A time-continuous model of respiratory mechanics of ARDS patients

C. Schranz, P. D. Docherty, Y. S. Chiew, J. G. Chase, K. Möller

Research output: Chapter in Book/Report/Conference proceedingConference PaperOther

2 Citations (Scopus)

Abstract

Predictions of individualized models of respiratory mechanics provide insight into the patient state. Therefore, they may help to reduce the potentially harmful effects of ventilation therapy for Acute Respiratory Distress Syndrome (ARDS) patients. To assure bedside-applicability, the underlying model has to be computationally efficient while capturing dominant dynamics observed and also be identifiable from the available data. In this work, a recruitment model is enhanced by considering alveolar distension effects and implemented in a time-continuous respiratory mechanics model. The model is used to identify patient-specific models for 12 ARDS patients from a previous study using a gradient-based parameter identification method. Appropriate initial values for parameter identification are hierarchically derived by identifying simpler models first. The reported parameter values were physiologically plausible and capable of reproducing the measured pressure with high accuracy. The presented model provides timecontinuous simulations of airway pressure, is physiologically relevant term by term, uses clinically descriptive parameters and captures dominant ARDS dynamics. The patient-specific models also capture pulmonary dynamics for clinical guidance that are currently not directly measurable without such a validated model.

Original languageEnglish
Title of host publicationWorld Congress on Medical Physics and Biomedical Engineering
Pages2166-2169
Number of pages4
DOIs
Publication statusPublished - 2013
Externally publishedYes
EventWorld Congress on Medical Physics and Biomedical Engineering 2012 - Beijing, China
Duration: 27 May 201231 May 2012

Publication series

NameIFMBE Proceedings
Volume39 IFMBE
ISSN (Print)1680-0737

Conference

ConferenceWorld Congress on Medical Physics and Biomedical Engineering 2012
Abbreviated titleWC 2012
CountryChina
CityBeijing
Period27/05/1231/05/12

Keywords

  • Acute Respiratory Distress Syndrome
  • Alveolar Recruitment
  • Parameter Identification
  • Physiological Modeling
  • Respiratory Mechanics

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