Current status of mechanical ventilation decision support systems: A review

International Journal of Clinical Monitoring and Computing

Volumn 13, Issue 3, 1996, Pages 157-166

  Rudowski, Robert ^a   East, Thomas D ^a   Gardner, Reed M ^b  

^a INSTITUTE OF BIOCYBERNETICS AND BIOMEDICAL ENGINEERING   (Poland)

^b LDS HOSPITAL   (United States)

Author keywords

Barotrauma; Computerized decision support; Decision support techniques; Lung; Mechanical ventilation; Modeling; Optimization

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; BLOOD GAS ANALYSIS; COMPUTER ANALYSIS; HEART OUTPUT; MAN MACHINE INTERACTION; MEDICAL DECISION MAKING; VENTILATOR;

ALGORITHMS; DECISION MAKING, COMPUTER-ASSISTED; HUMANS; MODELS, STATISTICAL; MONITORING, PHYSIOLOGIC; RESPIRATION, ARTIFICIAL; SOFTWARE DESIGN;

EID: 0029857731     PISSN: 01679945     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1016952525892     Document Type: Article

References (39)

1. Pagan LM. VM. Representing time-dependent relations in a medical setting. PhD thesis, Heuristic Programming Project, Computer Science Department, Stanford University, CA, 1980.
2. Sittig DF, Pace NL, Gardner RM, Beck E, Morris AH. Implementation of a computerized patient advice system using HELP clinical information system. CompBiomed Res 1989; 22: 474-487.
3. Rudowski R, Frostell C, Gill H. A knowledge based support system for mechanical ventilation of the lungs: The KUSIVAR concept and prototype. Comput Methods Programs Biomed 1989; 30(1): 59-70.
4. Webster's New World Dictionary. Second College Edition, Simon & Schuster, New York, 1986.
5. Hoover SV, Perry RF. Simulation. A problem solving approach. Addison Wesley Publishing Company, Inc., Reading, Mass., 1989.
6. PucciaCJ, Levins R. Qualitative modeling of complex systems. An introduction to loop analysis and time averaging. Harvard University Press, Cambridge, Mass., 1985.
7. Rutledge G, Thomsen G, Beinlich I, Fair B, Sheiner L, Fagan L. Combining Qualitative and Quantitative Computation in a Ventilator Therapy Planner. Symposium on Computer Applications in Medical Care (SCAMC) 1989; 13: 315-319.
8. Rudowski R, Bokliden A, Carstensen A, Gill H, Ludwigs U, Matell G. Multivariable optimization of mechanical ventilation. Im J of Clin Monit and Comput 1991; 8: 107-115.
9. East TD. Role of the computer in delivery of mechanical ventilation. Chapter 45 (pp 1005-1037) in Principles and Practice of Mechanical Ventilation. Martin J. Tobin, Editor. McGraw-Hill, Inc. New York, 1994.
10. East TD, Morris AH, Wallace CJ, Clemmer TP, Orme JF, Weaver LK, Henderson S, Sittig DF. A strategy for development of computerized critical care decision support systems. Int J Clin Monit and Comput 1992; 8: 263-269.
11. Henderson S, Crapo RO, Wallace J, East TD, Morris AH, Gardner RM. Performance of computerized protocols for the management of arterial oxygénation in an intensive care unit. Im J Clin Monit Comput 1992; 8: 271-280.
12. Thomsen GE, Pope D, East TD, Morris AH, Kinder AT, Carlson DA, Smith GL, Wallace CJ, Orme JF Jr, Clemmer TP. Weaver LK, Thomas F, Dean NC. Clinical performance of a rule-based decision support system for mechanical ventilation of ARDS patients. Symposium on Computer Applications in Medical Care (SCAMC) 1993; 17: 339-343.
13. East TD, Morris AH, Gardner RM. Computerized Management of Mechanical Ventilation. Chapter 101 (pp 895-911) in Textbook of Critical Care Medicine, 3rd Ed, 1995, Edited by SM Ayers, A Grenvik, PR Holbrook, WC Shoemaker. W.B. Saunders Philadelphia, PA
14. Kuperman GJ, Gardner RM, Pryor TA. Chapter 23: Computerized Protocols for Ventilator Management. In: HELP: A Dynamic Hospital Information System. Springer-Verlag New York Inc., 1991; 222-226.
15. 2 removal for Adult Respiratory Distress Syndrome. Am J Respir Crit Care Med 1994; 149: 295-305.
16. Thomsen G, Sheiner L. SIMV: An Application of Mathematical Modeling in Ventilator Management. Symposium on Computer Applications in Medical Care (SCAMC) 1989; 13: 320324.
