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  • Author: Jarosław Glapiński x
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Open access

Jarosław Glapiński and Ireneusz Jabłoński

Abstract

A complex model of mechanically ventilated ARDS lungs is proposed in the paper. This analogue is based on a combination of four components that describe breathing mechanics: morphology, mechanical properties of surfactant, tissue and chest wall characteristics. Physical-mathematical formulas attained from experimental data have been translated into their electrical equivalents and implemented in MultiSim software. To examine the adequacy of the forward model to the properties and behaviour of mechanically ventilated lungs in patients with ARDS symptoms, several computer simulations have been performed and reported in the paper. Inhomogeneous characteristics observed in the physical properties of ARDS lungs were mapped in a multi-lobe model and the measured outputs were compared with the data from physiological reports. In this way clinicians and scientists can obtain the knowledge on the moment of airway zone reopening/closure expressed as a function of pressure, volume or even time. In the paper, these trends were assessed for inhomogeneous distributions (proper for ARDS) of surfactant properties and airway geometry in consecutive lung lobes. The proposed model enables monitoring of temporal alveolar dynamics in successive lobes as well as those occurring at a higher level of lung structure organization, i.e. in a point P0 which can be used for collection of respiratory data during indirect management of recruitment/de-recruitment processes in ARDS lungs. The complex model and synthetic data generated for various parametrization scenarios make possible prospective studies on designing an indirect mode of alveolar zone management, i.e. with

Open access

Krzysztof Pałko, Andrzej Rogalski, Krzysztof Zieliński, Jarosław Glapiński, Maciej Kozarski, Tadeusz Pałko and Marek Darowski

RC Model-based Comparison Tests of the Added Compliance Method with Computer Simulations and a Standard Method

Ventilation of the lungs involves the exchange of gases during inhalation and exhalation causing the movement of respiratory gases between alveolars and the atmosphere as a result of a pressure drop between alveolars and the atmosphere. During artificial ventilation what is most important is to keep specific mechanical parameters of the lungs such as total compliance of the respiratory system Cp (consisting of the lung and the thorax compliances) and the airway resistance Rp when the patient is ventilated. Therefore, as the main goal of this work and as the first step to use our earlier method of added lung compliance in clinical practice was: 1) to carry out computer simulations to compare the application of this method during different expiratory phases, and 2) to compare this method with the standard method for its accuracy.

The primary tests of the added-compliance method of the main lung parameters measurement have been made using the RC mechanical model of the lungs.