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Predicting Extubation Readiness in Extreme Preterm Infants based on Patterns of Breathing [article]

Charles C. Onu, Lara J. Kanbar, Wissam Shalish, Karen A. Brown, Guilherme M. Sant'Anna, Robert E. Kearney, Doina Precup
2018 arXiv   pre-print
Extremely preterm infants commonly require intubation and invasive mechanical ventilation after birth.  ...  The parameters of the model were further applied to predict extubation readiness via generative (joint likelihood) and discriminative (support vector machine) approaches.  ...  To the best of our knowledge, this is the first work that applies a timeseries-based machine learning method to predict extubation readiness in extremely preterm infants. III. DATA A.  ... 
arXiv:1808.07991v1 fatcat:zwzpjbdqq5cedcwivgzlc6aumi

Prediction of Extubation readiness in extremely preterm infants by the automated analysis of cardiorespiratory behavior: study protocol

Wissam Shalish, Lara J. Kanbar, Smita Rao, Carlos A. Robles-Rubio, Lajos Kovacs, Sanjay Chawla, Martin Keszler, Doina Precup, Karen Brown, Robert E. Kearney, Guilherme M. Sant'Anna
2017 BMC Pediatrics  
clinicians in determining when extremely preterm infants are ready for extubation.  ...  variables that provide the best overall prediction of extubation readiness.  ...  Acknowledgements We would like to acknowledge the help of Monica Bhuller, Samantha Latremouille, Meghan Dwaihy, Bogdan Panaitescu, Khushbu Shukla and Alyse Laliberte in the recruitment of patients, data  ... 
doi:10.1186/s12887-017-0911-z pmid:28716018 pmcid:PMC5512825 fatcat:nkozwhdtyzccjgyeir6hiyr5rm

Diaphragmatic activity and neural breathing variability during a 5-min endotracheal continuous positive airway pressure trial in extremely preterm infants

Samantha Latremouille, Monica Bhuller, Smita Rao, Wissam Shalish, Guilherme Sant'Anna
2020 Pediatric Research  
Extremely preterm infants are often exposed to endotracheal tube continuous positive airway pressure (ETT-CPAP) trials to assess extubation readiness.  ...  A 5-min ETT-CPAP in extremely preterm infants undergoing extubation imposed significant respiratory load with changes in respiratory variability.  ...  ACKNOWLEDGEMENTS We are indebted to all infants, their families, and the NICU staff for their participation and help with the study.  ... 
doi:10.1038/s41390-020-01159-x pmid:32942291 pmcid:PMC7533985 fatcat:w4rctdssj5hbnjqkmqrryzdqnm

Undersampling and Bagging of Decision Trees in the Analysis of Cardiorespiratory Behavior for the Prediction of Extubation Readiness in Extremely Preterm Infants [article]

Lara J. Kanbar, Charles C. Onu, Wissam Shalish, Karen A. Brown, Guilherme M. Sant'Anna, Robert E. Kearney, Doina Precup
2018 arXiv   pre-print
Extremely preterm infants often require endotracheal intubation and mechanical ventilation during the first days of life.  ...  We present an approach using Random Forest classifiers for the analysis of cardiorespiratory variability to predict extubation readiness.  ...  ACKNOWLEDGMENT We thank the patients and their families for their participation in this research.  ... 
arXiv:1808.07992v1 fatcat:sgcka7ywfndedcv5brybvheqe4

A Semi-Markov Chain Approach to Modeling Respiratory Patterns Prior to Extubation in Preterm Infants [article]

Charles C. Onu, Lara J. Kanbar, Wissam Shalish, Karen A. Brown, Guilherme M. Sant'Anna, Robert E. Kearney, Doina Precup
2018 arXiv   pre-print
After birth, extremely preterm infants often require specialized respiratory management in the form of invasive mechanical ventilation (IMV).  ...  We present an approach to modeling respiratory patterns of infants who succeeded extubation and those who required reintubation which relies on Markov models.  ...  The Markov models we developed based on patterns identified from RIP signals show potential for further use in probabilistic prediction of extubation readiness.  ... 
arXiv:1808.07989v1 fatcat:jtgcqjlg5bh2dlydpdezrhua6m

Can Fraction of Inspired Oxygen Predict Extubation Failure in Preterm Infants?

