A new global and comprehensive model for ICU ventilator performances evaluation

التفاصيل البيبلوغرافية
العنوان: A new global and comprehensive model for ICU ventilator performances evaluation
المؤلفون: Marjanovic, Nicolas, De Simone, Agathe, Jégou, Guillaume, L'HER, Erwan
المساهمون: Centre hospitalier universitaire de Poitiers (CHU Poitiers), Institut de Recherche Technologique b-com (IRT b-com), Centre de Simulation en Santé (CESIM), Université de Brest (UBO)-Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Hôpital de la Cavale Blanche
المصدر: Annals of Intensive Care, Vol 7, Iss 1, Pp 1-13 (2017)
Annals of Intensive Care
Annals of Intensive Care, SpringerOpen, 2017, 7, pp.68. ⟨10.1186/s13613-017-0285-2⟩
بيانات النشر: SpringerOpen, 2017.
سنة النشر: 2017
مصطلحات موضوعية: [SPI.OTHER]Engineering Sciences [physics]/Other, evaluation, [SHS.STAT]Humanities and Social Sciences/Methods and statistics, [SDV.NEU.PC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behavior, ergonomics, lcsh:Medical emergencies. Critical care. Intensive care. First aid, ICU ventilators, [SDV.IB]Life Sciences [q-bio]/Bioengineering, [INFO.INFO-HC]Computer Science [cs]/Human-Computer Interaction [cs.HC], lcsh:RC86-88.9, technical performance, [SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
الوصف: International audience; Background: This study aimed to provide a new global and comprehensive evaluation of recent ICU ventilators taking into account both technical performances and ergonomics.Methods: Six recent ICU ventilators were evaluated. Technical performances were assessed under two FIO2 levels (100%, 50%), three respiratory mechanics combinations (Normal: compliance [C] = 70 mL cmH2O−1/resistance [R] = 5 cmH2O L−1 s−1; Restrictive: C = 30/R = 10; Obstructive: C = 120/R = 20), four exponential levels of leaks (from 0 to 12.5 L min−1) and three levels of inspiratory effort (P0.1 = 2, 4 and 8 cmH2O), using an automated test lung. Ergonomics were evaluated by 20 ICU physicians using a global and comprehensive model involving physiological response to stress measurements (heart rate, respiratory rate, tidal volume variability and eye tracking), psycho-cognitive scales (SUS and NASA-TLX) and objective tasks completion.Results:Few differences in terms of technical performance were observed between devices. Non-invasive ventilation modes had a huge influence on asynchrony occurrence. Using our global model, either objective tasks completion, psycho-cognitive scales and/or physiological measurements were able to depict significant differences in terms of devices’ usability. The level of failure that was observed with some devices depicted the lack of adaptation of device’s development to end users’ requests.Conclusions: Despite similar technical performance, some ICU ventilators exhibit low ergonomics performance and a high risk of misusage.
اللغة: English
تدمد: 2110-5820
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::62b8d914cf4316d96d8a963cefbe16a4Test
http://link.springer.com/article/10.1186/s13613-017-0285-2Test
حقوق: OPEN
رقم الانضمام: edsair.dedup.wf.001..62b8d914cf4316d96d8a963cefbe16a4
قاعدة البيانات: OpenAIRE