Computerised decision support for differential lung ventilation

Differential lung ventilation treatment is a mechanical ventilation strategy used for unilateral lung disease or injury. This treatment can be provided to patients who fail to respond to conventional mechanical ventilation to both lungs and is technically challenging to medical personnel. An effective computerised decision support system (CDSS) can be used as a support system to intensivists in providing this treatment to their patients. In this study, a CDSS for differential lung ventilation is presented. By using this system, the mode of ventilation to each lung can be pressure controlled or volume controlled and all ventilation parameters including the peak inspiratory pressure (P(insp)), tidal volume (V(t)), positive end-expiratory pressure, fraction of inspired oxygen ([inline-formula]), and the respiratory rate (f) can be assigned individually to each lung. The proposed CDSS has the potential to be used as a support system to clinicians in providing differential lung ventilation treatments to patients

Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease

Abstract Chronic obstructive pulmonary disease (COPD) affects the lives of millions of patients worldwide. Patients with advanced COPD may require non‐invasive ventilation (NIV) to support the resultant deficiencies of the respiratory system. The purpose of this study was to evaluate the effects of varying the continuous positive airway pressure (CPAP) and oxygen supplementation components of NIV on simulated COPD patients by using an established and detailed model of the human respiratory system. The model used in the study simulates features of advanced COPD including the effects on the changes in ventilation control, increases in respiratory dead space and airway resistance, and the acid–base shifts in the blood seen in these patients over time. The results of the study have been compared with and found to be in general agreement with available clinical data. Our results demonstrate that under non‐emergency conditions, low levels of oxygen supplementation combined with low levels of CPAP therapy seem to improve hypoxemia and hypercapnia in the model, whereas prolonged high‐level CPAP and moderate‐to‐high levels of oxygen supplementation do not. The authors conclude that such modelling may be useful to help guide beneficial interventions for COPD patients using NIV