Changes in shunt, ventilation/perfusion mismatch, and lung aeration with PEEP in patients with ARDS: a prospective single-arm interventional study

DS Karbing, M Panigada, N Bottino, E Spinelli, A Protti… - Critical Care, 2020 - Springer
Background Several studies have found only a weak to moderate correlation between
oxygenation and lung aeration in response to changes in PEEP. This study aimed to …

Physiologic evaluation of ventilation perfusion mismatch and respiratory mechanics at different positive end-expiratory pressure in patients undergoing protective one …

S Spadaro, S Grasso, DS Karbing, A Fogagnolo… - …, 2018 - ingentaconnect.com
Background: Arterial oxygenation is often impaired during one-lung ventilation, due to both
pulmonary shunt and atelectasis. The use of low tidal volume (VT)(5 ml/kg predicted body …

[PDF][PDF] A review on evaluation and benefits of decision support systems

RA Pick, N Weatherholt - The Review of Business Information Systems …, 2013 - core.ac.uk
This review paper identifies benefits from various Decision Support Systems (DSSs) and
introduces a range of examples from the literature. Those examples are organized …

Modeling mechanical ventilation in silico—potential and pitfalls

DM Hannon, S Mistry, A Das, S Saffaran… - … in Respiratory and …, 2022 - thieme-connect.com
Computer simulation offers a fresh approach to traditional medical research that is
particularly well suited to investigating issues related to mechanical ventilation. Patients …

An open-loop, physiologic model–based decision support system can provide appropriate ventilator settings

DS Karbing, S Spadaro, N Dey, R Ragazzi… - Critical Care …, 2018 - journals.lww.com
Objectives: To evaluate the physiologic effects of applying advice on mechanical ventilation
by an open-loop, physiologic model–based clinical decision support system. Design …

Clinical verification of a clinical decision support system for ventilator weaning

JC Hsu, YF Chen, WS Chung, TH Tan, T Chen… - Biomedical engineering …, 2013 - Springer
Background Weaning is typically regarded as a process of discontinuing mechanical
ventilation in the daily practice of an intensive care unit (ICU). Among the ICU patients, 39 …

Human cognitive limitations. Broad, consistent, clinical application of physiological principles will require decision support

AH Morris - Annals of the American Thoracic Society, 2018 - atsjournals.org
Our education system seems to fail to enable clinicians to broadly understand core
physiological principles. The emphasis on reductionist science, including “omics” branches …

Determining the appropriate model complexity for patient-specific advice on mechanical ventilation

SE Rees, DS Karbing - Biomedical Engineering/Biomedizinische …, 2017 - degruyter.com
Mathematical physiological models can be applied in medical decision support systems. To
do so requires consideration of the necessary model complexity. Models that simulate …

[HTML][HTML] Computerized decision support in adult and pediatric critical care

CN Williams, SL Bratton… - World journal of critical …, 2013 - ncbi.nlm.nih.gov
Computerized decision support (CDS) is the most advanced form of clinical decision support
available and has evolved with innovative technologies to provide meaningful assistance to …

Simulations for mechanical ventilation in children: review and future prospects

O Flechelles, A Ho, P Hernert… - … care research and …, 2013 - Wiley Online Library
Mechanical ventilation is a very effective therapy, but with many complications. Simulators
are used in many fields, including medicine, to enhance safety issues. In the intensive care …