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Critical Events in Mechanically Ventilated Patients

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New Advances in Information Systems and Technologies

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 445))

Abstract

Mechanical Ventilation is an artificial way to help a Patient to breathe. This procedure is used to support patients with respiratory diseases however in many cases it can provoke lung damages, Acute Respiratory Diseases or organ failure. With the goal to early detect possible patient breath problems a set of limit values was defined to some variables monitored by the ventilator (Average Ventilation Pressure, Compliance Dynamic, Flow, Peak, Plateau and Support Pressure, Positive end-expiratory pressure, Respiratory Rate) in order to create critical events. A critical event is verified when a patient has a value higher or lower than the normal range defined for a certain period of time. The values were defined after elaborate a literature review and meeting with physicians specialized in the area. This work uses data streaming and intelligent agents to process the values collected in real-time and classify them as critical or not. Real data provided by an Intensive Care Unit were used to design and test the solution. In this study it was possible to understand the importance of introduce critical events for Mechanically Ventilated Patients. In some cases a value is considered critical (can trigger an alarm) however it is a single event (instantaneous) and it has not a clinical significance for the patient. The introduction of critical events which crosses a range of values and a pre-defined duration contributes to improve the decision-making process by decreasing the number of false positives and having a better comprehension of the patient condition.

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Author information

Authors and Affiliations

  1. Algoritmi Research Centre, University of Minho, Braga, Portugal

    Filipe Portela, Manuel F. Santos, José Machado & António Abelha

  2. ESEIG, Porto Polytechnic, Porto, Portugal

    Filipe Portela

  3. Intensive Care Unit, Centro Hospitalar do Porto, Porto, Portugal

    Álvaro Silva & Fernando Rua

Authors
  1. Filipe Portela
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  2. Manuel F. Santos
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  3. José Machado
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  4. António Abelha
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  5. Álvaro Silva
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  6. Fernando Rua
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Corresponding author

Correspondence to Filipe Portela .

Editor information

Editors and Affiliations

  1. DEI/FCT, Universidade de Coimbra, Coimbra, Portugal

    Álvaro Rocha

  2. ISEGI,, Universidade Nova de Lisboa, Lisboa, Portugal

    Ana Maria Correia

  3. College of Engineering, The Ohio State University, Columbus, Ohio, USA

    Hojjat Adeli

  4. DSI, Universidade do Minho, Guimarães, Portugal

    Luis Paulo Reis

  5. Rua Dom Manoel de Medeiros, s/n, DoisIrm, Universidade Federal Rural de Pernambuco, Recife, Brazil

    Marcelo Mendonça Teixeira

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© 2016 Springer International Publishing Switzerland

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Portela, F., Santos, M.F., Machado, J., Abelha, A., Silva, Á., Rua, F. (2016). Critical Events in Mechanically Ventilated Patients. In: Rocha, Á., Correia, A., Adeli, H., Reis, L., Mendonça Teixeira, M. (eds) New Advances in Information Systems and Technologies. Advances in Intelligent Systems and Computing, vol 445. Springer, Cham. https://doi.org/10.1007/978-3-319-31307-8_61

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  • DOI: https://doi.org/10.1007/978-3-319-31307-8_61

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31306-1

  • Online ISBN: 978-3-319-31307-8

  • eBook Packages: EngineeringEngineering (R0)

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