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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Computer Methods and Programs in Biomedicine
Article . 2018 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
DBLP
Article . 2018
Data sources: DBLP
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A virtual patient model for mechanical ventilation

Authors: Sophie E. Morton; Jennifer L. Dickson; J. Geoffrey Chase; Paul David Docherty; Thomas Desaive; Sarah L. Howe; Geoffrey M. Shaw; +1 Authors

A virtual patient model for mechanical ventilation

Abstract

Mechanical ventilation (MV) is a primary therapy for patients with acute respiratory failure. However, poorly selected ventilator settings can cause further lung damage due to heterogeneity of healthy and damaged alveoli. Varying positive-end-expiratory-pressure (PEEP) to a point of minimum elastance is a lung protective ventilator strategy. However, even low levels of PEEP can lead to ventilator induced lung injury for individuals with highly inflamed pulmonary tissue. Hence, models that could accurately predict peak inspiratory pressures after changes to PEEP could improve clinician confidence in attempting potentially beneficial treatment strategies.This study develops and validates a physiologically relevant respiratory model that captures elastance and resistance via basis functions within a well-validated single compartment lung model. The model can be personalised using information available at a low PEEP to predict lung mechanics at a higher PEEP. Proof of concept validation is undertaken with data from four patients and eight recruitment manoeuvre arms.Results show low error when predicting upwards over the clinically relevant pressure range, with the model able to predict peak inspiratory pressure with less than 10% error over 90% of the range of PEEP changes up to 12 cmH2O.The results provide an in-silico model-based means of predicting clinically relevant responses to changes in MV therapy, which is the foundation of a first virtual patient for MV.

Country
Belgium
Keywords

Virtual patient, Adult, Male, Anesthésie & soins intensifs, Ventilator-Induced Lung Injury, Sciences de la santé humaine, Models, Biological, Positive-Pressure Respiration, User-Computer Interface, Mechanical ventilation, Humans, Computer Simulation, Human health sciences, Lung Compliance, PEEP, Aged, Respiratory Distress Syndrome, Airway Resistance, Patient treatment, Anesthesia & intensive care, Middle Aged, Physiological models, Biological organs, Respiration, Artificial, Ventilation, Virtual patients, Intensive care, In-silico, Respiratory Mechanics, Female, Prediction, Forecasting

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
41
Top 10%
Top 10%
Top 10%
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