1998
DOI: 10.1038/30130
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Life-support system benefits from noise

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Cited by 195 publications
(100 citation statements)
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“…A recently described conceptual model has predicted that the addition of random noise to mechanical ventilation might improve gas exchange and prevent further lung injury, 35 a finding supported by some experimental data. 20,27 Whether a fractal pattern of respiratory variability, incorporating long-range correlations, will be of clinical value in further improving mechanical ventilation remains to be tested in experimental and clinical settings.…”
Section: Discussionmentioning
confidence: 62%
“…A recently described conceptual model has predicted that the addition of random noise to mechanical ventilation might improve gas exchange and prevent further lung injury, 35 a finding supported by some experimental data. 20,27 Whether a fractal pattern of respiratory variability, incorporating long-range correlations, will be of clinical value in further improving mechanical ventilation remains to be tested in experimental and clinical settings.…”
Section: Discussionmentioning
confidence: 62%
“…The gradual decline in aA ratio highlights the moderately severe respiratory disease evident in both ventilated groups whereas the elevated markers of injury highlight the susceptibility of the fragile preterm lung to mechanical ventilation. The improved arterial oxygenation and/or lung compliance [5,[8][9][10][11][12][13], and delivery of required V T s at lower mean airway pressure associated with use of VV compared to controlled mechanical ventilation [10] and the ARDS Network protocol [18] are partly due to stochastic processes that enhance airway opening and alveolar recruitment [7]. Given that airway branching is complete at 129 days gestation, recruitment in the preterm lamb lungs would most likely occur in a similar manner to that shown in adult models.…”
Section: Discussionmentioning
confidence: 99%
“…In theoretical [7] and adult animal models of healthy [8,9] and injured or diseased lungs [5,[10][11][12][13], VV improves oxygenation and enhances gas exchange compared to CV. The potential applications and benefits of VV in the immature preterm lung are unstudied.…”
Section: Introductionmentioning
confidence: 99%
“…Thus, our results are consistent with empirical evidence suggesting that development and maintenance of healthy function may require adjusting the number of connections. Last, the model may also provide a robust way to generate fluctuations that closely resemble physiologic signals, which could be implemented in medical devices, such as mechanical ventilators (32,33) and hormone infusion pumps (34). …”
Section: Discussionmentioning
confidence: 99%