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呼吸系统的可变增益控制

Variable-Gain Control for Respiratory Systems.

作者信息

Hunnekens Bram, Kamps Sjors, Van De Wouw Nathan

机构信息

1DEMCON Macawi Respiratory Systems5692EnschedeThe Netherlands.

2ASM Laser Separation International (ALSI) B.V.6641BeuningenThe Netherlands.

出版信息

IEEE Trans Control Syst Technol. 2018 Oct 10;28(1):163-171. doi: 10.1109/TCST.2018.2871002. eCollection 2020 Jan.

DOI:10.1109/TCST.2018.2871002
PMID:32390782
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7176038/
Abstract

In this paper, we introduce a variable-gain control strategy for mechanical ventilators in the respiratory systems. Respiratory systems assist the patients who have difficulty breathing on their own. For the comfort of the patient, fast pressure buildup (and release) and a stable flow response are desired. However, linear controllers typically need to balance between these conflicting objectives. In order to balance this tradeoff in a more desirable manner, a variable-gain controller is proposed, which switches the controller gain based on the magnitude of the patient flow. The effectiveness of the control strategy is demonstrated in experiments on different test lungs.

摘要

在本文中,我们介绍了一种用于呼吸系统中机械通气机的可变增益控制策略。呼吸系统辅助那些自主呼吸有困难的患者。为了患者舒适,期望有快速的压力建立(和释放)以及稳定的流量响应。然而,线性控制器通常需要在这些相互冲突的目标之间进行平衡。为了以更理想的方式平衡这种权衡,提出了一种可变增益控制器,它根据患者流量的大小切换控制器增益。在不同测试肺上的实验证明了该控制策略的有效性。

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本文引用的文献

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Does this ventilated patient have asynchronies? Recognizing reverse triggering and entrainment at the bedside.这位接受机械通气的患者是否存在不同步现象?在床边识别反向触发和触发。
Intensive Care Med. 2016 Jun;42(6):1058-61. doi: 10.1007/s00134-015-4177-3. Epub 2015 Dec 16.
2
Asynchronies during mechanical ventilation are associated with mortality.机械通气过程中的异步与死亡率相关。
Intensive Care Med. 2015 Apr;41(4):633-41. doi: 10.1007/s00134-015-3692-6. Epub 2015 Feb 19.
3
Mechanical ventilation-induced reverse-triggered breaths: a frequently unrecognized form of neuromechanical coupling.
一种使用基于最优规则的模糊推理系统和 RCTO 算法的新型 PID 控制器,用于人工呼吸机的压力控制。
Sci Rep. 2023 Jun 7;13(1):9281. doi: 10.1038/s41598-023-36506-5.
4
A novel Human Conception Optimizer for solving optimization problems.一种新颖的人类受孕优化器,用于解决优化问题。
Sci Rep. 2022 Dec 14;12(1):21631. doi: 10.1038/s41598-022-25031-6.
5
Fuzzy PID Control for Respiratory Systems.模糊 PID 控制在呼吸系统中的应用。
J Healthc Eng. 2021 Jun 24;2021:7118711. doi: 10.1155/2021/7118711. eCollection 2021.
6
Adaptive Fuzzy Sliding Mode Control of a Pressure-Controlled Artificial Ventilator.压力控制型人工呼吸机的自适应模糊滑模控制
J Healthc Eng. 2021 Jun 23;2021:1926711. doi: 10.1155/2021/1926711. eCollection 2021.
机械通气引起的反向触发呼吸:一种经常被忽视的神经机械耦合形式。
Chest. 2013 Apr;143(4):927-938. doi: 10.1378/chest.12-1817.
4
State-of-the-art mechanical ventilation.最先进的机械通气
J Cardiothorac Vasc Anesth. 2012 Jun;26(3):486-506. doi: 10.1053/j.jvca.2011.03.010. Epub 2011 May 23.
5
Closed-loop control of mechanical ventilation: description and classification of targeting schemes.机械通气的闭环控制:靶向方案的描述和分类。
Respir Care. 2011 Jan;56(1):85-102. doi: 10.4187/respcare.00967.
6
Ineffective triggering predicts increased duration of mechanical ventilation.无效触发预示着机械通气时间延长。
Crit Care Med. 2009 Oct;37(10):2740-5. doi: 10.1097/ccm.0b013e3181a98a05.
7
Patient-ventilator asynchrony during non-invasive ventilation for acute respiratory failure: a multicenter study.急性呼吸衰竭无创通气期间的患者-呼吸机不同步:一项多中心研究
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Patient-ventilator asynchrony.患者-呼吸机不同步。
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