Tidal Volume in Pediatric Ventilation: Do You Get What You See?
Mechanical ventilators are increasingly evolving into computer-driven devices. These technical advancements have impact on clinical decisions in pediatric intensive care units (PICUs). A good understanding of the design of mechanical ventilators can improve clinical care. Tidal volume (TV) is one of...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/1/98 |
| _version_ | 1797498688183992320 |
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| author | Erik Koomen Joppe Nijman Ben Nieuwenstein Teus Kappen |
| author_facet | Erik Koomen Joppe Nijman Ben Nieuwenstein Teus Kappen |
| author_sort | Erik Koomen |
| collection | DOAJ |
| description | Mechanical ventilators are increasingly evolving into computer-driven devices. These technical advancements have impact on clinical decisions in pediatric intensive care units (PICUs). A good understanding of the design of mechanical ventilators can improve clinical care. Tidal volume (TV) is one of the corner stones of ventilation: multiple technical factors influence the TV and, thus, influence clinical decision making. Ventilator manufacturers make various design choices regarding the phase, site and conditions of TV measurement as well as algorithmic processing choices. Such choice may impact the measurement and subsequent display of TV. A software change of the TV measuring algorithm of the SERVO-i<sup>®</sup> (Getinge, Solna, Sweden) at the PICU of the University Medical Centre Utrecht was studied in a prospective cohort. It showed, as example, a clinically significant impact of 8% difference in reported TV. Design choices in both the hardware and software of mechanical ventilators can have a clinically relevant impact on the measurement of tidal volume. In our search for the optimal TV for lung-protective ventilation, such choices should be taken into account. |
| first_indexed | 2024-03-10T03:36:56Z |
| format | Article |
| id | doaj.art-a6e51082b45144e2a3ccb05dd334caf8 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:36:56Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a6e51082b45144e2a3ccb05dd334caf82023-11-23T11:43:35ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011119810.3390/jcm11010098Tidal Volume in Pediatric Ventilation: Do You Get What You See?Erik Koomen0Joppe Nijman1Ben Nieuwenstein2Teus Kappen3Department of Pediatrics, Wilhelmina Children’s Hospital, University Medical Center Utrecht, 3508 AB Utrecht, The NetherlandsDepartment of Pediatrics, Wilhelmina Children’s Hospital, University Medical Center Utrecht, 3508 AB Utrecht, The NetherlandsDepartment of Medical Technology & Clinical Physics, University Medical Center Utrecht, 3508 GA Utrecht, The NetherlandsDepartment of Anesthesia, Intensive Care and Emergency, University Medical Center Utrecht, 3508 GA Utrecht, The NetherlandsMechanical ventilators are increasingly evolving into computer-driven devices. These technical advancements have impact on clinical decisions in pediatric intensive care units (PICUs). A good understanding of the design of mechanical ventilators can improve clinical care. Tidal volume (TV) is one of the corner stones of ventilation: multiple technical factors influence the TV and, thus, influence clinical decision making. Ventilator manufacturers make various design choices regarding the phase, site and conditions of TV measurement as well as algorithmic processing choices. Such choice may impact the measurement and subsequent display of TV. A software change of the TV measuring algorithm of the SERVO-i<sup>®</sup> (Getinge, Solna, Sweden) at the PICU of the University Medical Centre Utrecht was studied in a prospective cohort. It showed, as example, a clinically significant impact of 8% difference in reported TV. Design choices in both the hardware and software of mechanical ventilators can have a clinically relevant impact on the measurement of tidal volume. In our search for the optimal TV for lung-protective ventilation, such choices should be taken into account.https://www.mdpi.com/2077-0383/11/1/98pediatric ventilationtechnical challengessoftwareclinical perception of technique |
| spellingShingle | Erik Koomen Joppe Nijman Ben Nieuwenstein Teus Kappen Tidal Volume in Pediatric Ventilation: Do You Get What You See? Journal of Clinical Medicine pediatric ventilation technical challenges software clinical perception of technique |
| title | Tidal Volume in Pediatric Ventilation: Do You Get What You See? |
| title_full | Tidal Volume in Pediatric Ventilation: Do You Get What You See? |
| title_fullStr | Tidal Volume in Pediatric Ventilation: Do You Get What You See? |
| title_full_unstemmed | Tidal Volume in Pediatric Ventilation: Do You Get What You See? |
| title_short | Tidal Volume in Pediatric Ventilation: Do You Get What You See? |
| title_sort | tidal volume in pediatric ventilation do you get what you see |
| topic | pediatric ventilation technical challenges software clinical perception of technique |
| url | https://www.mdpi.com/2077-0383/11/1/98 |
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