According to data from the World Federation of Societies of Anesthesiologists, numerous countries across Asia and Africa have fewer than one anaesthesiologist per 100,000 people. Upskilling nurse anaesthetists in these regions is critical to improving clinical outcomes, and interactive virtual patient simulators offer a safe environment to explore complex clinical scenarios. This paper introduces an advanced general anaesthesia patient simulator engineered to bridge the accessibility gap left by existing platforms, which often require expert programming knowledge and restrict users to manual titration. Our simulator features an intuitive graphical user interface optimised for clinical education and natively supports both manual and closed-loop anaesthesia administration. The platform includes a suite of pre-designed controllers, specifically standard PIDs and two distinct fractional-order FO-PID variants, highlighting a novel robust FO-PID framework engineered to mitigate high patient variability. The deployment of these embedded controllers is demonstrated via a Depth of Hypnosis regulation case study and validated across a diverse cohort of 19 virtual patients. Closed-loop evaluation reveals that while the standard PID achieves a lower average mean squared error during the maintenance phase, the fractional-order alternatives deliver significantly superior robustness and inter-patient consistency. Ultimately, integrating this simulator into clinical training frameworks offers a viable pathway to reduce nursing workload and enhance patient safety through optimised automated drug delivery.
Tudor et al. (Mon,) studied this question.