Parameter estimation of an artificial respiratory system under mechanical ventilation following a noisy regime

• Autor(a) principal: Victor Júnior,Marcus Henrique
• Data de Publicação: 2015
• Outros Autores: Forgiarini Junior,Luiz Alberto, Kinjo,Toru Miyagi, Amato,Marcelo Britto Passos, Yoneyama,Takashi, Tanaka,Harki
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Research on Biomedical Engineering (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2446-47402015000400343
• topic: Noisy ventilation; Respiratory care; Mechanical ventilator; Parameter estimation; Compliance; Respiratory system model

Abstract Introduction: This work concerns the assessment of a novel system for mechanical ventilation and a parameter estimation method in a bench test. The tested system was based on a commercial mechanical ventilator and a personal computer. A computational routine was developed do drive the mechanical ventilator and a parameter estimation method was utilized to estimate positive end-expiratory pressure, resistance and compliance of the artificial respiratory system. Methods The computational routine was responsible for establishing connections between devices and controlling them. Parameters such as tidal volume, respiratory rate and others can be set for standard and noisy ventilation regimes. Ventilation tests were performed directly varying parameters in the system. Readings from a calibrated measuring device were the basis for analysis. Adopting a first-order linear model, the parameters could be estimated and the outcomes statistically analysed. Results Data acquisition was effective in terms of sample frequency and low noise content. After filtering, cycle detection and estimation took place. Statistics of median, mean and standard deviation were calculated, showing consistent matching with adjusted values. Changes in positive end-expiratory pressure statistically imply changes in compliance, but not the opposite. Conclusion The developed system was satisfactory in terms of clinical parameters. Statistics exhibited consistent relations between adjusted and estimated values, besides precision of the measurements. The system is expected to be used in animals, with a view to better understand the benefits of noisy ventilation, by evaluating the estimated parameters and performing cross relations among blood gas, ultrasonography and electrical impedance tomography.