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Machine Learning for Mechanical Ventilation Control
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We consider the problem of controlling an invasive mechanical ventilator for pressure-controlled ventilation: a controller must let air in and out of a sedated patient's lungs according to a trajectory of airway pressures specified by a clinician. Hand-tuned PID controllers and similar variants have comprised the industry standard for decades, yet can behave poorly by over- or under-shooting their target or oscillating rapidly. We consider a data-driven machine learning approach: First, we train a simulator based on data we collect from an artificial lung. Then, we train deep neural network controllers on these simulators.We show that our controllers are able to track target pressure waveforms significantly better than PID controllers. We further show that a learned controller generalizes across lungs with varying characteristics much more readily than PID controllers do.
Forward citations
Cited by 2 Pith papers
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Predicting Extubation Failure in Intensive Care: The Development of a Novel, End-to-End Actionable and Interpretable Prediction System
A fusion of LSTM and TCN models built from sampling-frequency feature subsets achieved only modest extubation-failure prediction (AUC-ROC about 0.6) on 4,701 MIMIC-IV patients.
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Distribution-Free Uncertainty Quantification in Mechanical Ventilation Treatment: A Conformal Deep Q-Learning Framework
ConformalDQN filters ventilator-setting actions by behavioral-policy confidence before Q-value selection, and the authors report higher FQE-estimated survival than baselines.
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