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基于模型的患者匹配用于并行多重复合的机械通风支

Jin Wai Wong¹, Yeong Shiong Chiew¹, Thomas Desaive²

¹School of Engineering, Monash University Malaysia, Selangor, Malaysia.

IFAC-PapersOnLine

|April 15, 2024

概括

机械呼吸机共享 (co-MV) 可以在COVID-19激增期间提供帮助. 这项研究引入了一种使用患者模型匹配患者的方法,并设置呼吸器控制器,以确保安全,双患者共MV.

科学领域:

生物医学工程生物医学工程
呼吸系统医学呼吸系统医学
关键的护理关键的护理

背景情况:

COVID-19的激增可能导致机械呼吸机短缺,需要进行护理配给.
多重复合机械呼吸机 (co-MV) 是一个潜在的解决方案,但缺乏患者匹配和设置的指导方针.
现有的方法无法满足对共MV的并行通风要求.

研究的目的:

提出一种方法来匹配患者和机械呼吸器设置两个患者的共同MV.
在关键护理短缺期间实现安全有效的机械通风共享.
在临床实施之前,为临床医生提供一个用于in silico分析的工具.

主要方法:

使用患者特定的,经过临床验证的呼吸机制模型.
开发了一种方法来模拟和估计联合通风患者的潮体积.
在压力控制模式下为共MV确定机械通风器设置,确保满足患者特定的约束.

主要成果:

拟议的方法成功匹配患者,并确定合适的机械呼吸器设置,用于两名患者共MV.
模拟估计了共享通风下不同患者组合的产生的潮体积.
这种方法确保了两位患者在类似的设置下满足通风要求.

结论:

这项研究提供了一种基于模型的新方法,用于实施两名患者的共同MV.
在分析工具帮助临床医生安全管理机械呼吸机共享.
这些发现支持联合MV的临床实施,作为对呼吸机短缺的临时解决方案.

关键词:

平行通风的通风方式通过共通风进行共通风.决策支持提供了决策支持.基于模型的方法基于模型的方法.

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