Abstract
This work presents algorithms for the control of parameters required in mechanical ventilation equipment, considering the health emergency caused by COVID-19. These algorithms allow the control of variables such as Peak inspiratory pressure (PIP), Positive end-expiratory pressure (PEEP), Respiratory Frequency (FR), Inspiring Time (Ti), Inspiring pause (Pause ins), Trigger Sensitivity, Apnea in Spontaneous Mode (Apnea). All these ventilatory parameters have been implemented by an emergent team that allows assisting patients with acute respiratory deficiency.
Keywords: mechanical ventilator, positive end-expiratory pressure (PEEP), peak inspiratory pressure (PIP), COVID-19.
References
[1]V.. García, A. Sandoval., C. Días., C. Salgado., "Ventilación mecánica invasiva en EPOC y asma Invasive
mechanical ventilation in COPD and asthma.", Researchgate, Enero 2017.
[2]F. Gutierrez, “Ventilación mecánica”, Acta Médica Peruana, vol. 28, no. 2, Junio 2011.
[3]M. Sánchez, M. Quintana, D. Palacios, V. Hortiguela, C. Schulk, J. Garcia, A. Canabal, M.J. Pérez, A. Velasco, M.A. Arrense, “Relación entre el gradiente alveolo-
arterial de oxígeno y la PaO2/FiO2 introduciendo la PEEP en el modelo.”, Medicina Intensiva, vol. 36, no. 5, Junio- Julio 2012.
[4]JJ.Marini, AP. Wheeler. “Respiratory monitoring. Critical” Care Medicine. The Essentials., 2010.
[5]C. M. Reina, “Ventilación mecánica controlada y asistida y controlada.”, Science Direct, vol. 59, pp. 82-85, 2003.
[6]P. Jouvet, C. Farges, G. Hatzakis, A. Monir, F. Lesage and L. Dupic, “Weaning children from mechanical ventilation with a computer-driven system (closed-loop protocol): a pilot study.” Pediatr Crit Care Med., pp. 425-432, 2007.
[7]A. Güldner, T. Kiss, A. Serpa Neto, S.N. Hemmes, J. Canet and Spieth P.M., “Intraoperative protective mechanical ventilation for prevention of postoperative pulmonary complications: a comprehensive review of the role of tidal volume, positive end-expiratory pressure, and lung recruitment maneuvers.” Anesthesiology. 2015.
[8]J. Shults, J. Martsma, S. Slutsky and O. Gajic. “What tidal volumes should be used in pattents without acute lung Injury?.”, ASA Publications: Anesthesiology, vol.106, 2007.
[9]A. Carrillo and J. Lopez, “Parameters of mechanical ventilation.”, National Library of medicine, Julio 2003.
[10]F. Aranda, J. Aliste, F. Altermatt, J.P. Álvarez and F. Bernucci, “Recomendaciones para el manejo de pacientes con COVID-19 con indicación terapéutica de ventilación mecánica que eventualmente son conectados a máquinas de anestesia.”, Revista Chilena de Anestesia, vol.49, no.3, 2020.