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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

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
We present an approach using Random Forest classifiers for the analysis of cardiorespiratory variability to predict extubation readiness.  ...  Extremely preterm infants often require endotracheal intubation and mechanical ventilation during the first days of life.  ...  ACKNOWLEDGMENT We thank the patients and their families for their participation in this research.  ... 
arXiv:1808.07992v1 fatcat:sgcka7ywfndedcv5brybvheqe4

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  
A 5-min ETT-CPAP in extremely preterm infants undergoing extubation imposed significant respiratory load with changes in respiratory variability.  ...  Extremely preterm infants are often exposed to endotracheal tube continuous positive airway pressure (ETT-CPAP) trials to assess extubation readiness.  ...  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

Impact of Spontaneous Breathing Trials in Cardiorespiratory Stability of Preterm Infants

Adriane M Nakato, Débora de FC Ribeiro, Ana Carolina Simão, Regina PGVC Da Silva, Percy Nohama
2020 Respiratory care  
This study aimed to investigate the effects of a 3-min SBT on the cardiorespiratory stability of these infants.  ...  However, the physiological impact of such a trial in preterm infants has not been well described.  ...  We also acknowledge the team of the neonatal ICU at the Waldemar Monastier Children's Hospital.  ... 
doi:10.4187/respcare.07955 pmid:32994356 fatcat:o732orrwsjgkzegodrr2k4ie4y

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

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

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

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

Prediction of extubation success using the diaphragmatic electromyograph results in ventilated neonates

Katie A Hunt, Ian Hunt, Kamal Ali, Theodore Dassios, Anne Greenough
2020 Journal of Perinatal Medicine  
Objectives Extubation failure is common in infants and associated with complications. Methods A prospective study was undertaken of preterm and term born infants.  ...  A CGA of >29.6 weeks had the highest combined sensitivity (86%) and specificity (80%) in predicting extubation success.  ...  Author contributions: KAH and AG contributed to the conception and design of the study; KAH, IH, KA, TD and AG contributed to the acquisition of data, analysis and interpretation of data; KAH, IH, KA,  ... 
doi:10.1515/jpm-2020-0129 pmid:32598319 fatcat:dtcx5rpztzhldjaczdff7x5ave

Neonatal Respiratory Support: 2019 Year in Review

Craig R Wheeler, Craig D Smallwood
2020 Respiratory care  
for high-flow nasal cannula, and best use of noninvasive ventilation and predicting response.  ...  Recently, volume-targeted ventilation, high-frequency ventilation, and different methods of assessing weaning and extubation have been investigated.  ...  trial (SBT) on endotracheal tube CPAP prior to extubation. 88 APEX utilized machine learning tools to characterize clinical variables and quantitative measures of cardiorespiratory events, including  ... 
doi:10.4187/respcare.07720 pmid:32209710 fatcat:jkzgmknltfac7ptz22fua42idy

Continuous vital sign analysis for predicting and preventing neonatal diseases in the twenty-first century: big data to the forefront

Navin Kumar, Gangaram Akangire, Brynne Sullivan, Karen Fairchild, Venkatesh Sampath
2019 Pediatric Research  
Although changes in VS can reflect infant physiology or circadian rhythms, persistent deviations in absolute values or complex changes in variability can indicate acute or chronic pathology.  ...  Recent studies demonstrate that analysis of continuous VS trends can predict sepsis, necrotizing enterocolitis, brain injury, bronchopulmonary dysplasia, cardiorespiratory decompensation, and mortality  ...  A subsequent study found that the HRC index assisted in determining extubation readiness in preterm infants (37) .  ... 
doi:10.1038/s41390-019-0527-0 pmid:31377752 pmcid:PMC6962536 fatcat:3vzvp6mf2be7tdzkzxnsttkmoq

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  
In this work, recurrent neural networks are proposed for predicting future ventilation parameters due to the highly nonlinear behavior of the ventilation measures of interest and the ability of recurrent  ...  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  ...  [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

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.  ...  There is considerable variability in when and how to initiate and discontinue treatment.  ...  of events based on chart review.  ... 
doi:10.1038/s41372-021-01010-z pmid:33712716 fatcat:uncuxhwo6reetnoxcov63pxl3i

Current Status and Future Directions of Neuromonitoring With Emerging Technologies in Neonatal Care

Gabriel Fernando Todeschi Variane, João Paulo Vasques Camargo, Daniela Pereira Rodrigues, Maurício Magalhães, Marcelo Jenné Mimica
2022 Frontiers in Pediatrics  
Neonatology has experienced a significant reduction in mortality rates of the preterm population and critically ill infants over the last few decades.  ...  This article will cover the current applications of neuromonitoring in the Neuro-NICU, recent advances, potential pitfalls, and future perspectives in this field.  ...  The features calculated from the generated sub-signals were shown to be more accurate in grading the EEG than measures based purely on the EEG, and the addition of new sub-grades based on EEG states to  ... 
doi:10.3389/fped.2021.755144 pmid:35402367 pmcid:PMC8984110 fatcat:35nfcsiesnaedijswqee7jph7i

Respiratory Care for the Ventilated Neonate

Gustavo Rocha, Paulo Soares, Américo Gonçalves, Ana Isabel Silva, Diana Almeida, Sara Figueiredo, Susana Pissarra, Sandra Costa, Henrique Soares, Filipa Flôr-de-Lima, Hercília Guimarães
2018 Canadian Respiratory Journal  
Invasive ventilation is often necessary for the treatment of newborn infants with respiratory insufficiency.  ...  Aspects of ventilation in patients under ECMO (extracorporeal membrane oxygenation) and in palliative care are of increasing interest nowadays.  ...  It can increase the opiate exposure, but seems not to affect neurodevelopmental outcomes of extremely preterm infants [80] .  ... 
doi:10.1155/2018/7472964 pmid:30186538 pmcid:PMC6110042 fatcat:67tainaflfgg7lszokw7ryhrnm
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