Determination of mode of ventilation using OSRE

  • Authors:
  • D. Faulke;T. A. Etchells;M. J. Harrison;P. J. G. Lisboa

  • Affiliations:
  • Department of Anaesthesia and Perioperative Medicine, Auckland City Hospital, Park Rd., Auckland, New Zealand;School of Computing and Mathematical Sciences, Liverpool John Moores University, Liverpool, UK;Department of Anaesthesiology, University of Auckland, 98 Mountain Rd., Auckland, New Zealand;School of Computing and Mathematical Sciences, Liverpool John Moores University, Liverpool, UK

  • Venue:
  • Computers in Biology and Medicine
  • Year:
  • 2009

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Abstract

This study classifies the mode of ventilation using respiratory rate, inhaled and exhaled carbon dioxide concentrations in anaesthetised patients. Thirty seven patients were breathing spontaneously (SPONT) and 50 were on a ventilator (intermittent positive pressure ventilation, IPPV). A data-based methodology for rule inference from trained neural networks, orthogonal search-based rule extraction, identified two sets of low-order Boolean rules for differential identification of the mode of ventilation. Combining both models produced three possible outcomes; IPPV, SPONT and 'Uncertain'. The true positive rates were approximately maintained at 96% for IPPV and 93% for SPONT, with false positive rates of 0.4% for each category and 4.3% 'Uncertain' inferences.