The automatic selection of ventilation parameters during the initial phase of mechanical ventilation

Intensive Care Medicine

Volumn 22, Issue 3, 1996, Pages 199-207

  Laubscher, T P ^a   Frutiger, A ^b   Fanconi, S ^c   Brunner, J X ^a  

^a Hamilton Bonaduz AG   (Switzerland)

^b Interdisciplinary ICU   (Switzerland)

^c UNIVERSITY CHILDREN S HOSPITAL   (Switzerland)

Author keywords

Closed loop controlled ventilation; Computer; Human; Initial settings; Mechanical ventilation

Indexed keywords

CARBON DIOXIDE;

ADOLESCENT; AGED; AIRFLOW; AIRWAY PRESSURE; ARTERIAL GAS; ARTICLE; ARTIFICIAL VENTILATION; BREATHING RATE; CHILD; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROSSOVER PROCEDURE; HUMAN; LUNG MINUTE VOLUME; RANDOMIZED CONTROLLED TRIAL; TIDAL VOLUME;

ADULT; AGED; BLOOD GAS ANALYSIS; CHILD; CHILD, PRESCHOOL; CROSS-OVER STUDIES; HUMANS; LUNG VOLUME MEASUREMENTS; MIDDLE AGED; MONITORING, PHYSIOLOGIC; POSITIVE-PRESSURE RESPIRATION; PROSPECTIVE STUDIES; RESPIRATORY INSUFFICIENCY; THERAPY, COMPUTER-ASSISTED;

EID: 0029989608     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF01712237     Document Type: Article

References (36)

1. 2O amnesia analgesia. Anesthesiology 18: 290-299
2. Frumin MJ, Bergman NA, Holaday DA (1959) Carbon dioxide and oxygen blood levels with a carbon dioxide controlled artificial respirator. Anesthesiology 20: 313-320
3. Mitamura Y, Mikami T, Sugawara H, Yoshimoto C (1971) An optimally controlled respirator. IEEE Trans biomed eng 18: 330-337
4. Mitamura Y, Mikami, Yamamoto K (1975) A dual control system for assisting respiration. Med Biol Eng Comput 13: 846-853
5. Coles JR, Brown WA, Lampard DG (1973) Computer control of respiration and anesthesia. Med Biol Eng Comput 11: 262-267
6. Coon RL, Zuperku EJ, Kampine JP (1978) Systemic arterial blood pH servocontrol of mechanical ventilation. Anesthesiology 49: 201-204
7. East TD, Westenskow DR, Pace NL, Nelson LD (1982) A microcomputer-based differential lung ventilation system. IEEE Trans Biomed Eng 11: 736-740
8. Ohlson KB, Westenskow DR, Jordan WS (1982) A microprocessor based feedback controller for mechanical ventilation. Ann Biomed Eng 10: 35-48
9. Chapman FW, Newell JC, Roy RJ (1985) A feedback controller for ventilatory therapy. Ann Biomed Eng 13: 359-372
10. East TD, Adriano KP, Pace NL (1986) Computer-controlled optimization of positive end-expiratory pressure. Crit Care Med 14: 792-797
11. Ritchie RG, Ernst EA, Pate BL, Pearson JD, Sheppard LC (1987) Closed-loop control of an anesthesia delivery system: development and animal testing. IEEE Trans Biomed Eng 34: 437-443
12. Younes M (1992) Proportional assist ventilation, a new approach to ventilatory support. Am Rev Respir Dis 145: 114-121
13. Younes M, Puddy A, Roberts D, Light RB, Quesada A, Taylor K, Oppenheimer L, Cramp H (1992) Proportional assist ventilation. Results of an initial clinical trial. Am Rev Respir Dis 145: 121-129
14. Dojat M, Brochard L, Lemaire F, Harf A (1992) A knowledge-based system for assisted ventilation of patients in intensive care units. Int J Clin Monit Comput 9: 239-250
15. Hayes-Roth B, Washington R, Ash D, Hewett R, Collinot A, Vina A, Seiver A (1992) Guardian: a prototype intelligent agent for intensive-care monitoring. Artif Intell Med 4: 165-185
16. Strickland JH Jr, Hasson JH (1993) A computer-controlled ventilator weaning System. Chest 103: 1220-1226
17. Kacmarek RM, Venegas J (1987) Mechanical ventilatory rates and tidal volumes. Respir Care 32: 466-478
18. Laubscher TP, Frutiger A, Fanconi S, Jutzi H, Brunner JX (1994) Automatic selection of tidal volume, respiratory frequency and minute ventilation in intubated ICU patients as startup procedure for closed-loop controlled ventilation. Int J Clin Monit Comput 11: 19-30
19. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet I: 307-310
20. 2 washout requires dynamic adjustment of delay time. J Appl Physiol 59: 1008-1012
21. Brunner JX, Wolff G (1985) Reliable estimation of series dead space in ventilated patients. Clin Physiol 5 [Suppl 3]: 65-68
22. Brunner JX, Laubscher TP, Banner MJ, Iotti G, Braschi A (1994) Simple method to measure total expiratory time constant based on the passive expiratory flow-volume curve. Crit Care Med (in press)
23. Hickling KG, Henderson SJ, Jackson R (1990) Low mortality associated with low pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 16: 372-377
24. Frutiger A, Brunner JX (1993) Computerized blood gas interpretation as tool for classroom and ICU. Intensive Care Med 19: 209-214
25. Grum CM, Chauncey JB (1988) Conventional mechanical ventilation. Clin Chest Med 9: 37-46
26. Radford EP Jr (1954) Ventilation standards for use in artificial respiration. N Engl J Med 251: 877-883
27. Hart MC, Orzalesi MM, Cook CD (1963) Relation between anatomic respiratory dead space and body size and lung volume. J Appl Physiol 18: 519-522
28. Martin CJ, Das S, Young AC (1979) Measurement of the dead space volume. J Appl Physiol 47: 319-324
29. Brunner JX, Wolff G (1988) Pulmonary function indices in critical care patients. Springer, Berlin Heidelberg New York, pp 96-98
30. Paiva M (1972) Computation of the boundary conditions for diffusion in the human lung. Comput Biomed Res 5: 585-595
31. Wolff G, Brunner JX, Grädel E (1989) Gas exchange during mechanical ventilation and spontaneous breathing. Intermittent mandatory ventilation after open heart surgery. Chest 11-17
32. Cheney FW Jr, Burnham SC (1971) Effect of ventilatory pattern on oxygenation in pulmonary edema. J Appl Physiol 31: 909-912
33. Davis K Jr, Branson RD, Campbell RS, Porembka DT, Johnson DJ (1993) The addition of sighs during pressure support ventilation. Is there a benefit? Chest 104: 867-870
34. Otis AB, Fenn WO, Rahn H (1950) Mechanics of breathing in man. J Appl Physiol 2: 592-607
35. Marini JJ, Crooke PS, Truwit JD (1989) Determinants and limits of pressure-preset ventilation: a mathematical model of pressure control. J Appl Physiol 67: 1081-1092
36. Miller PL (1985) Goal-directed critiquing by computer: ventilator management. Comput Biomed Res 18: 422-438