Methods and apparatus for providing ventilation to a patient
First Claim
1. A controller for a ventilator, the ventilator being configured to deliver a pressure support waveform to a patient, said pressure support waveform having an inspiratory phase and a subsequent expiratory phase, and the controller being configured to adjust an expiratory pressure during the expiratory phase in response to an indication of a change in metabolic demand of the patient, wherein the controller is configured so that in response to an increase in a level of metabolic demand up to a predetermined limit of metabolic demand, the controller increases a level of the expiratory pressure to a level no higher than a maximum expiratory pressure value, and wherein the controller is further configured so that in response to an increase in the level of metabolic demand above the predetermined limit of metabolic demand, the controller increases a level of inspiratory positive pressure while a level of expiratory positive air pressure will remain substantially constant at the maximum expiratory pressure value.
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Accused Products
Abstract
The present technology relates to methods and apparatus to provide ventilation to patients. In particular, the present technology relates to changing ventilator parameters to match changing patient metabolic demand.
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Citations
33 Claims
- 1. A controller for a ventilator, the ventilator being configured to deliver a pressure support waveform to a patient, said pressure support waveform having an inspiratory phase and a subsequent expiratory phase, and the controller being configured to adjust an expiratory pressure during the expiratory phase in response to an indication of a change in metabolic demand of the patient, wherein the controller is configured so that in response to an increase in a level of metabolic demand up to a predetermined limit of metabolic demand, the controller increases a level of the expiratory pressure to a level no higher than a maximum expiratory pressure value, and wherein the controller is further configured so that in response to an increase in the level of metabolic demand above the predetermined limit of metabolic demand, the controller increases a level of inspiratory positive pressure while a level of expiratory positive air pressure will remain substantially constant at the maximum expiratory pressure value.
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18. A controller for a ventilator, the ventilator being configured to deliver a pressure support waveform to a patient, said pressure support waveform having an inspiratory phase and a subsequent expiratory phase, and the controller being configured to adjust an expiratory pressure during the expiratory phase in response to an indication of a change in metabolic demand of the patient, wherein the controller is configured so that in response to an increase in a level of metabolic demand up to a first metabolic demand threshold, the controller increases a level of the expiratory pressure to a level no higher than a maximum expiratory pressure value, and wherein the controller is further configured so that in response to an increase in the level of metabolic demand above the first metabolic demand threshold, the controller increases a level of inspiratory positive pressure while a level of expiratory positive air pressure will remain substantially at the maximum expiratory pressure value.
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19. A method of control of a ventilator, the ventilator being configured to deliver a pressure support waveform to a patient, said pressure support waveform having an inspiratory phase and a subsequent expiratory phase, the method comprising:
adjusting with a processor an expiratory pressure during the expiratory phase in response to an indication of a change in metabolic demand of the patient, so that in response to an increase in a level of metabolic demand up to a predetermined limit of metabolic demand, a level of the expiratory pressure increases to a level no higher than a maximum expiratory pressure value, and so that in response to an increase in the level of metabolic demand above the predetermined limit of metabolic demand, a level of inspiratory positive pressure increases while a level of expiratory positive air pressure will remain substantially constant at the maximum expiratory pressure value. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33)
Specification