Journal of clinical monitoring and computing
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The current standard of care for patients suffering from acute respiratory distress syndrome (ARDS) is ventilation with a tidal volume of 6 ml/kg predicted body weight (PBW), but variability remains in the tidal volumes that are actually used. This study aims to identify patient scenarios for which there is discordance between physicians in choice of tidal volume and positive end-expiratory pressure (PEEP) in ARDS patients. We developed an algorithm based on fuzzy logic for encapsulating the expertise of individual physicians regarding their use of tidal volume and PEEP in ARDS patients. ⋯ Tidal volume variability decreased for SaO₂ > 90 %. Variability in the recommended change in PEEP increased for PEEP > 5 cmH₂O and for SaO₂ near 90 %. Intensivists vary in their management of ARDS patients when peak airway pressures and PEEP are high, suggesting that the current goal of 6 ml/kg PBW may need to be revisited under these conditions.
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J Clin Monit Comput · Jun 2013
Letter Case ReportsIndocyanine green dye administration can cause oxygen desaturation.