Abstract
A self-tuning controller was implemented for the automated infusion of sodium nitroprusside to lower mean arterial pressure in anesthetized dogs. The system incorporated a recursive least-squares parameter identifier and a modified minimumvariance controller. The onset delay was estimated on-line, the performance criterion included the cost of control, and requested step-changes were automatically translated into five successive smaller steps to reduce overshoot. The performance of the system in lowering mean arterial pressure was quantitatively compared with that of a well-trained anesthesiologist. In 10 runs in four animals, the automated system performed as well as the physician who devoted 100% of his attention to the task. Since the stability of the self-tuning controller cannot be guaranteed, such a system should be operated only in the presence of appropriate supervisory algorithms.
Similar content being viewed by others
References
Arnsparger, J.M., B.C. McInnis, J.R. Glover, and N.A. Normann. Adaptive control of blood pressure.IEEE Trans. Biomed. Eng. BME-30:168–176, 1983.
Astrom, K.J.Introduction to Stochastic Control. New York: Academic Press, 1970.
Astrom, K.J., U. Borison, L. Ljung, and B. Wittenmark. Theory and applications of self-tuning regulators.Automation 13:457–476, 1977.
Astrom, K.J. and B. Wittenmark. On self-tuning regulators.Automatica 9:185–199, 1973.
Bayoumi, M.M., K.Y. Wong, and M.A. El-Bagoury. A self-tuning regulator for multi-variable systems.Automatica 17:575–592, 1981.
Borison, U. Self-tuning regulator for a class of multivariable systems.Automatica 15:209–215, 1979.
Clark, D.W. and P.J. Gawthrop. Self-tuning controller.Proc. IEE 122:929–934, 1975.
Editorial. Sodium nitroprusside in anesthesia.Br. Med. J. 2:254–255, 1975.
Goodwin, G.C. and R.L. Payne.Dynamic System Identification: Experimental Design and Data Analysis. New York: Academic Press, 1977.
Harris, C.J. and S.A. Billings, eds.Self-tuning and Adaptive Control: Theory and Applications. New York and London: IEEE and Peregrinus, 1981.
Katona, P.G. On-line control of physiological variables and clinical therapy.CRC Crit. Rev. Biomed. Eng. 8:281–310, 1982.
Katona, P.G. and H.J. Chizeck. Adaptive control of physiological systems: Promises and problems. Presented at the BMES Symposium, 68th FASEB, St. Louis, Missouri, 1984.
Katona, P.G. and B.K. Walker. Self-tuning regulators for control of physiological systems. Presented at the 5th Annual Symposium on Computers in Critical Care and Pulmonary Medicine, Salt Lake City, Utah, 1983.
Kaufman, H., R. Roy, and X. Xu. Model reference adaptive control of drug infusion rate.Automatica 20:205–209, 1984.
Koivo, A.J. Microprocessor-based controller for pharmacodynamic applications.IEEE Trans. Autom. Control AC-26:1208–1212, 1981.
Koivo, A.J., D. Larnard, and R. Gray. Digital control of mean arterial blood pressure in dogs by injecting a vasodilator drug.Ann. Biomed. Eng. 9:185–197, 1981.
Koivo, A.J., V.F. Smollen, and R.V. Barile. An automated drug administration system to control blood pressure in rabbits.Math. Biosciences 38:45–56, 1978.
Kurz, H. and W. Goedecke. Digital parameter-adaptive control of processes with unknown dead time.Automatica 17:245–252, 1981.
Ljung, L. On positive real transfer functions and the convergence of some recursive schemes.IEEE Trans. Autom. Control AC-22:539–551, 1977.
McInnis, B.C., J.K. Cheng, Z.W. Guo, P.C. Lu, and J.C. Wang. Adaptive control system for the artificial heart. Presented at the 9th World Congress of the International Federation of Automatic Control, Budapest, 1984.
Rohrs, C.E. Adaptive control in the presence of unknown dynamics. Ph.D. diss., Massachusetts Institute of Technology, Cambridge, Mass., 1982.
Schade, C.M. An automatic therapeutic control system for regulating blood pressure.Proceedings, San Diego Biomedical Symposium, 2:47–54, 1973.
Sheppard, L.C. and B.McA. Sayers. Dynamic analysis of the blood pressure response to hypotensive agents, studied in postoperative cardiac surgical patients.Comp. Biomed. Res. 10:237–246, 1977.
Sheppard, L.C., J.F. Shotts, N.F. Roberson, F.D. Wallace, and N.T. Kouchoukos. Computer controlled infusion of vasoactive drugs in post cardiac surgical patients.Front. Eng. Health Care (IEEE):280–284, 1979.
Slate, J.B. and L.C. Sheppard. Automatic control of blood pressure by drug infusion.IEE Proc. 129:639–645, 1982.
Soderstrom, T., L. Ljung, and I. Gustavsson. A theoretical analysis of recursive identification methods.Automatica 44:231–244, 1978.
Stern, K.S., B.K. Walker, and P.G. Katona. Automated blood pressure control using a self-tuning regulator.Front. Eng. Health Care (IEEE):255–258, 1981.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Stern, K.S., Chizeck, H.J., Walker, B.K. et al. The self-tuning controller: Comparison with human performance in the control of arterial pressure. Ann Biomed Eng 13, 341–357 (1985). https://doi.org/10.1007/BF02407765
Issue Date:
DOI: https://doi.org/10.1007/BF02407765