A Polynomial Model of Patient-specific Breathing Effort During Controlled Mechanical Ventilation

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Conference Contributions - Other
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Publisher
University of Canterbury. Mechanical Engineering
Journal Title
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Date
2015
Authors
Redmond, D.P.
Docherty, P.D.
Chiew, Y.S.
Chase, Geoff
Abstract

Patient breathing efforts occurring during controlled ventilation causes perturbations in pressure data, which cause erroneous parameter estimation in conventional models of respiratory mechanics. A polynomial model of patient effort can be used to capture breath-specific effort and underlying lung condition. An iterative multiple linear regression is used to identify the model in clinical volume controlled data. The polynomial model has lower fitting error and more stable estimates of respiratory elastance and resistance in the presence of patient effort than the conventional single compartment model. However, the polynomial model can converge to poor parameter estimation when patient efforts occur very early in the breath, or for long duration. The model of patient effort can provide clinical benefits by providing accurate respiratory mechanics estimation and monitoring of breath-to-breath patient effort, which can be used by clinicians to guide treatment.

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Citation
Redmond, D.P., Docherty, P.D., Chiew, Y.S., Chase, J.G. (2015) A Polynomial Model of Patient-specific Breathing Effort During Controlled Mechanical Ventilation. Milan, Italy: 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 25-29 Aug 2015.
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ANZSRC fields of research
Fields of Research::40 - Engineering::4003 - Biomedical engineering::400303 - Biomechanical engineering
Fields of Research::32 - Biomedical and clinical sciences::3201 - Cardiovascular medicine and haematology::320103 - Respiratory diseases
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