Eugenio Spaggiari, Maria Amato, Ornella Angela Ricca, Luigi Corradini Zini, Ilaria Bianchedi, Licia Lugli, Alessandra Boncompagni, Isotta Guidotti, Cecilia Rossi, Luca Bedetti, Lorenzo Iughetti, Alberto Berardi
2022 Children  
Prolonged mechanical ventilation in preterm infants may cause complications. We aimed to analyze the variables affecting extubation outcomes in preterm infants at high risk of extubation failure.  ...  Conclusions: High GA and PROM were associated with extubation success. Pre- and post-extubation FiO2 values were not significantly predictive of extubation failure.  ...  The aim of this study is to analyze the predictive factors for extubation failure in a cohort of extremely preterm and/or extremely low birth weight infants.  ... 
doi:10.3390/children9010030 pmid:35053655 pmcid:PMC8774464 fatcat:plhf2obeqjhvnaxnigy63vmmmq

Prediction of Extubation Readiness Using Transthoracic Ultrasound in Preterm Infants [article]

Reem Soliman, Yasser Elsayed, Reem Said, Rania Hashem, Abdulaziz Abdulbaqi, Hany Aly
2020 medRxiv   pre-print
predict extubation success in mechanically ventilated preterm infants with respiratory distress syndrome (RDS).  ...  Conclusion: LUSsc predicts extubation success in preterm infants with RDS whereas LVEI correlates with high PAP.  ...  Infants were extubated to nasal CPAP or nasal non-invasive ventilation based on the observed work of breathing and presence of irregular breathing or apnea.  ... 
doi:10.1101/2020.04.26.20080739 fatcat:qlkjaxb7afcbpdu557csy4oyaa

Respiratory muscle function in the newborn: a narrative review

Theodore Dassios, Aggeliki Vervenioti, Gabriel Dimitriou
2021 Pediatric Research  
The respiratory muscles undertake the work of breathing and consist mainly of the diaphragm, which in the newborn is prone to dysfunction due to lower muscle mass, flattened shape and decreased content  ...  Impact Respiratory muscle function is impaired in prematurely born neonates and infants with congenital anomalies, such as congenital diaphragmatic hernia.  ...  An estimation of the predicted ability of the respiratory muscles to independently undertake the WoB is used in the assessment of readiness for extubation from mechanical ventilation. 3 Our aim was to  ... 
doi:10.1038/s41390-021-01529-z pmid:33875805 pmcid:PMC8053897 fatcat:4eqihaetqjdlbnizwt6lvuy6w4

127 Placental Insufficiency Affects Neurodevelopmental Outcome in Very Preterm Infants

T A Kaukola, J Räsänen, M Hallman
2004 Pediatric Research  
On the other hand, there was no blood pressure effect of being small-for-gestational age in the very preterm group (adjusted OR 0.99, CI:0.64 -1.53).  ...  In addition, being small-for-gestational age after preterm birth has no impact on later blood pressure.  ...  of life in extremely low birth weight (ELBW) preterm infants.  ... 
doi:10.1203/00006450-200409000-00150 fatcat:65djq2llvrhspc25kyrri4blri

Patterns of reintubation in extremely preterm infants: a longitudinal cohort study

Wissam Shalish, Lara Kanbar, Martin Keszler, Sanjay Chawla, Lajos Kovacs, Smita Rao, Bogdan A Panaitescu, Alyse Laliberte, Doina Precup, Karen Brown, Robert E Kearney, Guilherme M Sant'Anna
2018 Pediatric Research  
BACKGROUND: The optimal approach for reporting reintubation rates in extremely preterm infants is unknown.  ...  This study aims to longitudinally describe patterns of reintubation in this population over a broad range of observation windows following extubation.  ...  METHODS Study design This work is a substudy of APEX, an ongoing prospective multicenter observational trial aimed at developing an automated prediction tool of extubation readiness in extremely preterm  ... 
doi:10.1038/pr.2017.330 pmid:29389921 fatcat:54p76fvmszh53gstcvzlrgxhiu

