How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation study
Abstract Background We aim to develop a non-invasive, bed-side method for supporting personalised ventilation of neonates with congenital diaphragmatic hernia (CDH). Currently, there are no CDH severity measures to do it. As ventilation inhomogeneity (VI) resulting from lung hypoplasia is highly var...
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BMC
2025-05-01
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| Online Access: | https://doi.org/10.1186/s12887-025-05757-8 |
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| author | Barbara Stankiewicz Magdalena Mierzewska-Schmidt Krzysztof J. Pałko Marek Darowski Maciej Kozarski |
| author_facet | Barbara Stankiewicz Magdalena Mierzewska-Schmidt Krzysztof J. Pałko Marek Darowski Maciej Kozarski |
| author_sort | Barbara Stankiewicz |
| collection | DOAJ |
| description | Abstract Background We aim to develop a non-invasive, bed-side method for supporting personalised ventilation of neonates with congenital diaphragmatic hernia (CDH). Currently, there are no CDH severity measures to do it. As ventilation inhomogeneity (VI) resulting from lung hypoplasia is highly variable in CDH patients, mechanical ventilation is a real challenge and the risk of lung injury is high. Methods We conducted 250 simulations of conventional ventilation of CDH cases using the infant hybrid (numerical-physical) respiratory simulator and a ventilator. Utilising simulation results, we searched for a regression model describing patient ventilation parameters as a function of the respiratory system parameters, ventilator settings and two new CDH severity measures: VI-degree defined as a ratio of time constants ratio of the contralateral and ipsilateral lung (T1/T2) and chest-wall-to-lung compliance ratio (CW/CL). The regression model aimed to find the T1/T2 and CW/CL values for real CDH cases and estimate optimal, matched to VI-degree, peak inspiratory and mean airway pressure (PIP, MAP). Results The developed regression models (R2 = 0.78 ÷ 0.98; P < 0.001) enabled to find clinically hard-to-measure values of T1/T2 and CW/CL ratios for three patients, respectively: 9 and 6.52 (P1), 3.5 and 4.96 (P2), and 4 and 5.02 (P3). The T1/T2 and CW/CL correlated with defect size (gamma coefficient: 1; P < 0.05), duration of mechanical ventilation and hospitalization (Spearmen’s coefficient: 0.99; P < 0.01). The clinical and estimated PIP and MAP didn’t differ statistically. Conclusion The T1/T2 and CW/CL indices can help to personalize CDH infants’ ventilation and might be used for prognostication. |
| format | Article |
| id | doaj-art-43b43633e6864efb8fbb09f7b8a4959c |
| institution | OA Journals |
| issn | 1471-2431 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | BMC Pediatrics |
| spelling | doaj-art-43b43633e6864efb8fbb09f7b8a4959c2025-08-20T01:53:25ZengBMCBMC Pediatrics1471-24312025-05-0125111410.1186/s12887-025-05757-8How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation studyBarbara Stankiewicz0Magdalena Mierzewska-Schmidt1Krzysztof J. Pałko2Marek Darowski3Maciej Kozarski4Department of Modeling and Supporting Internal Organs Functions, Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of SciencesDepartment of Paediatric Anaesthesiology and Intensive Therapy, Medical University of WarsawDepartment of Modeling and Supporting Internal Organs Functions, Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of SciencesDepartment of Modeling and Supporting Internal Organs Functions, Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of SciencesDepartment of Modeling and Supporting Internal Organs Functions, Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of SciencesAbstract Background We aim to develop a non-invasive, bed-side method for supporting personalised ventilation of neonates with congenital diaphragmatic hernia (CDH). Currently, there are no CDH severity measures to do it. As ventilation inhomogeneity (VI) resulting from lung hypoplasia is highly variable in CDH patients, mechanical ventilation is a real challenge and the risk of lung injury is high. Methods We conducted 250 simulations of conventional ventilation of CDH cases using the infant hybrid (numerical-physical) respiratory simulator and a ventilator. Utilising simulation results, we searched for a regression model describing patient ventilation parameters as a function of the respiratory system parameters, ventilator settings and two new CDH severity measures: VI-degree defined as a ratio of time constants ratio of the contralateral and ipsilateral lung (T1/T2) and chest-wall-to-lung compliance ratio (CW/CL). The regression model aimed to find the T1/T2 and CW/CL values for real CDH cases and estimate optimal, matched to VI-degree, peak inspiratory and mean airway pressure (PIP, MAP). Results The developed regression models (R2 = 0.78 ÷ 0.98; P < 0.001) enabled to find clinically hard-to-measure values of T1/T2 and CW/CL ratios for three patients, respectively: 9 and 6.52 (P1), 3.5 and 4.96 (P2), and 4 and 5.02 (P3). The T1/T2 and CW/CL correlated with defect size (gamma coefficient: 1; P < 0.05), duration of mechanical ventilation and hospitalization (Spearmen’s coefficient: 0.99; P < 0.01). The clinical and estimated PIP and MAP didn’t differ statistically. Conclusion The T1/T2 and CW/CL indices can help to personalize CDH infants’ ventilation and might be used for prognostication.https://doi.org/10.1186/s12887-025-05757-8HerniaDiaphragmaticCongenitalVentilation inhomogeneityVentilator-Induced lung injury |
| spellingShingle | Barbara Stankiewicz Magdalena Mierzewska-Schmidt Krzysztof J. Pałko Marek Darowski Maciej Kozarski How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation study BMC Pediatrics Hernia Diaphragmatic Congenital Ventilation inhomogeneity Ventilator-Induced lung injury |
| title | How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation study |
| title_full | How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation study |
| title_fullStr | How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation study |
| title_full_unstemmed | How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation study |
| title_short | How to personalise ventilation of infants with congenital diaphragmatic hernia? A simulation study |
| title_sort | how to personalise ventilation of infants with congenital diaphragmatic hernia a simulation study |
| topic | Hernia Diaphragmatic Congenital Ventilation inhomogeneity Ventilator-Induced lung injury |
| url | https://doi.org/10.1186/s12887-025-05757-8 |
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