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Issue: Añadir información de documentación en README
Authors: - @o-hgm Objetivo Algutinar en README la información sobre: - Colaboración - Licencia - Listado de material - Funcionamiento del software, firmware - Ensamblado y Hardware Changelog * Añadir secciones pendientes para firmwar y hardware * Añadir descripción del proyecto
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# ApolloVentilator | ||
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Information: Checkout our [wiki](https://github.com/makespacemadrid/ApolloVentilator/wiki) | ||
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## Getting started | ||
ApolloVentillator es un proyecto colaborativo para la construcción de equipos de respiración asistida libres que surge a raíz de la crisis del COVID-19. Su misión es apoyar a los equipos sanitarios aportando respiradores en momentos de escasez de estos dispositivos. | ||
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### Linux | ||
Los objetivos de este proyecto son: | ||
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- Durabilidad. Debe permitir ser usado como apoyo a la respiración del paciente de manera continuada durante al menos 2 semanas. | ||
- Seguridad. Debe cumplir los requisitos de calidad necesarios para poder ser utilizado de forma segura. | ||
- Replicabilidad. Debe poder ser replicados con facilidad.Los materiales deben ser fáciles de conseguir y su montaje debe ser sencillo y rápido. | ||
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Al ser un proyecto en desarrollo continuo gran parte de la información se puede encontrar en nuestra [wiki](https://github.com/makespacemadrid/ApolloVentilator/wiki). | ||
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El código se libera bajo la GPL 3. [Ver [LICENSE](LICENSE)] | ||
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## ¿Como colaborar? | ||
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Actualmente nos encontramos agregando información en la wiki y trabajando en un prototipo. | ||
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Puedes encontrar las notas de colaboración en [COLLABORATION](man/COLLABORATION.md). | ||
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## Requerimientos | ||
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### Software | ||
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#### Linux | ||
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``` | ||
$ apt-get install libcairo2-dev libgirepository1.0-dev python3-cairo-dev | ||
``` | ||
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### Mac | ||
#### Mac | ||
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``` | ||
$ brew install pygobject3 gtk+3 libnotify | ||
``` | ||
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### App (Python 3) | ||
### Firmware | ||
> TO DO: Requerimientos para cargar firmware (Dispositivo usado, entorno, etc...) | ||
From ```./gui``` | ||
### Hardware | ||
> TO DO Kicad, FreeCAD | ||
Install system dependencies (Debian-based): | ||
## Puntos de entrada | ||
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``` | ||
#### Software | ||
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La aplicación está escrita en python3 utilizando el framework Qt5. | ||
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Para lanzar la aplicación es necesario contar con las dependencias indicadas en el fichero | ||
`gui/requirements.txt`. | ||
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```shell script | ||
$ cd gui | ||
$ pip install -r requirements.txt | ||
$ ./main.py | ||
``` | ||
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## Requirements: | ||
2 ventilators mode | ||
* Pressure Regulated Volume Controlled (PCV): set pressure delivered during period of inspiration. The voume measured is shown as data on display. | ||
* Volume Regulated Pressure controlled (VCV): The tidal volume is set and it adapts the pressure to the lowest. Here the important data are: tidal volume, upper alarm and lower current volume. Useful parameters: tidal volume, respiratory rate. There is a limit pressure and during inspiration period. | ||
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If patient stops breathing, there is a failsafe that set to mandatory breathing when it's detected. | ||
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During inspiration: | ||
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* Inspiration pressure: The plateau pressure is adjusted to volume hard limit (32 cmH2O by default, and could increate to 70cmH2O) | ||
* Peak pressure: 2cmH2O greater than plateau. | ||
* VCV pressure limit (15-40cm2 with increments of 5) | ||
* Failsafe valve that opens always at 80cmH20 (or lower) | ||
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* PEEP: 5-10 with increments of 5. The circuit must be pressured. | ||
* IE ratio: 1:1, 1:2, 1:3 | ||
* Respiratory rate: 10-30 bpm with increments of 2. | ||
* Tidal volume: 40ml +-10, 350 +-50, 250-600 +-50,up to 8000. | ||
* Weight body and volume calculated based on 6ml/kg. | ||
