家庭护理用便携式无创呼吸机及患者监测系统

M. Menniti, G. Oliva, F. Laganá, M. G. Bianco, A. Fiorillo, S. Pullano
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引用次数: 0

摘要

冠状病毒大流行给所有卫生保健系统带来了更大的压力,凸显了它们的技术缺陷。冠状病毒疫情和相关感染的一个典型临床特征是严重急性呼吸综合征(SARS),伴有严重低氧血症和呼吸困难,通常需要插管和机械通气。即使在今天,大约三年之后,持续的努力提供了减少缺乏合适的设备,以支持呼吸衰竭患者在所有情况下的呼吸。此后,我们提出了一种便携式,无创机械呼吸机用于家庭应用。该原型为家庭治疗的简单无创呼吸机(NIV)的概念提供了证明。它基于一个机械流量发生器、一个微控制器、两个量热流量传感器和一个热释电呼吸传感器,该传感器由聚偏氟乙烯(PVDF)制成,集成在输送工具中。工作原理是根据吸气/呼气阶段校准气流,在预定水平上产生双级正压。在吸入氧气的低分数的情况下,NIV被赋予一个外部氧气线,以提高其水平。此外,还实施了监测系统,为医务人员提供必要的参数和警报信号。该研究旨在通过使用患者自己可以轻松操作的设备和应用程序来简化和减轻医疗保健系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Portable Non-Invasive Ventilator for Homecare and Patients Monitoring System
The Coronavirus pandemic has put a wider pressure on all health care systems, highlighting their technological shortcomings. A typical clinical feature of the Coronavirus outbreak and related infections is the severe acute respiratory syndrome (SARS), with profound hypoxemia and dyspnea, often requiring intubation and mechanical ventilation. Even today, after approximately three years, continuous efforts are provided to reduce the lack of suitable devices to support the breathing of patients with respiratory failures in all circumstances. Hereafter, we proposed a portable, noninvasive mechanical ventilator for use in home applications. The prototype provides a proof of concept of a simple noninvasive ventilator (NIV) for home treatment. It is based on a mechanical flow generator, a microcontroller, two calorimetric flow sensors, and a pyroelectric breathing sensor made in Polyvinylidene Fluoride (PVDF) integrated inside the delivery tool. The working principle is the generation of a bi-level positive pressure at predetermined levels by calibrating the airflow according to the inspiration/expiration phase. In case of low fraction of inspired oxygen, the NIV is endowed with an external oxygen line, to improve its levels. Moreover, a monitoring system was implemented to provide essential parameters and alert signals to medical personnel. The study aims to simplify and lighten the healthcare system by using devices and applications that can be easily operated by the patients themselves.
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