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Alveolar pressure estimation in total liquid ventilation during pauses impeded by tube resonance

机译:管谐振暂停期间总液体通气的肺泡压力估计

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Total liquid ventilation is an innovative experimental method of mechanical assisted ventilation in which lungs are totally filled and then ventilated with a tidal volume of perfluorochemical liquid (PFC) by using a dedicated liquid ventilator. The positive end-inspiratory and end-expiratory pressures (PEIP and PEEP) are static pressure measurements that are critic to the safe and efficient control of the ventilation. However, their measurement is impeded by large oscillations of pressure caused by the propagation of pressure waves along the flexible tubes carrying the PFC to the patient. The aim of this paper is to describe a method to accurately estimate the PEEP and the PEIP from noisy data hindered by flexible tubing resonance during short respiratory pauses. The method developped makes use of the least squares technique to estimate the steady state pressure. Preliminary in vivo validation of the algorithm shows that the method gives accurate estimations with respiratory pauses as short as 0.3 second.
机译:总液体通气是机械辅助通气的一种创新的实验方法,其中肺中完全通过使用专用的液体通气机填充,然后用全氟化合物液体(PFC)的潮气量通风。正吸气末和呼气末压力(PEIP和PEEP)是静态压力测量是评论家通风的安全和有效的控制。然而,它们的测量是通过引起的压力波沿着承载PFC给患者的柔性管传播的压力大的振荡受到阻碍。本文的目的是描述准确地估计PEEP和PEIP从期间短呼吸暂停噪声数据受阻通过柔性管共振的方法。该方法developped利用最小二乘法来估计稳态压力。初步体内的算法示出了验证,该方法给出了呼吸暂停短0.3秒准确估计。

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