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Computer-driven management of prolonged mechanical ventilation and weaning: a pilot study
- Source :
- Intensive Care Medicine, Intensive Care Medicine, Springer Verlag, 2005, 31 (10), pp.1446-50. ⟨10.1007/s00134-005-2766-2⟩
- Publication Year :
- 2005
- Publisher :
- HAL CCSD, 2005.
-
Abstract
- International audience; OBJECTIVE: To evaluate the ability of a computer-driven system (CDS) to manage pressure-support ventilation over prolonged periods and to predict weaning readiness compared to intensivists. The system continuously adapts pressure support, gradually decreases ventilatory assistance when possible, and indicates weaning readiness. DESIGN AND SETTING: A two-center, prospective, open, clinical, pilot study in medical ICUs of two university hospitals. PATIENTS AND PARTICIPANTS: 42 consecutive mechanically ventilated patients (60+/-14 years, SAPS II 39+/-15), 9 of whom were excluded. INTERVENTIONS: As soon as patients could tolerate pressure support, they were ventilated with the CDS. The times of weaning readiness determined by the intensivists and CDS were compared. MEASUREMENTS AND RESULTS: Weaning was successful in 25 patients and failed in 7; unplanned extubation occurred in 1 patient. Time on CDS ventilation was 3+/-3 days (maximum, 12 days). The CDS detected weaning readiness earlier than the intensivists in 17 patients, and intensivists earlier than the CDS in 4; in 11 patients detection times coincided. CONCLUSIONS: A CDS was successful in fully managing pressure-support ventilation over prolonged periods and often proposed weaning readiness earlier than the intensivists did. Use of this CDS may reduce the duration of mechanical ventilation.
- Subjects :
- Male
Resuscitation
Closed-loop ventilation
medicine.medical_treatment
Pilot Projects
MESH: Pulmonary Disease, Chronic Obstructive
Critical Care and Intensive Care Medicine
Severity of Illness Index
law.invention
[INFO.INFO-AI]Computer Science [cs]/Artificial Intelligence [cs.AI]
Pulmonary Disease, Chronic Obstructive
0302 clinical medicine
Mechanical ventilation
law
MESH: Respiration, Artificial
MESH: Middle Aged
Middle Aged
University hospital
Intensive Care Units
SAPS II
Anesthesia
Ventilation (architecture)
Female
[SDV.IB]Life Sciences [q-bio]/Bioengineering
Ventilator Weaning
Adult
[INFO.INFO-AI] Computer Science [cs]/Artificial Intelligence [cs.AI]
medicine.medical_specialty
MESH: Computers
Weaning
03 medical and health sciences
Anesthesiology
Intensive care
MESH: Severity of Illness Index
medicine
Humans
[SDV.IB] Life Sciences [q-bio]/Bioengineering
MESH: Humans
Computers
business.industry
030208 emergency & critical care medicine
MESH: Adult
MESH: Ventilator Weaning
MESH: Pilot Projects
Respiration, Artificial
MESH: Male
030228 respiratory system
Automatic weaning
MESH: Intensive Care Units
business
MESH: Female
Subjects
Details
- Language :
- English
- ISSN :
- 03424642 and 14321238
- Database :
- OpenAIRE
- Journal :
- Intensive Care Medicine, Intensive Care Medicine, Springer Verlag, 2005, 31 (10), pp.1446-50. ⟨10.1007/s00134-005-2766-2⟩
- Accession number :
- edsair.doi.dedup.....752ddd0e790ad4c8c1c1657babe5ba99