Modeling and monitoring of cardiovascular dynamics for patients in critical care

In modern intensive care units (ICUs) a vast and varied amount of physiological data is measured and collected, with the intent of providing clinicians with detailed information about the physiological state of each patient. The data include measurements from the bedside monitors of heavily instrumented patients, imaging studies, laboratory test results, and clinical observations. The clinician's task of integrating and interpreting the data, however, is complicated by the sheer volume of information and the challenges of organizing it appropriately. This task is made even more difficult by ICU patients' frequently-changing physiological state. Although the extensive clinical information collected in ICUs presents a challenge, it also opens up several opportunities. In particular, we believe that physiologically-based computational models and model-based estimation methods can be harnessed to better understand and track patient state. These methods would integrate a patient's hemodynamic data streams by analyzing and interpreting the available information, and presenting resultant pathophysiological hypotheses to the clinical staff in an effcient manner. In this thesis, such a possibility is developed in the context of cardiovascular dynamics. The central results of this thesis concern averaged models of cardiovascular dynamics and a novel estimation method for continuously tracking cardiac output and total peripheral resistance. This method exploits both intra-beat and inter-beat dynamics of arterial blood pressure, and incorporates a parametrized model of arterial compliance. We validated our method with animal data from laboratory experiments and ICU patient data.

Department dc:contributor.department

Massachusetts Institute of Technology. Dept. of Electrical Engineering and Computer Science.

Grantor dc:publisher

Massachusetts Institute of Technology

Year dc:date.issued

2007

Author dc:creator

• Parlikar, Tushar Anil, 1978-

Advisor dc:contributor.advisor

• George C. Verghese and Thomas Heldt.

• Electrical Engineering and Computer Science.

Statement dc:rights

• M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission.

Licence dc:rights.uri

• http://dspace.mit.edu/handle/1721.1/7582

Language dc:language.iso

eng

Handle dc:identifier.uri

http://hdl.handle.net/1721.1/40859

OAI identifier oai:identifier

oai:dspace.mit.edu:1721.1/40859