Development and Implementation of Explicit Computerized Protocols for Mechanical Ventilation in Children

Overview

Journal Ann Intensive Care

Specialty Critical Care

Date 2011 Dec 23

PMID 22189095

Citations 9

Authors

Philippe Jouvet

Patrice Hernert

Marc Wysocki

Affiliations

Soon will be listed here.

Abstract

Mechanical ventilation can be perceived as a treatment with a very narrow therapeutic window, i.e., highly efficient but with considerable side effects if not used properly and in a timely manner. Protocols and guidelines have been designed to make mechanical ventilation safer and protective for the lung. However, variable effects and low compliance with use of written protocols have been reported repeatedly. Use of explicit computerized protocols for mechanical ventilation might very soon become a "must." Several closed loop systems are already on the market, and preliminary studies are showing promising results in providing patients with good quality ventilation and eventually weaning them faster from the ventilator. The present paper defines explicit computerized protocols for mechanical ventilation, describes how these protocols are designed, and reports the ones that are available on the market for children.

Citing Articles

The role of computer-based clinical decision support systems to deliver protective mechanical ventilation.

Khemani R, Hotz J, Sward K, Newth C Curr Opin Crit Care. 2019; 26(1):73-81.

PMID: 31764194 PMC: 8063512. DOI: 10.1097/MCC.0000000000000688.

Computerized Decision Support Systems for Mechanical Ventilation in Children.

Sward K, Newth C J Pediatr Intensive Care. 2019; 5(3):95-100.

PMID: 31110892 PMC: 6512768. DOI: 10.1055/s-0035-1568161.

Using machine learning models to predict oxygen saturation following ventilator support adjustment in critically ill children: A single center pilot study.

Ghazal S, Sauthier M, Brossier D, Bouachir W, Jouvet P, Noumeir R PLoS One. 2019; 14(2):e0198921.

PMID: 30785881 PMC: 6382156. DOI: 10.1371/journal.pone.0198921.

Automated Weaning from Mechanical Ventilation after Off-Pump Coronary Artery Bypass Grafting.

Fot E, Izotova N, Yudina A, Smetkin A, Kuzkov V, Kirov M Front Med (Lausanne). 2017; 4:31.

PMID: 28377920 PMC: 5359227. DOI: 10.3389/fmed.2017.00031.

Smart Care™ versus respiratory physiotherapy-driven manual weaning for critically ill adult patients: a randomized controlled trial.

Taniguchi C, Victor E, Pieri T, Henn R, Santana C, Giovanetti E Crit Care. 2015; 19:246.

PMID: 26580673 PMC: 4511442. DOI: 10.1186/s13054-015-0978-6.

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