Experimental evaluation of errors in the measurement of respiratory parameters of the newborn performed by a continuous flow neonatal ventilator

Journal of Medical Engineering and Technology

Volumn 30, Issue 1, 2006, Pages 31-40

  Cappa, P ^a   Sciuto, S A ^b   Silvestri, S ^c  

^a SAPIENZA UNIVERSITY OF ROME   (Italy)

^b ROMA TRE UNIVERSITY   (Italy)

^c UNIVERSITY CAMPUS BIO MEDICO   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

ALGORITHMS; DATA REDUCTION; ERROR ANALYSIS; NEUROLOGY; OSCILLATIONS; PRESSURE EFFECTS;

FLOW DATA; PATIENT RESISTANCE; PRESSURE OSCILLATIONS; RESPIRATORY PARAMETERS;

RESPIRATORY SYSTEM;

ALGORITHM; ARTICLE; ARTIFICIAL VENTILATION; BREATHING; ERROR; EXPIRATORY FLOW; FLOW MEASUREMENT; INSPIRATORY CAPACITY; INTENSIVE CARE; LUNG COMPLIANCE; LUNG RESISTANCE; MATHEMATICAL COMPUTING; OSCILLATION; PRESSURE; RESPIRATORY AIRFLOW; VENTILATOR; WAVEFORM;

AIRWAY RESISTANCE; COMPUTER SIMULATION; DATA INTERPRETATION, STATISTICAL; HUMANS; INFANT, NEWBORN; MANOMETRY; MODELS, BIOLOGICAL; REPRODUCIBILITY OF RESULTS; RESPIRATION, ARTIFICIAL; RESPIRATORY FUNCTION TESTS; RESPIRATORY MECHANICS; SENSITIVITY AND SPECIFICITY; TIDAL VOLUME; WORK OF BREATHING;

EID: 30344468126     PISSN: 03091902     EISSN: None     Source Type: Journal    
DOI: 10.1080/03091900500040295     Document Type: Article

References (28)

