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Abstrakty
EN
A new control solution for independent, synchronous ventilation of lungs has been developed and a controller to perform it with use of only one respirator and a bilumen intubation tube has been built. The controller enables division of the inspiratory tidal volume between the lungs in desired ratio, and setting of the positive end-expiratory pressure (PEEP) separately for each lung. The model tests have shown that the characteristics of the flow meters used, however not linear, is good enough to achieve clinically accepted accuracy of volume division. The tests have shown that the volume division is independent from the total tidal volume and PEEP. Maximal errors of the tidal volume division was less than 10%. The case study of patient after lung injury has shown significant improvement of the X-ray image and respiratory parameters (blood oxygenation, ventilatory pressures) during the independent ventilation of lungs with the use of the new device. The clinical study of 60 patients has shown that differences between actually realized volume division and the adjusted values are practically negligible.
Twórcy
autor
autor
  • Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, ul. Ks. Trojdena 4, 02-109 Warsaw, Poland, marcin@ibib.waw.pl
Bibliografia
  • 1. Marraro G.: Simultaneous independent lung ventilation in pediatric patients. Critical Care Clinics 1992, 8, 131.
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  • 4. Carvalho P., Thompson W.H., Riggs R., Carvalho C., Charan N.B.: Management of bronchopleural fistula with a variable-resistance valve and a single ventilator. Chest 1997, May, 111, 5, 1, 452-454.
  • 5. Hedenstierna G., Beahrendtz S., Darowski M. And Frostell C.: Practical aspects of differential ventilation with selective PEEP in acute respiratory failure. Int. J. Clin. Monit. Comp. 1984, 1, 5-11.
  • 6. Darowski M., Hedenstierna G., Beahrendtz S.: Development and evaluation of a flow-dividing unit for differential ventilation and selective PEEP. Acta Anaesth. Scand. 1985, 29, 61-66.
  • 7. Darowski M., Hedenstierna G.: Apparatus for independent ventilation of two lungs with selective use of positive end expiratory pressure. USA patent No 4598706, 1986.
  • 8. Darowski M.: A system for selective ventilation of the lungs. Polish patent no 179784, 1996.
  • 9. Michnikowski M., Glapiński J., Guć M., Gólczewski T., Darowski M.: A Hybrid model of the respiratory system. Biocybernetics and Biomedical Engineering 2009, 29, 1, 71-80.
  • 10. Doron D., Sommer et al.: Improvised automatic lung ventilation for unanticipated emergencies. Crit. Care Med. 1994, 22, 705-709.
  • 11. Shirley Peter J., Mandelsroot G.: Clinical review: The role of the intensive care physician in mass casualty incidents: planning, organization and leadership. Crit. Care, 2008, 12, 214.
  • 12. Darowski M., Englisz M.: Artificial ventilation of the lungs for emergencies. Frontiers Med.Biol. Eng. 2000, 10, 3, 177-183.
  • 13. 2-for-1 ventilation, Resource Guide, Emergency Medical Services, J. Emerg. Care, Rescuse and Transportation, 2001, 30, 1, 80.
  • 14. Gólczewski T., Darowski M.: The virtual Cardio-respiratory system: a sub-model of gas exchange and transfer. Biocybernetics and Biomedical Engineering 2008, 28, 1, 29-40.
  • 15. Polak A. G.:A model-based approach to the forward and inverse problems in spirometry. Biocybernetics and Biomedical Engineering 2008, 28, 1, 41-58.
  • 16. Kozarski M., Zieliński K., Pałko K.J., Stankiewicz B., Bożewicz D., Darowski M.: The new hybrid pneumo-electrical piston model of lungs mechanics - preliminary tests. Biocybernetics and Biomedical Engineering 2009, 29, 3, 3-18.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPZ1-0059-0013
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