Parameterization of Respiratory Physiology and Pathophysiology for Real-Time Simulation.

We have refactored the Pulse Physiology Engine respiratory software with enhanced parameterization for improved simulation functionality and results. Realistic patient variability can be applied using discretized lumped-parameters that define lung volumes, compliances, and resistances. A new sigmoid compliance waveform helps meet validation of compartment pressures, flows, volumes, and substance values. Further parameterization and enhanced logic for the application of pathophysiology allows for more accurate modeling of both restrictive and obstructive diseases for mild, moderate, and severe cases.Clinical Relevance- This free and open model provides a well-validated respiratory system for integration with medical simulations and research. It improves the Pulse modeling software and allows for new, low-cost training and in silico testing use-cases. Applications include virtual/augmented environments, manikin-based simulations, and clinical explorations.