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## Alarms | ||
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* Gas failure | ||
* Electricity failure | ||
* Machine switched off | ||
* Inspiration pressure exceeded | ||
* Inspiration pressure not achieved | ||
* PEEP pressure not achieved | ||
* Tidal volume not achieved | ||
* Tidal volume exceeded | ||
* Resistance: peak pressure - plateau pressure > 2cmH2O | ||
* Compliance | ||
* Volume Leakage | ||
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## Monitoring | ||
### Settings | ||
* Tidal volume | ||
* Frequency | ||
* PEEP | ||
* FI02 | ||
* Ventilation Mode | ||
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### Current status | ||
* Tidal volume | ||
* Breathing rate | ||
* PEEP | ||
* Plateau pressure | ||
* FI02 | ||
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The normal healthy O2 consuption is 250mL/min, and could be increased until, for example 500 mL/min in a sepsis. | ||
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### Parallel measures | ||
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* Presión arteria | ||
* Frecuencia cardiaca | ||
* ECG | ||
* Nivel de sedación | ||
* Posicion del tubo e inflado del neumotaponamiento | ||
* Intercambio gaseoso (pulsiometria SO2), capnografía y gasometrías arteriales periodicas para obtener los **índices de oxigenación** (clave para evaluar la desintubación del paciente). | ||
#### Firmware | ||
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> TO DO: Carga del firmware en dispositivo y funcionamiento | ||
## Modos de funcionamiento | ||
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- Firmware: [Ver man/firmware.md](man/firmware.md) | ||
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- Software y Monitorización: [Ver man/software.md](man/software.md) |
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# Firmware ApolloVentilator | ||
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## Requirements: | ||
2 ventilators mode | ||
* Pressure Regulated Volume Controlled (PCV): set pressure delivered during period of inspiration. The voume measured is shown as data on display. | ||
* Volume Regulated Pressure controlled (VCV): The tidal volume is set and it adapts the pressure to the lowest. Here the important data are: tidal volume, upper alarm and lower current volume. Useful parameters: tidal volume, respiratory rate. There is a limit pressure and during inspiration period. | ||
|
||
If patient stops breathing, there is a failsafe that set to mandatory breathing when it's detected. | ||
|
||
During inspiration: | ||
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||
* Inspiration pressure: The plateau pressure is adjusted to volume hard limit (32 cmH2O by default, and could increate to 70cmH2O) | ||
* Peak pressure: 2cmH2O greater than plateau. | ||
* VCV pressure limit (15-40cm2 with increments of 5) | ||
* Failsafe valve that opens always at 80cmH20 (or lower) | ||
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||
* PEEP: 5-10 with increments of 5. The circuit must be pressured. | ||
* IE ratio: 1:1, 1:2, 1:3 | ||
* Respiratory rate: 10-30 bpm with increments of 2. | ||
* Tidal volume: 40ml +-10, 350 +-50, 250-600 +-50,up to 8000. | ||
* Weight body and volume calculated based on 6ml/kg. | ||
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## Alarms | ||
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* Gas failure | ||
* Electricity failure | ||
* Machine switched off | ||
* Inspiration pressure exceeded | ||
* Inspiration pressure not achieved | ||
* PEEP pressure not achieved | ||
* Tidal volume not achieved | ||
* Tidal volume exceeded | ||
* Resistance: peak pressure - plateau pressure > 2cmH2O | ||
* Compliance | ||
* Volume Leakage |
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# Software Monitorización ApolloVentilator | ||
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## Elementos | ||
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- Clase + CLI: Conversión y tratamiento de mensajes desde puerto serie. | ||
- Interfaz: Implementa la visualización de datos, la configuración del sistema y el control | ||
de las alarmas. | ||
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## Monitoring | ||
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### Settings | ||
* Tidal volume | ||
* Frequency | ||
* PEEP | ||
* FI02 | ||
* Ventilation Mode | ||
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### Current status | ||
* Tidal volume | ||
* Breathing rate | ||
* PEEP | ||
* Plateau pressure | ||
* FI02 | ||
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The normal healthy O2 consuption is 250mL/min, and could be increased until, for example 500 mL/min in a sepsis. | ||
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### Parallel measures | ||
|
||
* Presión arteria | ||
* Frecuencia cardiaca | ||
* ECG | ||
* Nivel de sedación | ||
* Posicion del tubo e inflado del neumotaponamiento | ||
* Intercambio gaseoso (pulsiometria SO2), capnografía y gasometrías arteriales periodicas para obtener los **índices de oxigenación** (clave para evaluar la desintubación del paciente). |