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Description:
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NeoGanesh is a knowledge-based system for the management of mechanical ventilation in Intensive Care Units (ICUs). NeoGanesh integrates a distributed model of medical reasoning and an explicit representation of time. The system is based on the representation of physician’s expertise. It interprets clinical data in real-time and controls the mechanical assistance provided, in pressure support ventilation mode, to a patient who suffers from a lung disease. NeoGanesh develops a therapeutic strategy to gradually re-educate the respiratory muscles of the patient, and evaluates his capacity to breathe without mechanical assistance. NeoGanesh runs on a microcomputer placed at the patient’s bedside, controls alveolar ventilator (Hamilton Switzerland) and does not interfere with the usual management of the patients. NeoGanesh is in use at Henri Mondor Hospital.
see for system architecture:
M. Dojat, F. Pachet, Z. Guessoum, D. Touchard, A. Harf and L. Brochard, NeoGanesh: A working system for the automated control of assisted ventilation in ICUs, Artificial Intelligence in Medicine, 11: 97-117. 1997
Evaluation: A clinical evaluation of NeoGanesh was performed at Henri Mondor Hospital (Créteil, France). The use of NeoGanesh improves the quality of the patient’s ventilation and the prediction of weaning.
M. Dojat, A. Harf, D. Touchard, F. Lemaire and L. Brochard, Clinical Evaluation of a computer-controlled pressure support mode, Am. J. Respir. Crit. Care Med., 161: 1161-66, 2000
M. Dojat, A. Harf, D. Touchard, M. Laforest, F. Lemaire and L. Brochard, Evaluation of a knowledge based system providing ventilatory management and decision for extubation, Am. J. Resp. Crit. Care Med., 153: 997-1004, 1996.
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