Division of Trauma and Critical Care, University of Cincinnati, 231 Albert Sabin Way #558, Cincinnati, OH 45267, USA.
Crit Care Clin. 2018 Jul;34(3):383-394. doi: 10.1016/j.ccc.2018.03.012.
Closed loop control of mechanical ventilation is routine and operates behind the ventilator interface. Reducing caregiver interactions is neither an advantage for the patient or the staff. Automated systems causing lack of situational awareness of the intensive care unit are a concern. Along with autonomous systems must come monitoring and displays that display patients' current condition and response to therapy. Alert notifications for sudden escalation of therapy are required to ensure patient safety. Automated ventilation is useful in remote settings in the absence of experts. Whether automated ventilation will be accepted in large academic medical centers remains to be seen.
机械通气的闭环控制是常规操作，在呼吸机界面后面运行。减少护理人员的交互既不是患者的优势，也不是员工的优势。造成重症监护病房缺乏态势感知的自动化系统令人担忧。随着自主系统的出现，必须要有监测和显示功能，以显示患者的当前状况和对治疗的反应。需要对治疗的突然升级发出警报通知，以确保患者安全。在没有专家的远程环境中，自动化通气是有用的。自动化通气是否会在大型学术医疗中心被接受，还有待观察。
