基准问题:麻醉输送的PK/PD模型和安全约束

ARCH@CPSWeek Pub Date : 1900-01-01 DOI:10.29007/8drm
V. Gan, G. Dumont, Ian M. Mitchell
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引用次数: 18

摘要

催眠,或无意识深度,是全身麻醉的目标之一。在这篇简短的文章中,我们提供了异丙酚(一种常用的静脉麻醉药物)如何导致催眠的微分方程模型。该模型有两个组成部分:描述药物如何被人体代谢的药代动力学(PK)和描述药物如何影响催眠深度的药效学(PD)。这个标准的PK/PD模型是一个隔室模型,除了内部时间延迟和非线性输出映射外,它是线性的。我们将讨论如何简化和/或使该模型复杂化,以便最好地利用特定分析方法的能力。开发这种模型的一个目标是确保患者在手术过程中的安全,因此我们描述了一个示例安全验证问题。最后,为了证明这个基准测试是可操作的,我们提供了代码来模拟系统的一个版本。类别:学术。难度:中等
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Benchmark Problem: A PK/PD Model and Safety Constraints for Anesthesia Delivery
Hypnosis, or depth of unconsciousness, is one of the goals of general anesthesia. In this brief paper we provide a differential equation model of how propofol, a commonly used intravenous anesthetic drug, leads to hypnosis. The model has two components: the pharmacokinetics (PK) describing how the drug is metabolized by the body, and the pharmacodynamics (PD) describing how the drug effects the depth of hypnosis. This standard PK/PD model is a compartmental model, and is linear except for an internal time delay and a nonlinear output mapping. We discuss how this model can be simplified and/or complexified so as to take best advantage of the capabilities of a particular analysis method. One goal of developing such a model is to ensure patient safety during surgery, so we describe an example safety verification problem. Finally, in order to demonstrate that this benchmark is operational, we provide code to simulate one version of the system. Category: academic. Difficulty: medium
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