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Computers in Biology and Medicine· 2026Q1

A hierarchical reinforcement learning and predictive control framework for automated multi-variable anesthesia

Sara Hosseinirad, Manuela Merlo, Francesco Trovò, Emiliano Tognoli et al.

Short summary

A hierarchical Reinforcement Learning (RL) agent dynamically tunes a Generalized Predictive Control (GPC) cost function, achieving 50% faster anesthesia induction (median 228 vs. 452 seconds) and maintaining safety across 44 virtual patients compared to a Genetic Algorithm (GA)-optimized GPC.

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Field: Anesthesiology and Pain Medicine

Anesthesiology and Pain MedicineMedicine