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用于新冠肺炎的云计算:从大规模并行呼吸机分配模型中吸取的经验教训。

Cloud Computing for COVID-19: Lessons Learned From Massively Parallel Models of Ventilator Splitting.

作者信息

Kaplan Michael, Kneifel Charles, Orlikowski Victor, Dorff James, Newton Mike, Howard Andy, Shinn Don, Bishawi Muath, Chidyagwai Simbarashe, Balogh Peter, Randles Amanda

机构信息

Duke University School of Medicine.

Duke University Office of Information Technology.

出版信息

Comput Sci Eng. 2020 Sep 21;22(6):37-47. doi: 10.1109/MCSE.2020.3024062. eCollection 2020 Nov.

DOI:10.1109/MCSE.2020.3024062
PMID:35939281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9280799/
Abstract

A patient-specific airflow simulation was developed to help address the pressing need for an expansion of the ventilator capacity in response to the COVID-19 pandemic. The computational model provides guidance regarding how to split a ventilator between two or more patients with differing respiratory physiologies. To address the need for fast deployment and identification of optimal patient-specific tuning, there was a need to simulate hundreds of millions of different clinically relevant parameter combinations in a short time. This task, driven by the dire circumstances, presented unique computational and research challenges. We present here the guiding principles and lessons learned as to how a large-scale and robust cloud instance was designed and deployed within 24 hours and 800 000 compute hours were utilized in a 72-hour period. We discuss the design choices to enable a quick turnaround of the model, execute the simulation, and create an intuitive and interactive interface.

摘要

开发了一种针对特定患者的气流模拟,以帮助应对在新冠疫情期间扩大呼吸机容量的迫切需求。该计算模型为如何在两名或更多呼吸生理不同的患者之间分配一台呼吸机提供指导。为满足快速部署和确定针对特定患者的最佳调整的需求,需要在短时间内模拟数亿种不同的临床相关参数组合。在这种严峻形势驱动下的这项任务带来了独特的计算和研究挑战。我们在此介绍关于如何在24小时内设计并部署大规模强大云实例以及在72小时内使用80万个计算小时的指导原则和经验教训。我们讨论了为实现模型的快速周转、执行模拟以及创建直观且交互式界面所做的设计选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/9280799/ddb38d75ea22/rand3-3024062.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/9280799/902936397d40/rand1-3024062.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/9280799/837b1938e6d1/rand2-3024062.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/9280799/ddb38d75ea22/rand3-3024062.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/9280799/902936397d40/rand1-3024062.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/9280799/837b1938e6d1/rand2-3024062.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/def9/9280799/ddb38d75ea22/rand3-3024062.jpg

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本文引用的文献

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Ventilator Sharing during an Acute Shortage Caused by the COVID-19 Pandemic.新型冠状病毒肺炎大流行导致急性短缺期间的呼吸机共享
Am J Respir Crit Care Med. 2020 Aug 15;202(4):600-604. doi: 10.1164/rccm.202005-1586LE.
2
Shared Ventilation: Toward Safer Ventilator Splitting in Resource Emergencies.共享通气:在资源紧急情况下实现更安全的呼吸机拆分
Anesthesiology. 2020 Sep;133(3):681-683. doi: 10.1097/ALN.0000000000003410.
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A rapidly deployable individualized system for augmenting ventilator capacity.一种用于增强呼吸机容量的快速可部署个性化系统。
Distributed messaging and light streaming system for combating pandemics: A case study on spatial analysis of COVID-19 Geo-tagged Twitter dataset.
用于抗击疫情的分布式消息传递和轻量级流系统:以COVID-19地理标记推特数据集的空间分析为例
J Ambient Intell Humaniz Comput. 2023;14(2):773-787. doi: 10.1007/s12652-021-03328-0. Epub 2021 Jun 10.
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Emergency Open-source Three-dimensional Printable Ventilator Circuit Splitter and Flow Regulator during the COVID-19 Pandemic.COVID-19大流行期间的应急开源三维可打印呼吸机电路分流器和流量调节器
Anesthesiology. 2020 Jul;133(1):246-248. doi: 10.1097/ALN.0000000000003332.
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Coping with COVID-19: ventilator splitting with differential driving pressures using standard hospital equipment.应对 COVID-19:使用标准医院设备以差异驱动压力进行呼吸机分割。
Anaesthesia. 2020 Jul;75(7):872-880. doi: 10.1111/anae.15078. Epub 2020 Apr 25.
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Computer simulation of the measured respiratory impedance in newborn infants and the effect of the measurement equipment.新生儿测量呼吸阻抗的计算机模拟及测量设备的影响
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