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重症监护病房机械通气期间的大数据监测

Monitoring Big Data During Mechanical Ventilation in the ICU.

作者信息

Smallwood Craig D

机构信息

Division of Critical Care of Anesthesia, Critical Care and Pain Medicine, Boston Children's Hospital.

Harvard Medical School, Boston, Massachusetts.

出版信息

Respir Care. 2020 Jun;65(6):894-910. doi: 10.4187/respcare.07500.

DOI:10.4187/respcare.07500
PMID:32457178
Abstract

The electronic health record allows the assimilation of large amounts of clinical and laboratory data. Big data describes the analysis of large data sets using computational modeling to reveal patterns, trends, and associations. How can big data be used to predict ventilator discontinuation or impending compromise, and how can it be incorporated into the clinical workflow? This article will serve 2 purposes. First, a general overview is provided for the layperson and introduces key concepts, definitions, best practices, and things to watch out for when reading a paper that incorporates machine learning. Second, recent publications at the intersection of big data, machine learning, and mechanical ventilation are presented.

摘要

电子健康记录能够整合大量临床和实验室数据。大数据指的是利用计算模型对大型数据集进行分析,以揭示模式、趋势和关联。如何利用大数据来预测撤机或即将出现的通气功能障碍,以及如何将其纳入临床工作流程?本文有两个目的。其一,为非专业人士提供一个总体概述,并介绍关键概念、定义、最佳实践以及阅读包含机器学习内容的论文时需要注意的事项。其二,展示大数据、机器学习与机械通气交叉领域的近期出版物。

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引用本文的文献

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Artificial Intelligence for Mechanical Ventilation: A Transformative Shift in Critical Care.用于机械通气的人工智能:重症监护领域的变革性转变。
Ther Adv Pulm Crit Care Med. 2024 Nov 11;19:29768675241298918. doi: 10.1177/29768675241298918. eCollection 2024 Jan-Dec.
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Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study.口腔综合护理干预对重症监护病房机械通气患者的影响:一项随机对照研究。 (注:原文中randimized拼写错误,正确应为randomized)
BMC Nurs. 2023 Aug 29;22(1):293. doi: 10.1186/s12912-023-01464-w.
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Pediatr Res. 2023 Jan;93(2):357-365. doi: 10.1038/s41390-022-02320-4. Epub 2022 Sep 30.
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Influence of Dexmedetomidine on Diaphragm Function and Postoperative Outcomes in ICU Patients with Mechanical Ventilation.右美托咪定对机械通气的重症监护病房患者膈肌功能及术后结局的影响
Evid Based Complement Alternat Med. 2021 Oct 25;2021:1990838. doi: 10.1155/2021/1990838. eCollection 2021.