Clinical decision support recommending ventilator settings during noninvasive ventilation
نویسندگان
چکیده
منابع مشابه
Patient-ventilator interaction during noninvasive ventilation.
There is arguably more evidence to support the use of noninvasive ventilation (NIV) than any other practice related to the care of patients with acute respiratory failure. Despite this strong evidence base, NIV seems to be under-utilized and the failure rate (need for intubation) may be as high as 40%. Some of these failures potentially relate to asynchrony, although the relationship between as...
متن کاملObjective Evaluation of Patient–ventilator Interactions during Noninvasive Ventilation (niv)
WINNING ABSTRACT: The success of NIV depends on patient–ventilator interactions. These interactions are evaluated with the subjective comfort score which is not always reliable. An objective evaluation is thus required. To evaluate these interactions, we use a statistical measure of the variability of a physiological signal, i.e the Shannon entropy. Our purpose is to show whether estimating Sha...
متن کاملPatient-Ventilator Interaction During Noninvasive Ventilation in Simulated COPD.
BACKGROUND During noninvasive ventilation (NIV) of COPD patients, delayed off-cycling of pressure support can cause patient ventilator mismatch and NIV failure. This systematic experimental study analyzes the effects of varying cycling criteria on patient-ventilator interaction. METHODS A lung simulator with COPD settings was connected to an ICU ventilator via helmet or face mask. Cycling was...
متن کاملA decision support system to determine optimal ventilator settings
BACKGROUND Choosing the correct ventilator settings for the treatment of patients with respiratory tract disease is quite an important issue. Since the task of specifying the parameters of ventilation equipment is entirely carried out by a physician, physician's knowledge and experience in the selection of these settings has a direct effect on the accuracy of his/her decisions. Nowadays, decisi...
متن کاملInterfaces and ventilator settings for long-term noninvasive ventilation in COPD patients
INTRODUCTION The establishment of high-intensity (HI) noninvasive ventilation (NIV) that targets elevated PaCO2 has led to an increase in the use of long-term NIV to treat patients with chronic hypercapnic COPD. However, the role of the ventilation interface, especially in more aggressive ventilation strategies, has not been systematically assessed. METHODS Ventilator settings and NIV complia...
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ژورنال
عنوان ژورنال: Journal of Clinical Monitoring and Computing
سال: 2019
ISSN: 1387-1307,1573-2614
DOI: 10.1007/s10877-019-00409-6