Publications by authors named "Yi-Ming Kao"

Objective: To develop a high-fidelity mathematical model intended to replicate the cardiovascular (CV) responses of a critically ill patient to vasoplegic shock-induced hypotension and vasopressor therapy.

Methods: The mathematical model consists of a lumped-parameter CV physiology model with baroreflex modulation feedback and a phenomenological dynamic dose-response model of a vasopressor. The adequacy of the proposed mathematical model was investigated using an experimental dataset acquired from 10 pigs receiving phenylephrine (PHP) therapy after vasoplegic shock induced via sodium nitroprusside (SNP).

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Article Synopsis
  • Urinary output (UOP) is commonly used to gauge fluid resuscitation during burns, but it's not very reliable for assessing fluid responsiveness.
  • This study tested whether advanced monitoring methods, like arterial pulse wave analysis (PWA), could provide better insights into cardiac output (CO) and stroke volume (SV) during burn treatment.
  • Results showed that PWA-derived indices closely matched reference CO and SV measurements and may offer valuable information alongside UOP for effective burn resuscitation.
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