초록 ▼

A method and system for managing mechanical ventilation of patients with respiratory disorders is described. The main objective of the system is to generate executable instructions for patient care which take into account a large number of parameters of patient condition and ventilation. Data regard

A method and system for managing mechanical ventilation of patients with respiratory disorders is described. The main objective of the system is to generate executable instructions for patient care which take into account a large number of parameters of patient condition and ventilation. Data regarding the state of the patient are stored in a database. Patient data are processed according to a set of protocols which contain rules for patient care decisions arranged in a logical sequence to generate detailed, executable instructions for patient care. Instructions are updated when new data are entered into the database. The data can be acquired in an automated fashion, or the clinician can be instructed to collect and enter new data into the clinical database. Likewise, patient care instructions can be carried out automatically or manually, but it is preferred that instructions are carried out manually as a safety check. The preferred embodiment of the invention includes a computer system, software for processing patient data, and a display device for presenting patient care instructions to the clinician. The system maintains a record of patient data, patient care instructions, whether instructions were followed by the clinical staff, and if not, a reason why.

대표청구항 ▼

[ We claim:] [1.] A method for controlling oxygenation and ventilation of a patient with a respiratory disorder, the method comprising the steps of:a) acquiring patient data relating to the condition of the patient, the patient's lungs, ventilatory assistance parameters, and patient treatment;b) pro

[ We claim:] [1.] A method for controlling oxygenation and ventilation of a patient with a respiratory disorder, the method comprising the steps of:a) acquiring patient data relating to the condition of the patient, the patient's lungs, ventilatory assistance parameters, and patient treatment;b) processing said patient data according to a first protocol set, said first protocol set comprising a logically ordered set of rules for making a first patient treatment decision, to obtain a specific, executable first instruction for adjusting a ventilatory assistance parameter selected from the group consisting of: Fraction of Inspired Oxygen, wherein said Fraction of Inspired Oxygen is the percent of gas by volume that is oxygen inspired by said patient, and Positive End Expiratory Pressure, wherein said Positive End Expiratory Pressure is the pressure that remains in said patient's lungs at the end of the exhaling by said patient;c) Processing said patient data according to a second protocol set, said second protocol set comprising a logically ordered set of rules for making a second patient treatment decision, to obtain a specific, executable second instruction for adjusting a ventilatory assistance parameter selected from the group consisting of: size of breath, number of breaths per minute, and peak gas flow rate during inspiration;d) presenting said first instruction and said second instruction to a clinician;e) recording acceptance or rejection of said first instruction and said second instruction by said clinician; andf) carrying out said instruction if it has been accepted by said clinician.