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用于差异肺通气的计算机化决策支持

Computerised decision support for differential lung ventilation.

作者信息

Tehrani Fleur T

机构信息

Department of Electrical Engineering, California State University, Fullerton, California 92831, USA.

出版信息

Healthc Technol Lett. 2019 Apr 3;6(2):37-41. doi: 10.1049/htl.2018.5091. eCollection 2019 Apr.

DOI:10.1049/htl.2018.5091
PMID:32082591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7010243/
Abstract

Differential lung ventilation treatment is a mechanical ventilation strategy used for unilateral lung disease or injury. This treatment can be provided to patients who fail to respond to conventional mechanical ventilation to both lungs and is technically challenging to medical personnel. An effective computerised decision support system (CDSS) can be used as a support system to intensivists in providing this treatment to their patients. In this study, a CDSS for differential lung ventilation is presented. By using this system, the mode of ventilation to each lung can be pressure controlled or volume controlled and all ventilation parameters including the peak inspiratory pressure ( ), tidal volume ( ), positive end-expiratory pressure, fraction of inspired oxygen ( ), and the respiratory rate () can be assigned individually to each lung The proposed CDSS has the potential to be used as a support system to clinicians in providing differential lung ventilation treatments to patients.

摘要

肺区别通气治疗是一种用于单侧肺部疾病或损伤的机械通气策略。这种治疗可用于对双肺进行常规机械通气无反应的患者,并且对医务人员来说在技术上具有挑战性。一个有效的计算机决策支持系统(CDSS)可作为支持系统,帮助重症监护医生为患者提供这种治疗。在本研究中,提出了一种用于肺区别通气的CDSS。通过使用该系统,每个肺的通气模式可以是压力控制或容量控制,并且所有通气参数,包括吸气峰压()、潮气量()、呼气末正压、吸入氧分数()和呼吸频率()都可以分别分配给每个肺。所提出的CDSS有潜力作为支持系统,帮助临床医生为患者提供肺区别通气治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e8/7010243/2eecbdfb92a1/HTL.2018.5091.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e8/7010243/cf3f68bb7727/HTL.2018.5091.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e8/7010243/aedb3d434645/HTL.2018.5091.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e8/7010243/2eecbdfb92a1/HTL.2018.5091.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e8/7010243/cf3f68bb7727/HTL.2018.5091.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e8/7010243/aedb3d434645/HTL.2018.5091.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06e8/7010243/2eecbdfb92a1/HTL.2018.5091.03.jpg

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A taxonomy for mechanical ventilation: 10 fundamental maxims.机械通气的分类法:十条基本准则。
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