A model for educational simulation of hemodynamic transitions at birth

Carla D. Sá-Couto, Peter Andriessen, Willem L. Van Meurs, Diogo Ayres-de-Campos, Pedro M. Sá-Couto

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)

Abstract

Birth is characterized by swift and complex transitions in hemodynamic and respiratory variables. Unrecognized pathologies or incidents may quickly become fatal or cause permanent damage. This article introduces an essential component of an acute perinatal care simulator, namely a model for educational simulation of normal hemodynamic transitions seen during and shortly after birth. We explicitly formulate educational objectives and adapt a preexisting model for the simulation of neonatal cardiovascular physiology to include essential aspects of fetal hemodynamics. From the scientific literature, we obtain model parameters that characterize these aspects quantitatively. The fetal model is controlled by a time- and event-based script of changes occurring at birth, such as onset of breathing and cord clamping, and the transitory phase up to 24 h after birth. Comparison of simulation results with published target data confirms that realistic simulated hemodynamic vital signs are achieved.

Original languageEnglish
Pages (from-to)158-165
Number of pages8
JournalPediatric Research
Volume67
Issue number2
DOIs
Publication statusPublished - Feb 2010
Externally publishedYes

Fingerprint

Educational Models
Hemodynamics
Parturition
Cardiovascular Physiological Phenomena
Perinatal Care
Literature
Vital Signs
Constriction
Respiration
Pathology

Keywords

  • Blood Flow Velocity
  • Blood Pressure
  • Computer Simulation
  • Constriction
  • Fetus/blood supply
  • Hemodynamics
  • Humans
  • Infant, Newborn
  • Models, Cardiovascular
  • Parturition
  • Perinatal Care
  • Regional Blood Flow
  • Reproducibility of Results
  • Respiration, Artificial
  • Respiratory Mechanics
  • Time Factors
  • Umbilical Cord/blood supply

Cite this

Sá-Couto, C. D., Andriessen, P., Van Meurs, W. L., Ayres-de-Campos, D., & Sá-Couto, P. M. (2010). A model for educational simulation of hemodynamic transitions at birth. Pediatric Research, 67(2), 158-165. https://doi.org/10.1203/PDR.0b013e3181c2def3
Sá-Couto, Carla D. ; Andriessen, Peter ; Van Meurs, Willem L. ; Ayres-de-Campos, Diogo ; Sá-Couto, Pedro M. / A model for educational simulation of hemodynamic transitions at birth. In: Pediatric Research. 2010 ; Vol. 67, No. 2. pp. 158-165.
@article{5840e0b184f24164b31704387667c055,
title = "A model for educational simulation of hemodynamic transitions at birth",
abstract = "Birth is characterized by swift and complex transitions in hemodynamic and respiratory variables. Unrecognized pathologies or incidents may quickly become fatal or cause permanent damage. This article introduces an essential component of an acute perinatal care simulator, namely a model for educational simulation of normal hemodynamic transitions seen during and shortly after birth. We explicitly formulate educational objectives and adapt a preexisting model for the simulation of neonatal cardiovascular physiology to include essential aspects of fetal hemodynamics. From the scientific literature, we obtain model parameters that characterize these aspects quantitatively. The fetal model is controlled by a time- and event-based script of changes occurring at birth, such as onset of breathing and cord clamping, and the transitory phase up to 24 h after birth. Comparison of simulation results with published target data confirms that realistic simulated hemodynamic vital signs are achieved.",
keywords = "Blood Flow Velocity, Blood Pressure, Computer Simulation, Constriction, Fetus/blood supply, Hemodynamics, Humans, Infant, Newborn, Models, Cardiovascular, Parturition, Perinatal Care, Regional Blood Flow, Reproducibility of Results, Respiration, Artificial, Respiratory Mechanics, Time Factors, Umbilical Cord/blood supply",
author = "S{\'a}-Couto, {Carla D.} and Peter Andriessen and {Van Meurs}, {Willem L.} and Diogo Ayres-de-Campos and S{\'a}-Couto, {Pedro M.}",
year = "2010",
month = "2",
doi = "10.1203/PDR.0b013e3181c2def3",
language = "English",
volume = "67",
pages = "158--165",
journal = "Pediatric Research",
issn = "0031-3998",
publisher = "Lippincott Williams and Wilkins Ltd.",
number = "2",

}

Sá-Couto, CD, Andriessen, P, Van Meurs, WL, Ayres-de-Campos, D & Sá-Couto, PM 2010, 'A model for educational simulation of hemodynamic transitions at birth', Pediatric Research, vol. 67, no. 2, pp. 158-165. https://doi.org/10.1203/PDR.0b013e3181c2def3

A model for educational simulation of hemodynamic transitions at birth. / Sá-Couto, Carla D.; Andriessen, Peter; Van Meurs, Willem L.; Ayres-de-Campos, Diogo; Sá-Couto, Pedro M.

In: Pediatric Research, Vol. 67, No. 2, 02.2010, p. 158-165.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - A model for educational simulation of hemodynamic transitions at birth

AU - Sá-Couto, Carla D.

AU - Andriessen, Peter

AU - Van Meurs, Willem L.

AU - Ayres-de-Campos, Diogo

AU - Sá-Couto, Pedro M.

PY - 2010/2

Y1 - 2010/2

N2 - Birth is characterized by swift and complex transitions in hemodynamic and respiratory variables. Unrecognized pathologies or incidents may quickly become fatal or cause permanent damage. This article introduces an essential component of an acute perinatal care simulator, namely a model for educational simulation of normal hemodynamic transitions seen during and shortly after birth. We explicitly formulate educational objectives and adapt a preexisting model for the simulation of neonatal cardiovascular physiology to include essential aspects of fetal hemodynamics. From the scientific literature, we obtain model parameters that characterize these aspects quantitatively. The fetal model is controlled by a time- and event-based script of changes occurring at birth, such as onset of breathing and cord clamping, and the transitory phase up to 24 h after birth. Comparison of simulation results with published target data confirms that realistic simulated hemodynamic vital signs are achieved.

AB - Birth is characterized by swift and complex transitions in hemodynamic and respiratory variables. Unrecognized pathologies or incidents may quickly become fatal or cause permanent damage. This article introduces an essential component of an acute perinatal care simulator, namely a model for educational simulation of normal hemodynamic transitions seen during and shortly after birth. We explicitly formulate educational objectives and adapt a preexisting model for the simulation of neonatal cardiovascular physiology to include essential aspects of fetal hemodynamics. From the scientific literature, we obtain model parameters that characterize these aspects quantitatively. The fetal model is controlled by a time- and event-based script of changes occurring at birth, such as onset of breathing and cord clamping, and the transitory phase up to 24 h after birth. Comparison of simulation results with published target data confirms that realistic simulated hemodynamic vital signs are achieved.

KW - Blood Flow Velocity

KW - Blood Pressure

KW - Computer Simulation

KW - Constriction

KW - Fetus/blood supply

KW - Hemodynamics

KW - Humans

KW - Infant, Newborn

KW - Models, Cardiovascular

KW - Parturition

KW - Perinatal Care

KW - Regional Blood Flow

KW - Reproducibility of Results

KW - Respiration, Artificial

KW - Respiratory Mechanics

KW - Time Factors

KW - Umbilical Cord/blood supply

U2 - 10.1203/PDR.0b013e3181c2def3

DO - 10.1203/PDR.0b013e3181c2def3

M3 - Article

C2 - 19809380

VL - 67

SP - 158

EP - 165

JO - Pediatric Research

JF - Pediatric Research

SN - 0031-3998

IS - 2

ER -