Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction

Model-based methods estimating patient-specific respiratory mechanics may help intensive care clinicians in setting optimal ventilation parameters. However, these methods rely heavily on the quality of measured airway pressure and flow profiles for reliable respiratory mechanics estimation. Thus, as...

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Main Authors: Tan, Chee Pin, Chiew, Yeong Shiong, Chase, Geoffrey, Chiew, Yeong Woei, Desaive, Thomas, Md Ralib, Azrina, Mat Nor, Mohd Basri
Format: Conference or Workshop Item
Language:English
English
Published: Springer 2018
Subjects:
Online Access:http://irep.iium.edu.my/61855/
http://irep.iium.edu.my/61855/
http://irep.iium.edu.my/61855/
http://irep.iium.edu.my/61855/1/61855_Model%20Iterative%20Airway%20Pressure%20Reconstruction%20During.pdf
http://irep.iium.edu.my/61855/2/61855_Model%20Iterative%20Airway%20Pressure%20Reconstruction%20During_SCOPUS.pdf
id iium-61855
recordtype eprints
spelling iium-618552018-06-26T03:56:59Z http://irep.iium.edu.my/61855/ Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction Tan, Chee Pin Chiew, Yeong Shiong Chase, Geoffrey Chiew, Yeong Woei Desaive, Thomas Md Ralib, Azrina Mat Nor, Mohd Basri R Medicine (General) TJ Mechanical engineering and machinery Model-based methods estimating patient-specific respiratory mechanics may help intensive care clinicians in setting optimal ventilation parameters. However, these methods rely heavily on the quality of measured airway pressure and flow profiles for reliable respiratory mechanics estimation. Thus, asynchronous and/or spontaneous breathing cycles that do not follow a typical passive airway profile affect the performance and reliability of model-based methods. In this study, a model iterative airway pressure reconstruction method is presented. It aims to reconstruct a measured airway pressure affected by asynchronous breathing iteratively, trying to match the profile of passive breaths with no asynchrony or spontaneous breathing effort. Thus, reducing the variability of identified respiratory mechanics over short time periods where changes would be due only to asynchrony or spontaneous artefacts. A total of 2000 breathing cycles from mechanically ventilated patients with known asynchronous breathing were analyzed. It was found that this method is capable of reconstructing an airway pressure free from asynchronous or spontaneous breathing effort. This work focuses on several cases, detailing how iterative pressure reconstruction method performs under different cases, as well as its limitation. Springer 2018 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/61855/1/61855_Model%20Iterative%20Airway%20Pressure%20Reconstruction%20During.pdf application/pdf en http://irep.iium.edu.my/61855/2/61855_Model%20Iterative%20Airway%20Pressure%20Reconstruction%20During_SCOPUS.pdf Tan, Chee Pin and Chiew, Yeong Shiong and Chase, Geoffrey and Chiew, Yeong Woei and Desaive, Thomas and Md Ralib, Azrina and Mat Nor, Mohd Basri (2018) Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction. In: 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences (ICIBEL 2017) in conjunction with APCMBE 2017, 10th-13th Dec 2017, Penang, Malaysia. https://link.springer.com/chapter/10.1007/978-981-10-7554-4_5 10.1007/978-981-10-7554-4_5
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic R Medicine (General)
TJ Mechanical engineering and machinery
spellingShingle R Medicine (General)
TJ Mechanical engineering and machinery
Tan, Chee Pin
Chiew, Yeong Shiong
Chase, Geoffrey
Chiew, Yeong Woei
Desaive, Thomas
Md Ralib, Azrina
Mat Nor, Mohd Basri
Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction
description Model-based methods estimating patient-specific respiratory mechanics may help intensive care clinicians in setting optimal ventilation parameters. However, these methods rely heavily on the quality of measured airway pressure and flow profiles for reliable respiratory mechanics estimation. Thus, asynchronous and/or spontaneous breathing cycles that do not follow a typical passive airway profile affect the performance and reliability of model-based methods. In this study, a model iterative airway pressure reconstruction method is presented. It aims to reconstruct a measured airway pressure affected by asynchronous breathing iteratively, trying to match the profile of passive breaths with no asynchrony or spontaneous breathing effort. Thus, reducing the variability of identified respiratory mechanics over short time periods where changes would be due only to asynchrony or spontaneous artefacts. A total of 2000 breathing cycles from mechanically ventilated patients with known asynchronous breathing were analyzed. It was found that this method is capable of reconstructing an airway pressure free from asynchronous or spontaneous breathing effort. This work focuses on several cases, detailing how iterative pressure reconstruction method performs under different cases, as well as its limitation.
format Conference or Workshop Item
author Tan, Chee Pin
Chiew, Yeong Shiong
Chase, Geoffrey
Chiew, Yeong Woei
Desaive, Thomas
Md Ralib, Azrina
Mat Nor, Mohd Basri
author_facet Tan, Chee Pin
Chiew, Yeong Shiong
Chase, Geoffrey
Chiew, Yeong Woei
Desaive, Thomas
Md Ralib, Azrina
Mat Nor, Mohd Basri
author_sort Tan, Chee Pin
title Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction
title_short Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction
title_full Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction
title_fullStr Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction
title_full_unstemmed Model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction
title_sort model iterative airway pressure reconstruction during mechanical ventilation asynchrony: shapes and sizes of reconstruction
publisher Springer
publishDate 2018
url http://irep.iium.edu.my/61855/
http://irep.iium.edu.my/61855/
http://irep.iium.edu.my/61855/
http://irep.iium.edu.my/61855/1/61855_Model%20Iterative%20Airway%20Pressure%20Reconstruction%20During.pdf
http://irep.iium.edu.my/61855/2/61855_Model%20Iterative%20Airway%20Pressure%20Reconstruction%20During_SCOPUS.pdf
first_indexed 2023-09-18T21:27:45Z
last_indexed 2023-09-18T21:27:45Z
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