Tu Zhiyi, Zhang Yuehan, Lv Xueyang, Wang Yanyan, Zhang Tingting, Wang Juan, Yu Xinren, Chen Pei, Pang Suocheng, Li Shengtian, Yu Xiongjie, Zhao Xuan
Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China.
Bio-X Institutes, Key Laboratory for the Genetics of Development and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiao Tong University, Shanghai, 200240, China.
Neurosci Bull. 2025 Mar;41(3):449-460. doi: 10.1007/s12264-024-01297-w. Epub 2024 Sep 17.
General anesthesia, pivotal for surgical procedures, requires precise depth monitoring to mitigate risks ranging from intraoperative awareness to postoperative cognitive impairments. Traditional assessment methods, relying on physiological indicators or behavioral responses, fall short of accurately capturing the nuanced states of unconsciousness. This study introduces a machine learning-based approach to decode anesthesia depth, leveraging EEG data across different anesthesia states induced by propofol and esketamine in rats. Our findings demonstrate the model's robust predictive accuracy, underscored by a novel intra-subject dataset partitioning and a 5-fold cross-validation method. The research diverges from conventional monitoring by utilizing anesthetic infusion rates as objective indicators of anesthesia states, highlighting distinct EEG patterns and enhancing prediction accuracy. Moreover, the model's ability to generalize across individuals suggests its potential for broad clinical application, distinguishing between anesthetic agents and their depths. Despite relying on rat EEG data, which poses questions about real-world applicability, our approach marks a significant advance in anesthesia monitoring.
全身麻醉是外科手术的关键,需要精确的深度监测以降低从术中知晓到术后认知障碍等一系列风险。传统的评估方法依赖生理指标或行为反应,无法准确捕捉细微的意识状态。本研究引入了一种基于机器学习的方法来解码麻醉深度,利用大鼠在丙泊酚和艾司氯胺酮诱导的不同麻醉状态下的脑电图(EEG)数据。我们的研究结果通过一种新颖的受试者内数据集划分和五折交叉验证方法,证明了该模型具有强大的预测准确性。该研究与传统监测方法不同,它利用麻醉输注速率作为麻醉状态的客观指标,突出了不同的脑电图模式并提高了预测准确性。此外,该模型在个体间的泛化能力表明其具有广泛临床应用的潜力,能够区分麻醉药物及其深度。尽管该研究依赖大鼠脑电图数据,这对其在现实世界中的适用性提出了疑问,但我们的方法标志着麻醉监测领域的重大进展。