Performances of domiciliary ventilators compared by using a parametric procedure - Archive ouverte HAL
Article Dans Une Revue EPJ Nonlinear Biomedical Physics Année : 2016

Performances of domiciliary ventilators compared by using a parametric procedure

Résumé

Background: Noninvasive mechanical ventilation is sufficiently widely used to motivate bench studies for evaluating and comparing performances of the domiciliary ventilators. In most (if not in all) of the previous studies, ventilators were tested in a single (or a very few) conditions, chosen to avoid asynchrony events. Such a practice does not reflect how the ventilator is able to answer the demand from a large cohort of patients with their inherent inter-patient variability. We thus developed a new procedure according which each ventilator was tested with more than 1200 "simulated" patients. Methods: Three lung mechanics (obstructive, restrictive and normal) were simulated using a mechanical lung (ASL 5000) driven by a realistic muscular pressure. 420 different dynamics for each of these three lung mechanics were considered by varying the breathing frequency and the mouth occlusion pressure. For each of the nine ventilators tested, five different parameter settings were investigated. The results are synthesized in colored maps where each color represents the ventilator (in) ability to synchronize with a given muscular pressure dynamics. A synchronizability e is then computed for each map. Results: The lung model, the breathing frequency and the mouth occlusion pressure strongly affect the synchronizability of ventilators. The Vivo 50 (Breas) and the SomnoVENT autoST (Weinmann) are well synchronized with the restrictive model ((epsilon) over bar = 86 and 78 %, respectively), whereas the Elisee 150 (ResMed), the BiPAP A40 and the Trilogy 100 (Philips Respironics) better fit with an obstructive lung mechanics ((epsilon) over bar = 87, 86 and 86 %, respectively). Triggering and pressurization performances of the nine ventilators present heterogeneities due to their different settings and operating strategies. Conclusion: Performances of domiciliary ventilators strongly depend not only on the breathing dynamics but also on the ventilator strategy. One given ventilator may be more adequate than another one for a given patient.
Fichier principal
Vignette du fichier
s40366-016-0033-9.pdf (2.66 Mo) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte
Licence

Dates et versions

hal-01611240 , version 1 (29-09-2023)

Licence

Identifiants

Citer

Emeline Fresnel, Jean-Francois Muir, Christophe Letellier. Performances of domiciliary ventilators compared by using a parametric procedure. EPJ Nonlinear Biomedical Physics, 2016, 4, pp.6. ⟨10.1140/epjnbp/s40366-016-0033-9⟩. ⟨hal-01611240⟩
61 Consultations
16 Téléchargements

Altmetric

Partager

More