Computational Approach for Respiratory Pressure Parameters in Neonatal Ventilation

In the context of mechanical ventilation, the accurate calculation of secondary pressure parameters is essential for clinicians to effectively assess a patient's clinical condition. In the case of neonatal resuscitation with the T-piece, both the inspiratory and expiratory triggers are manually operated. The device provides a constant flow at the initiation of inspiration and reduces the flow to limit output pressure according to the set peak inspiratory pressure. However, without an algorithmic classification of the inspiration and expiration pressure, data analysis may only be performed postfactum. To address the need for the separate trend analysis of PIP and PEEP in non-invasive mechanical ventilation with a T-piece, there is a requirement to develop and implement an accurate algorithm for respiratory pressure parameters calculation. In this study, we review the current state-of-the-art methods for the calculation of respiratory pressure parameters for non-invasive mechanical ventilation with a T-piece. We then present the development and implementation of an algorithm for respiratory pressure parameters calculation and discuss the results of the analysis. This algorithm is designed to provide accurate and reliable measurements of PIP and PEEP in neonatal resuscitation with the T-piece, allowing clinicians to more effectively monitor and assess a patient's clinical condition during mechanical ventilation. The results demonstrate the effectiveness of the algorithm in accurately calculating PIP and PEEP values, providing valuable insights into the patient's respiratory mechanics and helping to inform clinical decision-making.