What is BCI4IA ?

The BCI4IA project aims to design a brain-computer interface to enable reliable general anesthesia (GA) monitoring, in particular to detect intraoperative awareness. Currently, there is no satisfactory solution to do so whereas it causes severe post-traumatic stress disorder. “I couldn’t breathe, I couldn’t move or open my eyes, or even tell the doctors I wasn’t asleep.” This testimony shows that a patient’s first reaction during an intraoperative awareness is usually to move to alert the medical staff. Unfortunately, during most surgery, the patient is curarized, which causes neuromuscular block and prevents any movement. To prevent intraoperative awareness, we propose to study motor brain activity under GA using electroencephalography (EEG) to detect markers of motor intention (MI) combined with general brain markers of consciousness. We will analyze a combination of MI markers (relative powers, connectivity) under the propofol anesthetics, with a brain-computer interface based on median nerve stimulation to amplify them. Doing so will also require to design new machine learning algorithms based on one-class (rest class) EEG classification, since no EEG examples of the patient’s MI under GA are available to calibrate the BCI. Our preliminary results are very promising to bring an original solution to this problem which causes serious traumas.

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