Method and apparatus for optimization of mechanical ventilation

• US 6,578,575 B1
• Filed: 09/29/2000
• Issued: 06/17/2003
• Est. Priority Date: 04/03/1998
• Status: Expired due to Term

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Siemens-Elema AB (Siemens AG)
• Inventors: Jonson, Björn
• Primary Examiner(s): Lo, Weilun
• Assistant Examiner(s): MITCHELL, TEENA KAY
• Application Number:
  US09/647,412
• Time in Patent Office: 991 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.26, 128/204.22, 128/204.23, 128/205.23, 600/300, 600/301, 600/529, 600/533, 600/538, 600/540
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2230/202 partial carbon oxide pressure, e.g. partial dioxide pressure (P-CO2)

Abstract

In order to select an optimal ventilation mode for mechanically ventilating a patient, from among a number of ventilation modes, a mathematical description of the patient'"'"'s respiratory system is produced in a computer from measured parameters related to properties of the respiratory system, and in the computer the mathematical descriptions for different modes of ventilation are tested on the mathematical description to obtain simulated results. An operator can selected a mode of ventilation to be analyzed by comparing the simulated results with a therapeutic goal, so that an optimal ventilation mode can be selected. Alternatively, the computer can iteratively test a number of modeled ventilation modes to identify the ventilation mode which comes closest to the therapeutic goal.

Claims

1. A method of searching for an optima mode of ventilation from a plurality of modes of ventilation in a ventilator, comprising the steps of:

measuring parameters related to properties of a respiratory system of a patient;

forming a mathematical description of the respiratory system based on the measured parameters;

forming mathematic descriptions for different modes of ventilation,

testing the mathematical descriptions for different modes of ventilation on the mathematical description of the respiratory system for determining simulated results,

comparing the simulated results with a therapeutic goal to be achieved, and

identifying the mode of ventilation providing a simulated result which comes closest to the therapeutic goal as the optimal mode.

2. A method according to claim 1, comprising determining the simulated result for a selected number of different modes of ventilation and selecting an optimal mode of ventilation among the selected number of different modes of ventilation.

3. A method according to claim 2, comprising basing the mathematical description of the respiratory system on measured parameters relating to elastic and resistive properties of the respiratory system.

4. A method according to claim 2, comprising basing the mathematical description of the respiratory system on measured parameters relating to gas exchange of the respiratory system.

5. A method according to claim 1, comprising basing the mathematical description of a respiratory system on measured parameters relating to elastic and resistive properties of the respiratory system.

6. A method according to claim 1, comprising basing the mathematical description of a respiratory system on measured parameters relating to gas exchange of the respiratory system.

10. An apparatus according to claim 6, comprising a screen for displaying at least one of the therapeutic goal and the optimal mode of ventilation.

11. An apparatus according to claim 6, the computer is programmed to command the ventilator to alter the current mode of ventilation to the selected optimal mode of ventilation in one or several steps.

13. An apparatus according to claim 10, the computer is programmed to compare the physiological result with at least one of the therapeutic goal and the simulated result of the optimal mode of ventilation and if the physiological result deviates from at least one the herapeutic goal and the simulated result of the optimal mode of ventilation by a predetermined magnitude, to generate an alarm.

7. A searching an optimal mode of ventilation from a plurality of modes of ventilation in a ventilator, comprising the steps of:

measuring parameters related to properties of a respiratory system of a patient,

forming a mathematical description of the respiratory system based on the measured parameters;

forming a mathematical description of a mode of ventilation,

testing the mathematical description for the mode of ventilation on the mathematical description of the respiratory system for determining a simulated result,

comparing the simulated result with a therapeutic goal to be achieved,

performing an iterative analysis by forming a new mathematical description of a new mode of ventilation, different from said mode of ventilation, by testing the new, different mode of ventilation on the mathematical description of the respiratory system for determining a new simulated result of the new different mode of ventilation and comparing the new simulated result with the therapeutic goal, whereby each new mathematical description for each new, different mode of ventilation is based on the therapeutic goal, the comparison between the simulated result and therapeutic goal of previously applied mathematical descriptions and predetermined limits for a change in parameters between two consecutive new, different modes of ventilation, and

identifying the mode of ventilation providing a simulated result which comes closest to the therapeutic goal as the optimal mode.

8. An apparatus for searching for an optimal mode of ventilation for a patient, comprising a ventilator for providing treatment according to a current mode of ventilation to a patient, sensors for measuring parameters related to properties of a respiratory system of the patient and a computer, the computer being programmed to form a mathematical description of the respiratory system of the patient based on parameters related to the properties of the respiratory system measured by the sensors, to form a mathematical description of an alternative mode of ventilation and to test the mathematical description of the alternative mode of ventilation on the mathematical description of the respiratory system to determine a simulated result, and to receive information defining a therapeutic goal to be achieved, to determine the simulated result of a plurality of alternative modes of ventilation and to identify an alternative mode of ventilation providing a result which comes closest to the therapeutic goal as the optimal mode of ventilation.

9. An apparatus according to claim 8, comprising a panel operatively connected to the computer for entering the therapeutic goal and/or alternative modes of operation.

12. An apparatus according to claim 9, wherein the computer is programmed to determine a physiological result of the optimal mode of ventilation on the respiray system based on parameters measured by the sensor.