Multiparametric modeling of the ineffective efforts in assisted ventilation within an ICU.

In the context of assisted ventilation in ICU, it is of vital importance to keep a high synchronization between the patient's attempt to breath and the assisted ventilation event, so that the patient receives the ventilation support requested. In this work, experimental equipment is employed, which...

Descripción completa

Detalles Bibliográficos
Publicado en:Medical & Biological Engineering & Computing Vol. 54; no. 2/3; pp. 441 - 452
Autores principales: Chouvarda, I., Babalis, D., Papaioannou, V., Maglaveras, N., Georgopoulos, D., Chouvarda, I G
Formato: Journal Article
Publicado: Springer Nature Mar2016
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113881186&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 113881186
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        01400118
        PO0
      jtl: Medical & Biological Engineering & Computing
      issn: 01400118
      maglogo: N
    pubinfo:
      dt: Mar2016
      vid: 54
      iid: 2/3
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        113881186
        113881186
        NLM26081905
        10.1007/s11517-015-1328-1
        NLM26081905
        113881186
      ppf: 441
      ppct: 11
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Multiparametric modeling of the ineffective efforts in assisted ventilation within an ICU.
      aug:
        au:
          Chouvarda, I.
          Babalis, D.
          Papaioannou, V.
          Maglaveras, N.
          Georgopoulos, D.
          Chouvarda, I G
        affil: Lab of Medical Informatics, School of Medicine, Faculty of Health Sciences, Aristotle University, Thessaloníki 54124 Greece
      sug:
        subj:
          Respiration, Artificial
          Intensive Care Units
          Models, Theoretical
          Factor Analysis
          Cluster Analysis
          Scales
      ab: In the context of assisted ventilation in ICU, it is of vital importance to keep a high synchronization between the patient's attempt to breath and the assisted ventilation event, so that the patient receives the ventilation support requested. In this work, experimental equipment is employed, which allows for unobtrusive and continuous monitoring of a multiple relevant bioparameters. These are meant to guide the medical professionals in appropriately adapting the treatment and fine-tune the ventilation. However, synchronization phenomena of different origin (neurological, mechanical, ventilation parameters) may occur, which vary among patients, and during the course of monitoring of a single patient, the timely recognition of which is challenging even for experts. The dynamics and complex causal relations among bioparameters and the ventilation synchronization are not well studied. The purpose of this work is to elaborate on a methodology toward modeling the ventilation synchronization failures based on the evolution of monitored bioparameters. Principal component analysis is employed for the transformation into a small number of features and the investigation of repeating patterns and clusters within measurements. Using these features, nonlinear prediction models based on support vector machines regression are explored, in terms of what past knowledge is required and what is the future horizon that can be predicted. The proposed model shows good correlation (over 0.74) with the actual outputs, constituting an encouraging step toward understanding of ICU ventilation dynamic phenomena.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N