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Determining the appropriate model complexity for patient-specific advice on mechanical ventilation.

Stephen E Rees1, Dan S Karbing1

  • 1Respiratory and Critical Care group (rcare), Department of health science and Technology, Aalborg University.

Biomedizinische Technik. Biomedical Engineering
|December 9, 2016
PubMed
Summary

Mathematical models aid medical decisions by simulating patient physiology. Simple, bedside-applicable models are crucial for personalized mechanical ventilation support.

Keywords:
mathematical modelingmechanical ventilationparameter estimation

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Area of Science:

  • Physiological modeling
  • Medical decision support systems
  • Computational physiology

Background:

  • Mathematical models are vital for medical decision support systems.
  • Model complexity must be tailored for individual patient simulation and parameter identification from clinical data.
  • Accurate representation of individual patient (patho)physiology is essential.

Purpose of the Study:

  • To describe models for a decision support system for mechanical ventilation.
  • To present model parameters and required clinical data for estimation.
  • To highlight the need for simple, bedside-applicable models.

Main Methods:

  • Development of mathematical models for pulmonary gas exchange.
  • Modeling of respiratory mechanics, acid-base balance, and respiratory control.
  • Description of parameter estimation processes using clinical data.

Main Results:

  • Models for key physiological systems relevant to mechanical ventilation were developed.
  • Parameters for these models were identified and linked to specific clinical data.
  • The study demonstrated the feasibility of parameter estimation for individualized patient models.

Conclusions:

  • Simple, minimal mathematical models are necessary for effective bedside decision support.
  • Tailored models are required to accurately represent individual patient (patho)physiology.
  • The described models provide a foundation for enhanced mechanical ventilation management.