model based prediction of plateau pressure in mechanically ventilated patients
;Kretschmer Jörn;Patel Aakash;Docherty Paul D.;Laufer Bernhard;Möller Knut
materials science and engineering c2017Vol. 3pp. 301-304
159
jrn2017currentmodel
Abstract
The risk of ventilator induced lung injury in mechanically ventilated (MV) critically ill patients can be mitigated by patient-specific optimisation of ventilator settings. Recent studies have shown that driving pressure, i.e. the difference between plateau pressure (Pplat) and PEEP, is a strong indicator for survival in MV patients suffering from ARDS. However, to measure Pplat, an extended end-inspiratory pause (EIP) has to be applied, possibly interrupting ventilation therapy. This study presents a method for predicting Pplat from normal breaths in MV patients.