Computerized long-term trending of respiratory parameters.
This paper presents a program that analyzes data recorded from a Puritan-Bennett 7200a mechanical ventilator. The program generates graphs of major ventilatory parameters, as well as the derivatives of the parameters, such as respiratory rate and minute volume with respect to time. The program also creates a series of reports that summarizes setting changes, alarm violations and resets, and lung mechanics maneuvers during the process of respiratory therapy. These graphs and reports provide clinicians with information, which was not captured for review before, in an organized format allowing them to easily identify trends and, in some cases, events that may affect the patient. The results of a clinical study are also presented. The study was designed to determine the effect of routine patient care on the primary and derived respiratory data so that a correct interpretation of the recorded data could be made. The study showed that the data acquisition program was not sensitive to routine bedside activities, and some significant events, such as patient disconnects, are identifiable in a timely manner and with good accuracy.
Westchester County Medical Center, Valhalla, NY.
P M
PM
Gupte
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Maguire
K C
KC
Olbrich
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G
Aquilino
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Ma
D000328:Adult; D000368:Aged; D003196:Computer Graphics; D003625:Data Collection; D003628:Database Management Systems; D004282:Documentation; D004868:Equipment Failure; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods*; D012107:Research Design; D012138:Respiratory Therapy / Q000379:methods*; D014481:United States; D012122:Ventilators, Mechanical / Q000706:statistics & numerical data*