Adaptive ventilator FiO2 advisor: Use of non-invasive estimations of shunt

Artificial Intelligence in Medicine

Volumn 32, Issue 3 SPEC.ISS., 2004, Pages 157-169

  Kwok, H F ^a   Linkens, D A ^a   Mahfouf, M ^a   Mills, G H ^a  

^a UNIVERSITY OF SHEFFIELD   (United Kingdom)

Author keywords

Adaptive decision support; Artificial ventilation; Neuro fuzzy system; Non invasive shunt estimation

Indexed keywords

ALGORITHMS; DECISION SUPPORT SYSTEMS; INTENSIVE CARE UNITS; MATHEMATICAL MODELS; REGRESSION ANALYSIS;

ARTIFICIAL VENTILATION; LINEAR REGRESSION; OXYGEN CONSUMPTION INDEX; RESPIRATORY SHUNT;

BIOMEDICAL EQUIPMENT;

OXYGEN;

ADULT; AGED; ARTERIAL OXYGEN TENSION; ARTICLE; BREATHING; CALCULATION; CLINICAL ARTICLE; CONTROLLED STUDY; ERROR; FEMALE; HEART INDEX; HUMAN; LINEAR REGRESSION ANALYSIS; MALE; MODEL; MONITORING; NONLINEAR SYSTEM; OXYGEN CONSUMPTION; PRIORITY JOURNAL; SHUNTING; SIMULATION; VENTILATOR; ALGORITHM; ARTIFICIAL VENTILATION; BLOOD; DECISION SUPPORT SYSTEM; FUZZY LOGIC; INTENSIVE CARE UNIT; THEORETICAL MODEL;

ALGORITHMS; DECISION SUPPORT SYSTEMS, CLINICAL; FUZZY LOGIC; HUMANS; INTENSIVE CARE UNITS; MODELS, THEORETICAL; OXYGEN; RESPIRATION; RESPIRATION, ARTIFICIAL;

EID: 8644259340     PISSN: 09333657     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.artmed.2004.02.005     Document Type: Article

References (18)

1. The ARDS network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342:1301-8.
2. Menn S.J., Barnett G.O., Schmechel D. A computer program to assist in the care of respiratory failure. JAMA. 223(3):1973;308-312
3. Nemoto T., Hatzakis G.E., Thorpe C.W., Olivenstein R., Dial S., Bates J.H.T. Automatic control of pressure support mechanical ventilation using fuzzy logic. Am. J. Resp. Crit. Care Med. 160:1999;550-556
4. Schuh C, Zelenka C, Hiesmayr M. FuzzyKBWean: a computer program for fuzzy knowledge-based weaning of ICU patients. In: Adlassnig K-P, editor. Fuzzy diagnostic and therapeutic decision support. Proceedings of the ERUDIT-Workshop, 2000 May 11-12; Austria. Oesterreichische Computer Gesellschaft, vol. 187. p. 38-44.
5. Goode K.M., Linkens D.A., Bourne P.R., Cundill J.G. Development of a fuzzy rule-based advisor for the maintenance of mechanically ventilated patients in ICU: a model-based approach. Biomed. Eng.: Appl. Basis Commun. 10:1998;236-246
6. West JB. Respiratory physiology - the essentials. 6th ed. USA: Lippincott Williams & Wilkins, 2000.
7. Goode KM. Model-based development of a fuzzy logic advisor for artificially ventilated patients. Ph.D. Thesis. University of Sheffield, Sheffield, UK, 2000.
8. Evans CW. Engineering mathematics - a programmed approach. London, UK: Chapman & Hall, 1992.
9. Zetterstrom H. Assessment of the efficiency of pulmonary oxygenation. The choice of oxygen index. Acta Anaesthesiol. Scand. 32:1988;579-584
10. Kwok HF, Mills GH, Mahfouf M, Linkens DA. Non-invasive estimation of shunt: comparison of different hypoxaemia indices. In: Presented in the Anaesthetic Research Meeting, Sheffield, April 2002.
11. Jang J.S.R. ANFIS: adaptive-network-based fuzzy inference system. IEEE Trans. Syst. Man Cybernet. 23:1993;665-685
12. Hagan M.T., Menhaj M.B. Training feedforward networks with Marquardt algorithm. IEEE Trans. Neural Networks. 5(6):1994;989-993
13. Dickinson CJ. A computer model of human respiration: ventilation, blood gas transport and exchange, hydrogen ion regulation: for teaching, research and clinical use, 'MacPuf'. Lancaster, UK: MTP Press, 1977.
14. Rutledge G.W., Thomsen G.E., Farr B.R., Tovar M.A., Polaschek J.X., Beinlich I.A., et al. The design and implementation of a ventilator-management advisor. Artif. Intellect. Med. 5:1993;67-82
15. Hardman J.G., Bedforth N.M., Ahmed A.B., Mahajan R.P., Aitkenhead A.R. A physiology simulator: validation of its respiratory components and its ability to predict the patient's response to changes in mechanical ventilation. Br. J. Anaesth. 81:1998;327-332
16. Ganong WF. Review of medical physiology. USA: Appleton & Lange, 1991.
17. Virant-Klun I., Virant J. Fuzzy logic alternative for analysis in the biomedical sciences. Comput. Biomed. Res. 32:1999;305-321
18. Babuska R., Alic L., Lourens M.S., Verbraak A.F.M., Bogaard J. Estimation of respiratory parameters via fuzzy clustering. Artif. Intellect. Med. 21:2001;91-105