Evidence map›Paper›PMID 36911536›Full record

ReviewAnnual reviews in control2019

Optimising mechanical ventilation through model-based methods and automation.

Sophie E Morton, Jennifer L Knopp, J Geoffrey Chase, Paul Docherty, Sarah L Howe, Knut Möller, Geoffrey M Shaw, Merryn Tawhai

Abstract readReview
In one paragraph

Review in Annual reviews in control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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  12. Hypertonic treatment of acute respiratory distress syndrome.Frontiers in bioengineering and biotechnology · 2023
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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

8 authors.

Sophie E MortonDepartment of Mechanical Engineering, University of Canterbury, New Zealand.
Jennifer L KnoppDepartment of Mechanical Engineering, University of Canterbury, New Zealand.
J Geoffrey ChaseDepartment of Mechanical Engineering, University of Canterbury, New Zealand.
Paul DochertyDepartment of Mechanical Engineering, University of Canterbury, New Zealand.
Sarah L HoweDepartment of Mechanical Engineering, University of Canterbury, New Zealand.
Knut MöllerInstitute of Technical Medicine, Furtwangen University, Villingen-Schwenningen, Germany.
Geoffrey M ShawDepartment of Intensive Care, Christchurch Hospital, Christchurch, New Zealand.
Merryn TawhaiAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical ventilation (MV) is a core life-support therapy for patients suffering from respiratory failure or acute respiratory distress syndrome (ARDS). Respiratory failure is a secondary outcome of a range of injuries and diseases, and results in almost half of all intensive care unit (ICU) patients receiving some form of MV. Funding the increasing demand for ICU is a major issue and MV, in particular, can double the cost per day due to significant patient variability, over-sedation, and the large amount of clinician time required for patient management. Reducing cost in this area requires both a decrease in the average duration of MV by improving care, and a reduction in clinical workload. Both could be achieved by safely automating all or part of MV care via model-based dynamic systems modelling and control methods are ideally suited to address these problems. This paper presents common lung models, and provides a vision for a more automated future and explores predictive capacity of some current models. This vision includes the use of model-based methods to gain real-time insight to patient condition, improve safety through the forward prediction of outcomes to changes in MV, and develop virtual patients for in-silico design and testing of clinical protocols. Finally, the use of dynamic systems models and system identification to guide therapy for improved personalised control of oxygenation and MV therapy in the ICU will be considered. Such methods are a major part of the future of medicine, which includes greater personalisation and predictive capacity to both optimise care and reduce costs. This review thus presents the state of the art in how dynamic systems and control methods can be applied to transform this core area of ICU medicine.

Indexed as

AutomationIn-silicoMechanical ventilationPEEPVirtual patients

Identifiers

PMID36911536
PMCPMC9985488

What OpenQuestion holds

Textmetadata
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.