Tschopp M, Lovis C
Intensive Care Unit, Geneva University Hospitals, Geneva, Switzerland; Service of Medical Informatics, Geneva University Hospitals, Geneva, Switzerland.
Yearb Med Inform. 2009:75-80.
To provide an overview of the state-of-the-art of closed-loop systems in the field of mechanical ventilation.
This survey is reviewing the literature and proposes an overview of existing closed-loop systems, in different areas of mechanical ventilation. It discusses the key points that guided their development and addresses specific issues such as their performance and penetration at the bedside.
Much research has been undertaken in the hope of improving patient-ventilator interaction and shortening the weaning process. This led to the development of new modes of ventilation and expert weaning systems that are starting to achieve a wider clinical audience.
Intensive care unit personnel are facing increasing work load during care for patients with severe, multi-system illness, using sophisticated equipment that generate high information flows requiring quick processing. Mechanical ventilation is a good example of a process that requires skillful and timely management of multiple parameters that could be delegated to closed-loop systems. Availability of commercial offerings, validated by randomized controlled trials in a well-defined set of clinical situations, is starting to fulfill the promise of intelligent systems skillfully assisting caregivers at the bedside.
概述机械通气领域闭环系统的最新技术水平。
本综述回顾了文献，并对机械通气不同领域中现有的闭环系统进行了概述。它讨论了指导其发展的关键点，并阐述了诸如其性能和在床边的普及等具体问题。
为改善患者与呼吸机的相互作用及缩短撤机过程已开展了大量研究。这促使了新的通气模式和专家撤机系统的发展，这些系统开始获得更广泛的临床应用。
在照顾患有严重多系统疾病的患者时，重症监护病房的工作人员面临着不断增加的工作量，他们使用的复杂设备会产生大量需要快速处理的信息流。机械通气是一个需要对多个参数进行熟练及时管理的过程的典型例子，而这些参数管理可以委托给闭环系统。通过在明确的临床情况下进行随机对照试验验证的商业产品的可用性，正开始实现智能系统在床边巧妙协助护理人员的承诺。
