The Inspiratory Work of Breathing During Assisted Mechanical Ventilation

1986 ◽  
Vol 30 (2) ◽  
pp. 53
Author(s):  
J. J. MARINI ◽  
J. S. CAPPS ◽  
B. H. CULVER
CHEST Journal ◽  
1985 ◽  
Vol 87 (5) ◽  
pp. 612-618 ◽  
Author(s):  
John J. Marini ◽  
John S. Capps ◽  
Bruce H. Culver

1985 ◽  
Vol 13 (4) ◽  
pp. 310 ◽  
Author(s):  
John J. Marini ◽  
R. Michael Rodriguez ◽  
John S. Capps ◽  
Bruce H. Culver

CHEST Journal ◽  
1986 ◽  
Vol 89 (1) ◽  
pp. 56-63 ◽  
Author(s):  
John J. Marini ◽  
R. Michael Rodriguez ◽  
Virnita Lamb

1987 ◽  
Vol 62 (4) ◽  
pp. 1410-1415 ◽  
Author(s):  
B. G. Guslits ◽  
S. E. Gaston ◽  
M. H. Bryan ◽  
S. J. England ◽  
A. C. Bryan

Present methods of assessing the work of breathing in human infants do not account for the added load when intercostal muscle activity is lost and rib cage distortion occurs. We have developed a technique for assessing diaphragmatic work in this circumstance utilizing measurements of transdiaphragmatic pressure and abdominal volume displacement. Eleven preterm infants without evidence of lung disease were studied. During periods of minimal rib cage distortion, inspiratory diaphragmatic work averaged 5.9 g X cm X ml-1, increasing to an average of 12.4 g X cm X ml-1 with periods of paradoxical rib cage motion (P less than 0.01). Inspiratory work was strongly correlated with the electrical activity of the diaphragm as measured from its moving time average (P less than 0.05). Assuming a mechanical efficiency of 4% in these infants, the caloric cost of diaphragmatic work may reach 10% of their basal metabolic rate in periods with rib cage distortion. When lung disease is superimposed, the increased metabolic demands of the diaphragm may predispose preterm infants to fatigue and may contribute to a failure to grow.


1987 ◽  
Vol 2 (2) ◽  
pp. 101-108 ◽  
Author(s):  
J.J. Fargier ◽  
D. Robert ◽  
F. Boyer ◽  
J. Chagny ◽  
C. Kopp ◽  
...  

Author(s):  
B.F. Giraldo ◽  
A. Garde ◽  
C. Arizmendi ◽  
R. Jané ◽  
I. Diaz ◽  
...  

The most common reason for instituting mechanical ventilation is to decrease a patient’s work of breathing. Many attempts have been made to increase the effectiveness on the evaluation of the respiratory pattern by means of respiratory signal analysis. This work suggests a method of studying the lying differences in respiratory pattern variability between patients on weaning trials. The core of the proposed method is the use of support vector machines to classify patients into two groups, taking into account 35 features of each one, previously extracted from the respiratory flow. 146 patients from mechanical ventilation were studied: Group S of 79 patients with Successful trials, and Group F of 67 patients that Failed on the attempt to maintain spontaneous breathing and had to be reconnected. Applying a feature selection procedure based on the use of the support vector machine with leave-one-out cross-validation, it was obtained 86.67% of well classified patients into the Group S and 73.34% into Group F, using only eight of the 35 features. Therefore, support vector machines can be an interesting classification method in the study of the respiratory pattern variability.


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