Browsing by Author "Polk, Sam L."

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    Improved tracking of sevoflurane anesthetic states with drug-specific machine learning models
    (2020) Kashkooli, Kimia; Polk, Sam L.; Hahm, Eunice Y.; Murphy, James; Ethridge, Breanna R.; Gitlin, Jacob; Ibala, Reine; Mekonnen, Jennifer; Pedemonte, Juan C.; Sun, Haoqi; Westover, M. Brandon; Barbieri, Riccardo; Akeju, Oluwaseun; Chamadia, Shubham
    Objective.The ability to monitor anesthetic states using automated approaches is expected to reduce inaccurate drug dosing and side-effects. Commercially available anesthetic state monitors perform poorly when ketamine is administered as an anesthetic-analgesic adjunct. Poor performance is likely because the models underlying these monitors are not optimized for the electroencephalogram (EEG) oscillations that are unique to the co-administration of ketamine.Approach.In this work, we designed twok-nearest neighbors algorithms for anesthetic state prediction.Main results.The first algorithm was trained only on sevoflurane EEG data, making it sevoflurane-specific. This algorithm enabled discrimination of the sevoflurane general anesthesia (GA) state from sedated and awake states (true positive rate = 0.87, [95% CI, 0.76, 0.97]). However, it did not enable discrimination of the sevoflurane-plus-ketamine GA state from sedated and awake states (true positive rate = 0.43, [0.19, 0.67]). In our second algorithm, we implemented a cross drug training paradigm by including both sevoflurane and sevoflurane-plus-ketamine EEG data in our training set. This algorithm enabled discrimination of the sevoflurane-plus-ketamine GA state from sedated and awake states (true positive rate = 0.91, [0.84, 0.98]).Significance.Instead of a one-algorithm-fits-all-drugs approach to anesthetic state monitoring, our results suggest that drug-specific models are necessary to improve the performance of automated anesthetic state monitors.