title: Simulations for mechanical ventilation in children: review and future prospects.
abstract: Mechanical ventilation is a very effective therapy, but with many complications. Simulators are used in many fields, including medicine, to enhance safety issues. In the intensive care unit, they are used for teaching cardiorespiratory physiology and ventilation, for testing ventilator performance, for forecasting the effect of ventilatory support, and to determine optimal ventilatory management. They are also used in research and development of clinical decision support systems (CDSSs) and explicit computerized protocols in closed loop. For all those reasons, cardiorespiratory simulators are one of the tools that help to decrease mechanical ventilation duration and complications. This paper describes the different types of simulators described in the literature for physiologic simulation and modeling of the respiratory system, including a new simulator (SimulResp), and proposes a validation process for these simulators.
authors.affiliation: Pediatric ICU, Sainte-Justine Hospital, University of Montreal, Montreal, QC, Canada H3T 1C5 ; Pediatric and Neonatal ICU, MFME Hospital, Fort de France, 97261 Martinique, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Flechelles
authors.forename: Annie
authors.initials: A
authors.lastname: Ho
authors.forename: Patrice
authors.initials: P
authors.lastname: Hernert
authors.forename: Guillaume
authors.initials: G
authors.lastname: Emeriaud
authors.forename: Nesrine
authors.initials: N
authors.lastname: Zaglam
authors.forename: Farida
authors.initials: F
authors.lastname: Cheriet
authors.forename: Philippe A
authors.initials: PA
authors.lastname: Jouvet