Modeling of chemical control of human respiratory system.

This paper addresses the fundamental understanding of the chemical control of respiratory system that would be needed to improve the efficiency of artificial ventilators and implement appropriate controllers. Hence, non-linear model for simulation of chemical control of human respiratory system under different physiological conditions is presented. The paper also presents the non-linear dissociation behaviors for oxygen and carbon dioxide solutions in the blood and the Bohr-Haldane effects as well as a new controller model. Tests were conducted on the model under different conditions such as hypoxia, hypercapnia, hypoventilation, and hyperventilation with some combination tests, in order to verify the validity of the assumptions that were made. Results indicate a very close agreement between the responses obtained from the present model and other published experimental and theoretical results. This model can be used to design a novel artificial respirator controller meeting the bodily requirements of the patient under mechanical ventilation.

[1]  F. Kohl,et al.  A smart thin-film flow sensor for biomedical applications , 2000, Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143).

[2]  J S Haldane,et al.  The causes of periodic or Cheyne‐Stokes breathing , 1909, The Journal of physiology.

[3]  A. J. Bart,et al.  Mathematical analysis and digital simulation of the respiratory control system. , 1967, Journal of applied physiology.

[4]  Guido Avanzolini,et al.  A comprehensive simulator of the human respiratory system: Validation with experimental and simulated data , 2007, Annals of Biomedical Engineering.

[5]  Atul Malhotra,et al.  Respiratory system loop gain in normal men and women measured with proportional-assist ventilation. , 2003, Journal of applied physiology.

[6]  G D Swanson,et al.  Central and peripheral chemoreflex loop gain in normal and carotid body-resected subjects. , 1979, Journal of applied physiology: respiratory, environmental and exercise physiology.

[7]  A S Slutsky,et al.  Factors inducing periodic breathing in humans: a general model. , 1982, Journal of applied physiology: respiratory, environmental and exercise physiology.

[8]  F T Tehrani,et al.  A mathematical model of the human respiratory system. , 1983, Journal of biomedical engineering.

[9]  D. Gómez,et al.  Considerations of oxygen-hemoglobin equilibrium in the physiological state. , 1961, The American journal of physiology.

[10]  H T Milhorn,et al.  Digital simulation of the ventilatory response to CO 2 inhalation and CSF perfusion. , 1972, Computers and biomedical research, an international journal.

[11]  W S Yamamoto,et al.  Computer simulation of ventilatory control by both neural and humoral CO2 signals. , 1980, The American journal of physiology.

[12]  B J Whipp,et al.  Respiratory physiology of exercise: metabolism, gas exchange, and ventilatory control. , 1981, International review of physiology.

[13]  R Gelfand,et al.  Dynamic respiratory response to abrupt change of inspired CO2 at normal and high PO2. , 1973, Journal of applied physiology.

[14]  Fleur T. Tehrani Automatic Control Of An Artificial Respirator , 1991, Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society Volume 13: 1991.

[15]  J. S. Gray,et al.  The Multiple Factor Theory of the Control of Respiratory Ventilation. , 1946, Science.

[16]  A S Slutsky,et al.  A mathematical expression to describe the ventilatory response to hypoxia and hypercapnia. , 1977, Respiration physiology.

[17]  N H Edelman,et al.  Hypoxia and hypercapnia as respiratory stimulants and depressants. , 1970, Respiration physiology.

[18]  J D Horgan,et al.  Pulmonary to arterial circulatory transfer function: importance in respiratory control. , 1966, Journal of applied physiology.

[19]  H T Milhorn,et al.  Transient ventilatory response to graded hypercapnia in man. , 1972, Journal of applied physiology.

[20]  M. Jukes,et al.  Effects of various respiratory stimuli on the depth and frequency of breathing in man. , 1966, Respiration physiology.

[21]  John W. Severinghaus,et al.  Regulation Of Respiration , 1978, Acta anaesthesiologica Scandinavica. Supplementum.

[22]  C. Lambertsen,et al.  Carbon dioxide and respiration in acid-base homeostasis. , 1960, Anesthesiology.

[23]  F. Cirignotta,et al.  Breathing during sleep in man in normal and pathological conditions. , 1978, Advances in experimental medicine and biology.

[24]  R G DeLaney,et al.  Relationship between carotid chemoreceptor activity and ventilation in the cat. , 1975, Respiration physiology.