A closed-loop system for control of the fraction of inspired oxygen and the positive end-expiratory pressure in mechanical ventilation

被引：27
|
作者：
Tehrani, Fleur T. [1 ]
机构：
[1] Calif State Univ Fullerton, Dept Elect Engn, Fullerton, CA 92831 USA
来源：
COMPUTERS IN BIOLOGY AND MEDICINE | 2012年 / 42卷 / 11期
关键词：
Mechanical ventilation; Oxygen; Closed-loop control; Fraction of inspired oxygen; Positive end-expiratory pressure; ADAPTIVE-CONTROL; NEWBORN-INFANTS; CARDIAC-OUTPUT; MODEL;
D O I：
10.1016/j.compbiomed.2012.09.007
中图分类号：
Q [生物科学];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
A system for automatic control of the fraction of inspired oxygen (F-IO2), and positive end-expiratory pressure (PEEP) for patients on mechanical ventilation is presented. In this system, F-IO2 is controlled by using two interacting mechanisms; a fine control mechanism and a fast stepwise procedure used when patient's oxygen saturation level (S-pO2) falls abruptly. The PEEP level is controlled automatically and in relation to F-IO2 to prevent hypoxemia. The system has been tested by using bench studies and computer simulations. The results show the potential of the system as an aide in effective oxygenation of patients on mechanical ventilation. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码：1150 / 1156
页数：7
相关论文
共 50 条
  • [1] Closed-loop control of the inspired fraction of oxygen in mechanical ventilation
    Tehrani F.
    Rogers M.
    Lo T.
    Malinowsksi T.
    Afuwape S.
    Lum M.
    Grundl B.
    Terry M.
    Journal of Clinical Monitoring and Computing, 2002, 17 (06) : 367 - 376
  • [2] The use of positive end-expiratory pressure in mechanical ventilation
    Acosta, Pilar
    Santisbon, Edgardo
    Varon, Joseph
    CRITICAL CARE CLINICS, 2007, 23 (02) : 251 - +
  • [3] INADVERTENT POSITIVE END-EXPIRATORY PRESSURE DURING MECHANICAL VENTILATION
    BANCALARI, E
    JOURNAL OF PEDIATRICS, 1986, 108 (04): : 567 - 569
  • [4] THE CARDIOVASCULAR EFFECTS OF MECHANICAL VENTILATION AND POSITIVE END-EXPIRATORY PRESSURE
    LUCE, JM
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1984, 252 (06): : 807 - 811
  • [5] CARDIOVASCULAR EFFECTS OF MECHANICAL VENTILATION AND POSITIVE END-EXPIRATORY PRESSURE
    LHOMMEDIEU, CS
    FARRELL, SL
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1985, 253 (15): : 2195 - 2196
  • [6] INTERACTION BETWEEN INTRINSIC POSITIVE END-EXPIRATORY PRESSURE AND EXTERNALLY APPLIED POSITIVE END-EXPIRATORY PRESSURE DURING CONTROLLED MECHANICAL VENTILATION
    MUNOZ, J
    GUERRERO, JE
    DELACALLE, B
    ESCALANTE, JL
    CRITICAL CARE MEDICINE, 1993, 21 (03) : 348 - 356
  • [7] MECHANICS OF VENTILATION WITH POSITIVE END-EXPIRATORY PRESSURE
    HOBELMANN, CF
    SMITH, DE
    VIRGILIO, RW
    PETERS, RM
    ANNALS OF THORACIC SURGERY, 1977, 24 (01): : 68 - 76
  • [8] CARDIOVASCULAR EFFECTS OF MECHANICAL VENTILATION AND POSITIVE END-EXPIRATORY PRESSURE - REPLY
    LUCE, JM
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1985, 253 (15): : 2196 - 2196
  • [9] Automated Positive End-Expiratory Pressure Titration during Mechanical Ventilation
    von Platen, Philip
    Pomprapa, Anake
    Lohse, Arnhold
    Leonhardt, Steffen
    Pickerodt, Philipp A.
    Russ, Martin
    Taher, Mahdi
    Boerger, Emilia
    Francis, Roland C. E.
    Walter, Marian
    IFAC PAPERSONLINE, 2021, 54 (15): : 412 - 417
  • [10] Portable mechanical ventilation with closed-loop control of inspired fraction of oxygen maintains oxygenation in the setting of hemorrhage and lung injury
    Jernigan, Peter L.
    Hoehn, Richard S.
    Blakeman, Thomas C.
    Heyl, Judy
    Robinson, Bryce R. H.
    Pritts, Timothy A.
    Branson, Richard D.
    JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2015, 79 (01): : 53 - 59
12345