Abstract

A versatile software for dynamic generation of physiological model systems is proposed. Via a graphical user interface the user can choose and combine models of varying abstraction level and complexity from the following three model families: respiratory mechanics, gas exchange and cardiovascular dynamics. Tests of different simulation runs showed results and model delay times consistent with human physiology.

Highlights

  • There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient’s experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients

  • Tight glucose control was associated with a significant reduction of nosocomial pneumonia (20% vs. 11%, operating room (OR) = 0.34, 95% cardiac index (CI) = 0.19 to 0.86)

  • Results of this study show that early tracheostomy, if perioperative complications

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Summary

Introduction

There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient’s experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients. Conclusions Our data demonstrate that critically ill patients may be exposed to a higher FiO2 than that required to maintain adequate oxygenation These results highlight an area of ICU care that has received little study, with no published clinical trials examining the effect of FiO2 on outcome. Results Age, sex, the underlying disease and tumour stage (TNM classification), type of previous anticancer treatment, performance status, severity scores (APACHE II, Simplified Acute Physiology Score II, Sequential Organ Failure Assessment), ICU and hospital mortalities and hospital outcome at 3, 6 and 12 months were analysed. Clinical data of 277 post-transplantation patients admitted to the ICU were collected at admission and the SAPS 3 and APACHE II score calculated with respective estimated mortality rates.

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