1. Dreyfuss, D. and Saumon, G., 1998, Ventilator-induced lung injury - lessons from experimental studies. American Journal of Respiratory and Critical Care Medicine, 157, 294-323.
2. Curtis, J.R., 2002, The long-term outcomes of mechanical ventilation: what are they and how should they be used? Respiratory Care, 47, 496-505.
3. Hess, D., 2001, Ventilator modes used in weaning. Chest, 120(6 Suppl), 474S-476S.
4. Keogh, B.F. and Bateman, C.J., 1999, Lung protective ventilator strategies - will these prevail in the next millennium? British Journal of Anaesthesia, 83, 829-832.
5. Barbini, P., Cevenini, G., Bernardi, F., Massai, M.R., Gnudi, G. and Avanzolini, G., 2001, Effect of compliant intermediate airways on total respiratory resistance and elastance in mechanical ventilation. Medical Engineering & Physics, 23, 185-194.
6. Bhutani, V.K., Sivieri, E.M. and Abbasi S., 1998, Evaluation of pulmonary function in the neonate. In: R.A. Polin, W.W. Fox (Eds) Fetal and neonatal physiology (Philadelphia: W.B. Saunders Co.), pp.1143-1164.
7. Selbie, R.D., Fletcher, M., Arestis, N., White, R., Duncan, A., Helms, P. and Duffty P., 1997, Respiratory function parameters in infants using inductive plethysmography. Medical Engineering and Physics, 19, 501-511.
8. Beydon, L., Liu, N., Hassapopoulos, J., Rua, F., Bonnet, F., Harf, A. and Duvaldestin, P., 1992, Test of 20 similar intensive care ventilators in daily use conditions - evaluation of accuracy and performances. Intensive Care Medicine, 18, 32-37.
9. Jouvet, P., Hubert, P., Jarreau, P.H., Lofaso, F., Cloup, M. and Harf, A., 1995, Assessment of neonatal ventilator performances. Intensive Care Medicine, 21, 753-758.
10. Roske, K., Foitzik, B., Wauer, R.R. and Schmalisch, G., 1998, Accuracy of volume measurements in mechanically ventilated newborns: a comparative study of commercial devices. Journal of Clinical Monitoring and Computing, 14, 413-420.
11. Chow, L.C., Vanderhal, A., Raber, J. and Sola A., 2002, Are tidal volume measurements in neonatal pressure-controlled ventilation accurate? Pediatric Pulmonology, 34, 196-202.
12. Castle, R.A., Dunne, C.J., Mok, Q., Wade, A.M. and Stocks, J., 2002, Accuracy of displayed values of tidal volume in the pediatric intensive care unit. Critical Care Medicine, 30, 2566-2574.
13. Wang, C.S., Shaw, D. and Jih, K.S., 1998, An intelligent control system for ventilators. Medical Engineering & Physics, 20, 534-542.
14. Kaczka, D.W., Ingenito, E.P. and Lutchen, K.R., 1999, Technique to determine inspiratory impedance during mechanical ventilation: implications for flow limited patients. Annals of Biomedical Engineering, 27, 340-55.
15. Servillo, G., De Robertis, E., Maggiore, S., Lemaire, F., Brochard, L. and Tufano R., 2002, The upper inflection point of the pressure-volume curve. Influence of methodology and of different modes of ventilation. Intensive Care Medicine, 28, 842-849.
16. Schmidt, M., Foitzik, B., Hochmuth, O. and Schmalisch, G., 1998, Computer simulation of the measured respiratory impedance in newborn infants and the effect of the measurement equipment. Medical Engineering & Physics, 20, 220-228.
17. Takeuchi, M., Williams, P., Hess, D. and Kacmarek, R.M., 2002, Continuous positive airway pressure in new-generation mechanical ventilators. Anesthesiology, 96, 162-172.
18. Branca, F.P., 2002, Fondamenti di Ingegneria Clinica (Milan, Springer). In Italian.
19. Eberhard, A., Carry, P.Y., Perdrix, J.P., Fargnoli, J.M., Biot, L. and Baconnier, P.F., 2003, A program based on a 'selective' least-squares method for respiratory mechanics monitoring in ventilated patients. Computer Methods and Programs in Biomedicine, 71, 39-61.
20. Davis, S.D., 2003, Neonatal and pediatric respiratory diagnostics. Respiratory Care, 48, 367-385.
21. Pontrelli, G., 2002, A mathematical model of flow in a liquid-filled viscoelastic tube. Medical & Biological Engineering and Computing, 40, 550-556.
22. Frey, U., Schibler, A. and Kraemer, R., 1995, Pressure oscillations after flow interruption in relation to lung mechanics. Respiration Physiology, 102, 225-237.
23. Karason, S., Sondergaard, S., Lundin, S., Wiklund, J. and Stenqvist, O., 2001, Direct tracheal airway pressure measurements are essential for safe and accurate dynamic monitoring of respiratory mechanics. A laboratory study. Acta Anaesthesiol Scand, 45, 173-179.
24. Sondergaard, S., Karason, S., Hanson, A., Nilsson, K., Hojer, S., Lundin, S. and Stenqvist, O., 2002, Direct measurement of intratracheal pressure in pediatric respiratory monitoring. Pediatric Research, 51, 339-345.
25. Todd, B.S. and Andrews, D.C., 1999, The identification of peaks in physiological signals. Computers and Biomedical Research, 32, 322-335.
26. Cappa, P., Masia, L. and Silvestri, S., 2003, Experimental study of dissipative effects induced by breathing circuit in assisted ventilation for newborns. Proceedings of the World Congress on Medical Physics and Biomedical Engineering, Sydney, Australia, 24-29 August 2003.
27. Devlieger, H., Bayet, T., Lombet, J., Naude, S. and Eugene, C., 2002, The flow-pressure plot: a new look on the patient-ventilator interaction in neonatal care. Semin Perinatol, 26, 425-431.
28. Karason, S., Sondergaard, S., Lundin, S. and Stenqvist O., 2001, Continuous on-line measurements of respiratory system, lung and chest wall mechanics during mechanic ventilation. Intensive Care Medicine, 27, 1328-1339.