caa a22 4500 465813518 CHVBK 20180323112121.0 cr unu---uuuuu 170327e19900701xx s 000 0 eng 10.1007/BF02915583 doi (NATIONALLICENCE)springer-10.1007/BF02915583 Clinical evaluation of computer-based respiratory care algorithms [Elektronische Daten] [Dean Sittig, Reed Gardner, Alan Morris, C. Wallace] A collection of computer-based respiratory care algorithms were implemented as a prototype computer-based patient advice system (COMPAS) within the existing HELP hospital information system. Detailed medical logic recommended ventilator adjustments for 5 different modes of ventilation: assist/control (A/C). intermittent mandatory ventilation (IMV), continuous positive airway pressure (CPAP), pressure controlled inverted ratio ventilation (PC-IRV), and extracorporeal carbon dioxide removal (ECCO2R). Suggestions for adjusting the mode of ventilation, fraction of inspired oxygen (FiO2), positive end-expiratory pressure (PEEP), peak inspiratory pressure, and several other therapeutic measures related to the treatment of severe arterial hypoxemia in adult respiratory distress syndrome (ARDS) patients were automatically presented to the clinical staff via bedside computer terminals. COMPAS was clinically evaluated for 624 hours of patient care on the first 5 ARDS patients in a randomized clinical trial. The clinical staff carried out 84% (320/379) of the computerized therapy suggestions. In response to a questionnaire distributed to clinical users of the system, 86% judged the system to be potentially valuable. Through implementation of COMPAS, a computer-based ventilatory therapy advice system, we have laid the groundwork for standardization of ventilator management of arterial hypoxemia in critically ill ARDS patients. Kluwer Academic Publishers, 1990 algorithm nationallicence computer nationallicence evaluation nationallicence respiratory care nationallicence ventilator management nationallicence clinical information systems nationallicence expert systems nationallicence Sittig Dean Department of Medical Informatics, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut Gardner Reed Department of Medical Informatics, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut Morris Alan Pulmonary Division, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut Wallace C. Pulmonary Division, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut International journal of clinical monitoring and computing Springer Netherlands 7/3(1990-07-01), 177-185 0167-9945 7:3<177 1990 7 12521 https://doi.org/10.1007/BF02915583 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02915583 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sittig Dean Department of Medical Informatics, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Gardner Reed Department of Medical Informatics, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Morris Alan Pulmonary Division, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Wallace C. Pulmonary Division, University of Utah/LDS Hospital, Salt Lake City, Utah, USA aut NATIONALLICENCE 773 0- International journal of clinical monitoring and computing Springer Netherlands 7/3(1990-07-01), 177-185 0167-9945 7:3<177 1990 7 12521 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer