Respiratory failure & ventilation

Flow starvation during square-flow assisted ventilation detected by supervised deep learning techniques

Crit CarePublished Diagnostic accuracy study

Authors' conclusion

Recurrent neural network model appears excellent to identify airway pressure deformation due to flow starvation.

Study context

Population
Adult critically ill patients under mechanical ventilation > 24 h on square-flow assisted ventilation6,428 breaths analysed
Participants
28 participants
Comparison
Recurrent neural network vs convolutional neural network for detecting airway pressure deformation
Outcome
Accuracy in identifying airway pressure deformation (flow starvation)
Methodological detailsmulticentre, observational
  • Multicentre
  • Observational

Performance

As reported in the abstract

Accuracy
Test or modelAccuracy
Recurrent neural network87.9% [87.6-88.3]
Convolutional neural network86.8% [86.6-87.4]

Accuracy

Recurrent neural network87.9% [87.6-88.3]
Convolutional neural network86.8% [86.6-87.4]

Further findings

Airway pressure deformation severity (expert classification)

Normal-mild
42%
Moderate
23%
Severe
34%

Double triggering

Breaths with double triggering, always with severe airway pressure deformation
8.8%

Inspiratory effort in severe deformation (ΔPes subgroup)

Severe deformation breaths with ΔPes > 10 cmH2O
74.4%
Severe deformation breaths with ΔPes > 15 cmH2O
37.2%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Flow starvation during square-flow assisted ventilation detected by supervised deep learning techniques. Crit Care. Published 14 March 2024. doi:10.1186/s13054-024-04845-y

Composed by AI from the published abstract and checked against it. How Briefs are made →

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