Mechanical ventilation intervention based on machine learning from vital signs monitoring: a scoping review

Abstract

Abstract Asynchronous breathing (AB) during mechanical ventilation (MV) may lead to a detrimental effect on the patient’s condition. Due to the massive amount of data displayed in a large ICU, a machine learning algorithm (MLA) was proposed extensively to extract the patterns within the multiple continuous-in-time vital signs, to determine which are the variables that will predict the AB, to intervene in the MV as an early warning system, and finally to replace a highly demand of clinician’s cognition. This study reviews the MLA for prediction and detection models from vital signs monitoring data for MV intervention. Publication on MLA development on MV intervention based on vital signs monitoring to support clinicians’ decision-making process was extracted from the three electronic academic research databases Web of Science Core Collection (WoSCC), ScienceDirect, and PUBMED Central to February 2023. 838 papers from the electronic academic research databases are extracted. There are 14 review papers, while 25 related papers that pass with the quality assessments (QA). Few studies have been published that considered VS monitoring data along with the MV parameters waveforms for MV intervention. Vital signs monitoring data is not the only predictor in the developed MLA. Most studies suggested that developing the MLA for direct MV intervention requires more concern in the pre-processing of real-time data to avoid false positive and false detection than developing MLA itself.