SYSTEMS AND METHODS FOR PATIENT CARDIOVASCULAR AND RESPIRATORY MANAGEMENT

• US 20100262116A1
• Filed: 04/20/2010
• Published: 10/14/2010
• Est. Priority Date: 10/20/2007
• Status: Active Grant

• Current Assignee: Yasser A. Sowb
• Original Assignee: Yasser A. Sowb
• Inventors: SOWB, Yasser A.
• Granted Patent: US 10,136,813 B2
• Time in Patent Office: Days
• US Class Current: 604/500
• CPC Class Codes: A61B 5/00 Measuring for diagnostic purposes radiation diagnosis A61B6/00; diagnosis by ultrasonic, sonic or infrasonic waves A61B8/00; Identification of persons
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/4839 combined with drug delivery
• CPC Class Codes: A61B 5/7445 Display arrangements, e.g. multiple display units
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

An information display and control system that enables a fast and easy understanding and management of the status of the patient'"'"'s cardiovascular and ventilation systems is disclosed. The system can control administration and management of a patient'"'"'s medication and fluids. The display is organized by goals related to management of patient'"'"'s cardiovascular system, ventilation system, and medications and fluids administration and management. Such goals include hemodynamics, oxygenation, CO₂ removal, medication status, and fluids status.

Claims

1. A method for displaying integrated graphics for diagnostics for a patient'"'"'s physiology, the method comprising:

displaying a cardiac graphic object representing cardiac performance based on at least one measurement from the patient'"'"'s left ventricle performance;

displaying a medication graphic object representing delivery of at least one medication to the patient.

2. The method of claim 1, wherein the cardiac graphic object is also based on at least one measurement from the patient'"'"'s right ventricle performance.

3. The method of claim 1, wherein displaying the cardiac graphic object comprises displaying cardiac output, and wherein the displaying the cardiac graphic output comprises displaying a graph displaying stroke volume and heart rate.

4. The method of claim 3, wherein the graph displaying stroke volume comprises displaying a left ventricle stroke volume and a right ventricle stroke volume.

5. The method of claim 3, further comprising displaying a physiologic performance target.

6. The method of claim 5, further comprising displaying a physiologic performance target-controlled medication delivery correlated with the physiologic performance target.

7. The method of claim 3, further comprising displaying a contractility graphic object representing a contractility quotient based on a pre-load and/or contractility of the patient'"'"'s heart.

8. The method of claim 7, wherein the contractility graphic object represents the pre-load and/or contractility correlated with a medication delivery.

9. The method of claim 1, further comprising displaying a pulmonary graphic object representing pulmonary performance, wherein displaying the pulmonary graphic object comprises displaying pulmonary vascular blood flow, and wherein the displaying the pulmonary vascular blood flow comprises displaying at least one measurement based on the patient'"'"'s pulmonary arterial blood pressure and at least one measurement based on the patient'"'"'s pulmonary venous blood pressure, and at least one measurement based on the patient'"'"'s pulmonary vascular resistance

10. The method of claim 1, wherein displaying the pulmonary graphic object comprises displaying a oxygenation and CO₂ removal performance.

11. The method of claim 1, further comprising displaying a systemic vascular graphic object representing systemic vascular performance, wherein displaying the systemic graphic object comprises displaying systemic vascular blood flow, wherein the displaying the systemic vascular blood flow comprises displaying at least one measurement based on the patient'"'"'s systemic arterial blood pressure and at least one measurement based on the patient'"'"'s systemic venous blood pressure, and at least one measurement based on the patient'"'"'s systemic vascular resistance.

12. The method of claim 11, wherein displaying the systemic graphic object comprises displaying a systemic oxygen consumption and CO2 production performance.

13. The method of claim 11, further comprising displaying a medication delivery and controlling the delivery of the at least one medication to the patient through the display, wherein the controlling the delivery of the at least one medication comprises automatically controlling by a processor.

14. The method of claim 13, wherein the controlling the delivery comprises setting a physiological performance target.

15. The method of claim 1, displaying a net fluid flow graphic representing the fluid inflow to the patient and outflow from the patient, wherein displaying a net fluid flow graphic comprises displaying urine output and blood loss, and/or displaying blood flow input and intravenous fluid administration, and/or displaying a net fluid flow balance object display.

16. The method of claim 1, wherein any graphical display object comprises an animated graphic.

17. The method of claim 1, wherein displaying the pulmonary graphic object comprises displaying a ventilation performance.

18. The method of claim 17, wherein displaying a ventilation performance comprises displaying a measurement of tidal volume, and/or alveolar oxygen concentration, and/or inspired oxygen concentration, alveolar CO₂ concentration, and/or expired CO₂ concentration, and/or minute ventilation, and/or a ratio of partial pressure of alveolar oxygen to alveolar carbon dioxide, and/or respiratory rate, and/or inspiratory flow rate, and/or inspiratory time, and/or inspiratory-to-expiratory time ratio, and/or positive inspiratory pressure.

19. A patient physiology monitoring system comprising:

a computer system comprising a display and a local and/or remote biosensor, wherein the biosensor receives physiological information from the patient;

a cardiac graphic object;

a pulmonary graphic object;

a medication graphic object; and

wherein the display is configured to substantially simultaneously output the cardiac graphic object, the pulmonary graphic object, and the medication graphic object.

20. A method for managing the physiological state of a patient comprising:

communicating an animated balance object to a user, wherein the balance object is representative of physiological data from the patient'"'"'s cardiovascular system; and

controlling delivery of a medication to the patient based on the physiological data.