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Machine Learning for Mechanical Ventilation Control

Suo, D.; Zhang, C.; Gradu, P.; Ghai, U.; Chen, X.; Agarwal, N.; Singh, K.; LaChance, J.; Zajdel, T.; Schottdorf, M.; Cohen, D. J.; Hazan, E.

2021-03-01 intensive care and critical care medicine
10.1101/2021.02.26.21252524 medRxiv
Show abstract

AO_SCPLOWBSTRACTC_SCPLOWWe consider the problem of controlling an invasive mechanical ventilator for pressure-controlled ventilation: a controller must let air in and out of a sedated patients 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.

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