Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease
Abstract Chronic obstructive pulmonary disease (COPD) affects the lives of millions of patients worldwide. Patients with advanced COPD may require non‐invasive ventilation (NIV) to support the resultant deficiencies of the respiratory system. The purpose of this study was to evaluate the effects of...
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Format: | Article |
Language: | English |
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Wiley
2023-08-01
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Series: | Healthcare Technology Letters |
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Online Access: | https://doi.org/10.1049/htl2.12048 |
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author | Fleur T. Tehrani James H. Roum |
author_facet | Fleur T. Tehrani James H. Roum |
author_sort | Fleur T. Tehrani |
collection | DOAJ |
description | Abstract Chronic obstructive pulmonary disease (COPD) affects the lives of millions of patients worldwide. Patients with advanced COPD may require non‐invasive ventilation (NIV) to support the resultant deficiencies of the respiratory system. The purpose of this study was to evaluate the effects of varying the continuous positive airway pressure (CPAP) and oxygen supplementation components of NIV on simulated COPD patients by using an established and detailed model of the human respiratory system. The model used in the study simulates features of advanced COPD including the effects on the changes in ventilation control, increases in respiratory dead space and airway resistance, and the acid–base shifts in the blood seen in these patients over time. The results of the study have been compared with and found to be in general agreement with available clinical data. Our results demonstrate that under non‐emergency conditions, low levels of oxygen supplementation combined with low levels of CPAP therapy seem to improve hypoxemia and hypercapnia in the model, whereas prolonged high‐level CPAP and moderate‐to‐high levels of oxygen supplementation do not. The authors conclude that such modelling may be useful to help guide beneficial interventions for COPD patients using NIV. |
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format | Article |
id | doaj.art-c8a95239bdce41cb938a67005aee81ac |
institution | Directory Open Access Journal |
issn | 2053-3713 |
language | English |
last_indexed | 2024-03-12T21:00:24Z |
publishDate | 2023-08-01 |
publisher | Wiley |
record_format | Article |
series | Healthcare Technology Letters |
spelling | doaj.art-c8a95239bdce41cb938a67005aee81ac2023-07-31T08:41:35ZengWileyHealthcare Technology Letters2053-37132023-08-01104808610.1049/htl2.12048Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary diseaseFleur T. Tehrani0James H. Roum1Department of Electrical and Computer Engineering California State University Fullerton California USASchool of Medicine University of California Irvine California USAAbstract Chronic obstructive pulmonary disease (COPD) affects the lives of millions of patients worldwide. Patients with advanced COPD may require non‐invasive ventilation (NIV) to support the resultant deficiencies of the respiratory system. The purpose of this study was to evaluate the effects of varying the continuous positive airway pressure (CPAP) and oxygen supplementation components of NIV on simulated COPD patients by using an established and detailed model of the human respiratory system. The model used in the study simulates features of advanced COPD including the effects on the changes in ventilation control, increases in respiratory dead space and airway resistance, and the acid–base shifts in the blood seen in these patients over time. The results of the study have been compared with and found to be in general agreement with available clinical data. Our results demonstrate that under non‐emergency conditions, low levels of oxygen supplementation combined with low levels of CPAP therapy seem to improve hypoxemia and hypercapnia in the model, whereas prolonged high‐level CPAP and moderate‐to‐high levels of oxygen supplementation do not. The authors conclude that such modelling may be useful to help guide beneficial interventions for COPD patients using NIV.https://doi.org/10.1049/htl2.12048decision support systemslungmedical expert systemsoxygenpatient treatmentphysiological models |
spellingShingle | Fleur T. Tehrani James H. Roum Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease Healthcare Technology Letters decision support systems lung medical expert systems oxygen patient treatment physiological models |
title | Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease |
title_full | Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease |
title_fullStr | Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease |
title_full_unstemmed | Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease |
title_short | Non‐invasive ventilation treatment for patients with chronic obstructive pulmonary disease |
title_sort | non invasive ventilation treatment for patients with chronic obstructive pulmonary disease |
topic | decision support systems lung medical expert systems oxygen patient treatment physiological models |
url | https://doi.org/10.1049/htl2.12048 |
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