design a CNN-based model for the prior extraction of intraoperative features by using a 7 × 1 convolution kernel to enhance the receptive field, and combine maximum pooling and average pooling to extract key features while eliminating noise. A predictive model based on the LSTM network is designed to predict the intraoperative dosage of the anesthetic, and the bidirectional propagation-based LSTM network is used to improve the ability to learn the trend of changes in the physiological states of the patient during surgery. An attention module is added before the connection layer to appropriately attend to areas containing prominent features.
The results of experiments showed that the proposed method reduced values of the MAPE to 15.83% and 12.25% compared with the traditional method in predictions of the preoperative and intraoperative doses of the anesthetic, respectively, and increased the values of to 0.887 and 0.915, respectively.
The intelligent anesthesia prediction algorithm designed in this study can effectively predict the dosage of anesthetic drugs needed by patients, assist clinical judgment of anesthetic drug dose, and assist the anesthesiologists to ensure the smooth progress of the operation.
麻醉药物在手术过程中起着至关重要的作用,然而,由于个体差异和复杂的生理机制,麻醉药物剂量的预测一直是一个具有挑战性的问题。在本研究中,我们提出了一种基于深度学习的麻醉药物剂量预测模型,以帮助麻醉医生在手术过程中更好地控制药物剂量。
我们设计了一个基于人工神经网络的模型来预测术前麻醉药物的剂量,并使用SELU激活函数和加权正则化的损失函数来解决样本不平衡问题。此外,我们设计了一个基于卷积神经网络的模型,通过使用7×1卷积核来增强感受野,以提取术中特征,并结合最大池化和平均池化来提取关键特征,同时消除噪声。设计了一个基于长短期记忆网络的预测模型来预测术中麻醉药物的剂量,并使用基于双向传播的长短期记忆网络来提高学习患者手术期间生理状态变化趋势的能力。在连接层之前添加了一个注意力模块,以适当关注包含突出特征的区域。
实验结果表明,与传统方法相比,所提出的方法在预测术前和术中麻醉药物剂量时,平均绝对百分比误差值分别降低到了15.83%和12.25%,相关系数值分别提高到了0.887和0.915。
本研究设计的智能麻醉预测算法能够有效预测患者所需的麻醉药物剂量,辅助临床对麻醉药物剂量的判断,协助麻醉医生确保手术顺利进行。