Controlling mechanical ventilation in acute respiratory distress syndrome with fuzzy logic.

ABSTRACT:

Purpose

The current ventilatory care goal for acute respiratory distress syndrome (ARDS) and the only evidence-based approach for managing ARDS is to ventilate with a tidal volume (VT) of 6 mL/kg predicted body weight (PBW). However, it is not uncommon for some caregivers to feel inclined to deviate from this strategy for one reason or another. To accommodate this inclination in a rationalized manner, we previously developed an algorithm that allows for VT to depart from 6 mL/kg PBW based on physiological criteria. The goal of the present study was to test the feasibility of this algorithm in a small retrospective study.

Materials and methods

Current values of peak airway pressure, positive end-expiratory pressure (PEEP), and arterial oxygen saturation are used in a fuzzy lo

SUBMITTER: Nguyen B 

PROVIDER: S-EPMC4061256 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature