Medical decision support in mechanical ventilation employing combined model information of gas exchange and respiratory mechanics

Clinical practice, decision-making, and use of clinical decision support systems in invasive mechanical ventilation: a narrative review

“…Several clinical decision support systems (CDSS) have been developed to help clinicians achieve this goal. 17 , 18 , 19 , 20 A CDSS is a computer system intended to augment decision-making by matching patient characteristics to a computerised clinical knowledge base; patient-specific recommendations are presented to the clinician. 21 CDSS for mechanical ventilation take several forms, from standalone systems to an adjunct to the electronic health record, or a webpage that requires data input, with some ventilators also having built-in CDSS.…”

“… 21 CDSS for mechanical ventilation take several forms, from standalone systems to an adjunct to the electronic health record, or a webpage that requires data input, with some ventilators also having built-in CDSS. They can support a variety of decisions, including titrating ventilator settings, 17 supporting the implementation of lung-protective ventilation, 18 assisting with weaning from mechanical ventilation, 19 and those that support decisions in several areas. 20 CDSS may optimise ventilator settings without clinician input (closed-loop), 22 , 23 or may be used at the point of care, allowing clinicians to combine their knowledge with the suggestions provided by the CDSS (open-loop).…”