126 Obtaining Pulse Oximetry Data in Infants - A Randomised Crossover Study of Probe Application Techniques

C P F O'Donnell, C O F Kamlin, P G Davis, C J Morley
2004 Pediatric Research  
On the other hand, there was no blood pressure effect of being small-for-gestational age in the very preterm group (adjusted OR 0.99, CI:0.64 -1.53).  ...  In addition, being small-for-gestational age after preterm birth has no impact on later blood pressure.  ...  days of life in extremely low birth weight (ELBW) preterm infants.  ... 
doi:10.1203/00006450-200409000-00149 fatcat:r4qwgna34rajvicv3qgul7arpa

Predicting responses to mechanical ventilation for preterm infants with acute respiratory illness using artificial neural networks

Katharine Brigham, Samir Gupta, John C. Brigham
2018 International Journal for Numerical Methods in Biomedical Engineering  
With recent advances in machine learning approaches, particularly deep learning, it may be possible to estimate future responses to mechanical ventilation in real-time, based on ventilation monitoring  ...  Towards improving care and treatment of preterm newborns, further development of this prediction process for ventilation could potentially aid in important clinical decisions or studies to improve preterm  ...  [9] employed SVMs to determine the combination of measures of cardiorespiratory variability, computed automatically, that best predicts extubation readiness.  ... 
doi:10.1002/cnm.3094 pmid:29667359 fatcat:44z5o5pzyvah3h524dpy7dw4dm

Parameter selection for and implementation of a web-based decision-support tool to predict extubation outcome in premature infants

Martina Mueller, Carol L Wagner, David J Annibale, Rebecca G Knapp, Thomas C Hulsey, Jonas S Almeida
2006 BMC Medical Informatics and Decision Making  
Results: CEs identified 51 potentially predictive variables for extubation decisions for an infant on mechanical ventilation.  ...  Approximately 30% of intubated preterm infants with respiratory distress syndrome (RDS) will fail attempted extubation, requiring reintubation and mechanical ventilation.  ...  (Department of Pediatrics, Medical University of South Carolina) for their ready participation in the assessment of clinical expertise in the prediction of extubation outcome. We thank Dr.  ... 
doi:10.1186/1472-6947-6-11 pmid:16509967 pmcid:PMC1413521 fatcat:ndr6qq6khzh4hghoshqyrml57m

Respiratory Care Protocols in Neonatal Intensive Care [chapter]

Wissam Shalish, Guilherme Mendes Sant' Anna
2016 Respiratory Management of Newborns  
Indeed, despite the limited evidence supporting the use of respiratory protocols in neonates, a significant number of units have already developed and implemented them into clinical practice.  ...  Respiratory care protocols appear to promote evidence-based practices, discourage outdated approaches and ultimately improve patient safety.  ...  Furthermore, in a recent international survey focused on extremely preterm infants, extubation readiness was primarily assessed based on the subjective interpretation of ventilator settings, blood gases  ... 
doi:10.5772/63556 fatcat:bgv2h6yssncnfkqzvz6onx6j54

Immature control of breathing and apnea of prematurity: the known and unknown

Grant Erickson, Nicole R. Dobson, Carl E. Hunt
2021 Journal of Perinatology  
This narrative review provides a broad perspective on immature control of breathing, which is universal in infants born premature.  ...  These manifestations are encompassed within the clinical diagnosis of apnea of prematurity, but there is no consensus on minimum criteria required for diagnosis.  ...  IH is one of the most important consequences of immature breathing patterns.  ... 
doi:10.1038/s41372-021-01010-z pmid:33712716 fatcat:uncuxhwo6reetnoxcov63pxl3i
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