PHYSIOLOGICAL FEEDBACK SYSTEMS AND METHODS
The disclosed physiological feedback systems and methods assist with assessing, monitoring and/or treating a patient experiencing a cardiac arrest event. The systems and methods receive multiple inputs and are continuous and/or iterative during a treatment session to provide physiological state trends of the patient. An index of the physiological state of the patient can be derived and confounders, and/or their effects, can be identified, and/or removed, from the index. Additionally, the systems and methods can assist with determining ischemic injury in a patient based on cerebral tissue oxygenation and/or other physiological data.
1 . A medical device, comprising:
a processor configured to:
receive patient physiological parameter data regarding one or more patient physiological parameters,
receive one or both of tissue oximetry data or capnography data;
determine an effectiveness index based on the received physiologic data;
scale the received patient physiological parameter data based on the effectiveness index;
an output of the effectiveness index including the scaled patient physiological parameter data.
2 . The medical device of claim 1 , wherein the received patient physiological parameter data includes one or more of patient transthoracic impedance data, electrocardiogram (ECG) data, blood pressure data, blood flow data, cardiac performance data, or cardiopulmonary resuscitation (CPR) data.
3 . The medical device of claim 1 , wherein the processor is further configured to receive patient confounder data and the output of the effectiveness index further includes the confounder data.
4 . The medical device of claim 3 , wherein the patient confounder data includes one or more of medication administration, observation data, or treatment administration.
5 . The medical device of claim 1 , wherein the processor is further configured to receive confounder data and to determine the effectiveness index based on the confounder data.
6 . The medical device of claim 1 , wherein the processor is further configured to iteratively determine the effectiveness index.
7 . The medical device of claim 1 , wherein the processor is further configured to calculate an oxygenation trend based on the patient oxygenation data and determine the effectiveness index based on the oxygenation trend.
8 . The medical device of claim 7 , wherein the processor is further configured to identify a trajectory of the oxygenation trend and the output is further configured to include the trajectory of the oxygenation trend.
9 . The medical device of claim 1 , wherein the processor is further configured to calculate a patient physiological parameter trend and to scale the patient physiological parameter trend based on the effectiveness index.
10 . The medical device of claim 9 , wherein the processor is further configured to identify a trajectory of the patient physiological parameter trend and the output is further configured to include the patient physiological parameter trend.
11 . The medical device of claim 9 , wherein the trajectory is indicative of patient return of spontaneous circulation (ROSC), patient likelihood of ROSC, or patient re-arrest.
12 . The medical device of claim 1 , wherein the patient physiological parameter data is indicative of patient hemodynamic adequacy.
13 . The medical device of claim 12 , wherein the patient hemodynamic adequacy includes an indication of patient return of spontaneous circulation (ROSC), a patient likelihood of ROSC, or patient re-arrest.
14 . The medical device of claim 1 , wherein the processor is further configured to generate instruction to issue a user prompt to alter patient treatment based at least in part on the effectiveness index.
15 . The medical device of claim 1 , wherein the output includes transmitting the effectiveness index to a display.
16 . The medical device of claim 1 , wherein the output includes transmitting the effectiveness index to another computing device.
17 . A medical device to one or both of monitor or treat a patient, comprising:
multiple patient sensors configured to sense respective multiple patient physiological parameters, the multiple patient sensors including a patient oxygenation sensor configured to sense patient tissue oximetry data or a patient airway CO 2 sensor configured to sense patient capnography data;
a processor electrically coupled to the multiple patient sensors and configured to receive the sensed patient physiological parameter data, the processor further configured to:
determine an effectiveness index based on the sensed patient tissue oximetry data or the patient capnography data;
scale the sensed patient physiological parameter data based on the effectiveness index; and
an output of the effectiveness index including the scaled patient physiological parameter data transmitted to a display.
18 . The medical device of claim 7 , wherein the sensed patient physiological parameters include one or more of patient transthoracic impedance data, electrocardiogram (ECG) data, blood pressure data, blood flow data, cardiac performance data, or cardiopulmonary resuscitation (CPR) data.
19 . The medical device of claim 1 , wherein the processor is further configured to receive patient confounder data and the output of the effectiveness index further includes the confounder data.
20 . The medical device of claim 19 , wherein the patient confounder data includes one or more of medication administration, observation data, or treatment administration.