Evidence map›Paper›PMID 25270094›Full record

ArticleBiomedical engineering online2014

The Clinical Utilisation of Respiratory Elastance Software (CURE Soft): a bedside software for real-time respiratory mechanics monitoring and mechanical ventilation management.

Akos Szlavecz, Yeong Shiong Chiew, Daniel Redmond, Alex Beatson, Daniel Glassenbury, Simon Corbett, Vincent Major, Christopher Pretty, Geoffrey M Shaw, Balazs Benyo and 2 more

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 77 citations in OpenAlex.

  1. Review
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  7. Quantifying neonatal patient effort using non-invasive model-based methods.Medical & biological engineering & computing · 2022
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  10. Observational
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  16. Development of a research-oriented system for collecting mechanical ventilator waveform data.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Akos SzlaveczDepartment of Control Engineering and Information, Budapest University of Technology and Economics, Budapest, Hungary. szlavecz@gmail.com.
Yeong Shiong Chiew
Daniel Redmond
Alex Beatson
Daniel Glassenbury
Simon Corbett
Vincent Major
Christopher Pretty
Geoffrey M Shaw
Balazs Benyo
Thomas Desaive
J Geoffrey Chase
University of Canterbury · NZBudapest University of Technology and Economics · HUChristchurch Hospital · NZUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReal-time patient respiratory mechanics estimation can be used to guide mechanical ventilation settings, particularly, positive end-expiratory pressure (PEEP). This work presents a software, Clinical Utilisation of Respiratory Elastance (CURE Soft), using a time-varying respiratory elastance model to offer this ability to aid in mechanical ventilation treatment. IMPLEMENTATION: CURE Soft is a desktop application developed in JAVA. It has two modes of operation, 1) Online real-time monitoring decision support and, 2) Offline for user education purposes, auditing, or reviewing patient care. The CURE Soft has been tested in mechanically ventilated patients with respiratory failure. The clinical protocol, software testing and use of the data were approved by the New Zealand Southern Regional Ethics Committee. RESULTS AND DISCUSSION: Using CURE Soft, patient's respiratory mechanics response to treatment and clinical protocol were monitored. Results showed that the patient's respiratory elastance (Stiffness) changed with the use of muscle relaxants, and responded differently to ventilator settings. This information can be used to guide mechanical ventilation therapy and titrate optimal ventilator PEEP.

conclusionCURE Soft enables real-time calculation of model-based respiratory mechanics for mechanically ventilated patients. Results showed that the system is able to provide detailed, previously unavailable information on patient-specific respiratory mechanics and response to therapy in real-time. The additional insight available to clinicians provides the potential for improved decision-making, and thus improved patient care and outcomes.

Indexed as

SoftwareHumansPositive-Pressure RespirationRespiration, ArtificialRespiratory MechanicsVentilators, Mechanical

Identifiers

PMID25270094
PMCPMC4192763
OpenAlexW2163532127

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.