Rutledge G, Thomsen G, Farr B, Tovar M, Sheiner L, Fagan L
Department of Medicine, Stanford University.
Proc Annu Symp Comput Appl Med Care. 1991:869-71.
VentPlan assists physicians, nurses, and respiratory therapists in the management of artificial respiration for critically ill patients in the intensive-care unit (ICU). VentPlan interprets clinical observations, monitored data, and arterial-blood-gas analyses to make recommendations for setting the ventilator. The VentPlan interface allows users to examine the physiologic model, to inspect details of the data on which the model is based, and to exercise the model to try out different ventilator settings before they implement a new setting. We also report here a preliminary evaluation of VentPlan's ability to predict the arterial oxygen and carbon-dioxide tensions following adjustments to the ventilator. We conclude that VentPlan's physiologic models are acceptably accurate for predicting the effects of small adjustments of the ventilator.
VentPlan可协助重症监护病房(ICU)的医生、护士和呼吸治疗师对重症患者进行人工呼吸管理。VentPlan可解读临床观察结果、监测数据和动脉血气分析,为设置呼吸机提供建议。VentPlan界面允许用户检查生理模型,查看模型所依据数据的详细信息,并在实施新的呼吸机设置之前运行该模型以尝试不同的设置。我们在此还报告了对VentPlan预测呼吸机调整后动脉血氧和二氧化碳分压能力的初步评估。我们得出结论,VentPlan的生理模型在预测呼吸机小幅度调整的效果方面具有可接受的准确性。