17. Rutledge GW, Thomsen GE, Fair BR, Tovar MA, Polaschek JX, Beinlich IA, Sheiner LB, Pagan LM. The design and implementation of a ventilator management advisor. Artif Int in Med 1993; 5: 67-82.
18. Rutledge GW. Dynamic selection of models for a ventilatormanagement advisor. Symposium on Computer Applications in Medical Care (SCAMC) 1993; 17: 344-350.
19. Rutledge GW. VentSim: A simulation model of cardiopulmonary physiology. Symposium on Computer Applications in Medical Care (SCAMC) 1994; 18: 878-883.
20. Dawant BM, Uckun S, Manders EJ, Lindstrom DP. The SIMON Project. Model-Based Signal Acquisition, Analysis and Interpretation in Intelligent Patient Monitoring. IEEE Engr Med Bio 1993; 12(4): 82-91.
21. Moret-Bonillo V, Alonso-Betanzos A, Martin EG, CabreroCanosa M, Guijarro-Berdinas B. The PARTICIA Project. A Semantic-Based Methodology for Intelligent Monitoring in the ICU. IEEE Engr Med Bio 1993; 12(4): 59-68.
22. Summers R, Carson ER, Cramp DG. Ventilator Management. The Role of Knowledge-based Technology. IEEE Engr Med Bio 1993; 12(4): 50-58.
23. Shapiro BA, Mahutte CK, Cane RD, Gilmour IJ. Clinical performance of a blood gas monitor. A prospective, multicenter trial. Crit C Med 1993; 21: 487-494.
24. Rudowski R, Kaye W, Garner CV, Greenburg AG. Clinical investigation of computerized decision support with coronary arterial bypass graft patients. Biocyb and Biomed Eng 1995; 15(3/4) In press.
25. Gardner RM, Hawley WH, East TD, Oniki T, Young HFW. Real Time Data Acquisition: Recommendations for the Medical Information Bus (MIB). Intl J Clin Monit & Comput 1992; 8:251-258.
26. Nunn JF. Oxygen. In: Clinical Respirtory Physiology, 3rd Edition, Butterworths, London, 1987. Chapter 10 page 252.
27. Sailors RM, East TD, Wallace CJ, Morris AH. A successful protocol for the use of pulse oximetery to classify arterial oxygénation into four fuzzy categories. Symposium on Computer Applications in Medical Care (SCAMC) 1995; 19: 248-253.
28. Chambrin MC, Ravaux P, Jaborska A, Beugnet C, Lestavel P, Chopin C. Introduction of knowledge bases in patient's data management system: role of the user interface. Int J Clin Monit &Comp 1995: 12: 11-16.
29. Mora FA. Passariello G, Carrault G, Le Pichon JP. Intelligent Patient Monitoring and Management Systems. A Review. IEEE EngrMedBio 1993; 12(4): 23-33.
30. IEEE Standard for Medical Device Communications - Transport Profile - Connection Mode. IEEE Std 1073.3.1-1994. IEEE 345 East 47th Street New York, NY 10017-2394.
31. IEEE Standard for Medical Device Communications - Physical Layer Interface - Cable Connected. IEEE Std 1073.4.1-1994. IEEE 345 East 47th Street New York. NY 10017-2394.
32. Harrington D. Guest Editorial: medical device networks. J Clin Engr 1990; 15(5): 351-353.
33. Watt RC, Maslana ES. Mylrea KC. Alarms and Anesthesia. Challenges in the Design of Intelligent Systems in Patient Monitoring. IEEE Engr Med Bio 1993; 12(4): 34-40.
34. Westenskow DR, Orr JA, Simon FH, Bender HJ, Frankenberger H. Intelligent alarms reduce anesthesiologist's response time to critical faults. Anesthesiology 1992; 77: 1074-1079.
35. Nerendra KS, Parthasarathy K. Identification and control of dynamic systems using neural networks. IEEE Trans Neural Networks 1990; 1: 4-27.
36. Korbicz J. Neural network architectures used in modelling/identification and control of dynamic systems. In: Kacki E (cd), Proc of System Modelling Control 8, Zakopane . Poland, 1995; 3: 54-59.
37. Jozwik A. A learning scheme for a fuzzy k-NN rule. Pattern Recognition Letters 1983; 1: 287-289.
38. Strickland JH. Hasson JH. A Computer-controlled Ventilator Weaning System. A clinical trial. Chest 1993; 103: 220-226.
39. Dojat M, Brochard L. Lemaire F, Harf A. A knowledge-based system for assisted ventilation of patients in intensive care units. Int J Clin Monit and Comput 1992; 9: 239-250.