Title
Noninvasive method for measuring respiratory system compliance during pressure support ventilation.
Abstract
To date, few methods have been accepted for assessing the respiratory system compliance (C(rs)) in patients under assisted ventilation at the bedside. The aim of this study was to evaluate our adaptive time slice method (ATSM) to continuously calculate the C(rs).One breath is divided into several time periods (slices). For each slice, a compliance value C(i) is calculated. The slice width is adapted according to the confidence interval of C(i). After all C(i) values are obtained and the outliers are eliminated, the C(rs) of this breath is calculated as the mean value of the remainder of C(i)'s. Seven patients with Chronic Obstructive Pulmonary Disease were evaluated during pressure support ventilation. The results are compared with the values calculated with the transdiaphragmatic pressure (P(di)).95 ± 4% of the recorded data could be analyzed with ATSM. In 6 patients out of 7, the results delivered with ATSM and with P(di) had similar variation (standard deviation) and accuracy (difference<20%). They were strongly correlated (weighted correlation coefficient = 0.86, p<10(-5)) with a mean difference of 3.22 ml/mbar.The ATSM is a robust method and able to provide accurate C(rs) in spontaneously breathing patients during pressure support ventilation noninvasively without extra instrumentation or complicated maneuvers.
Year
DOI
Venue
2011
10.1109/IEMBS.2011.6090772
EMBC
Keywords
Field
DocType
respiratory system compliance,diseases,noninvasive method,confidence interval,biomedical measurement,adaptive time slice method,pneumodynamics,pressure support ventilation,medical signal processing,lung,chronic obstructive pulmonary disease,breathing,transdiaphragmatic pressure,slice width,pressure measurement,standard deviation,correlation,ventilation,resistance,respiratory system
Nuclear medicine,Ventilation (architecture),Lung,Anesthesia,Pressure measurement,Respiratory system,Artificial intelligence,Confidence interval,Medicine,Computer vision,Breathing,Pressure support ventilation,Standard deviation
Conference
Volume
ISSN
ISBN
2011
1557-170X
978-1-4244-4122-8
Citations 
PageRank 
References 
0
0.34
0
Authors
7
Name
Order
Citations
PageRank
Z Zhao151.66
Marcus Eger221.04
Thomas Handzsuj300.34
V Marco Ranieri400.34
Lorenzo Appendini500.34
Cosimo Micelli600.34
Knut Möller75934.75