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Update About-VENT-CDSS-2026.md
Signed-off-by: Prof. J Kirtania <hodanesthtmcvns@gmail.com>
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docs/About-VENT-CDSS-2026.md

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## About
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VENT-CDSS 2026 is a comprehensive, evidence-based bedside cognitive aid for mechanical ventilation management in adult intensive care units. Built as a single-page HTML application requiring no installation or internet connectivity, it provides structured clinical decision support across the complete spectrum of ventilator therapy — from initial optimization through liberation.
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VENT-CDSS 2026 is a comprehensive, evidence-based bedside cognitive aid for mechanical ventilation management in adult intensive care units. Built as a single-page HTML application requiring no installation or internet connectivity, it provides structured clinical decision support across the complete spectrum of ventilator therapy — from initial optimization, troubleshooting, weaning and liberation from the ventilator.
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**Author:** Prof. (Dr) Jyotirmay Kirtania
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Professor & Head, Department of Anaesthesiology, Critical Care & Pain
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- **Step 4:** Difficult-weaning evaluation with failed SBT tracking
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### 3. **ARDS Rescue & Escalation Ladder**
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- Berlin criteria confirmation
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- ARDS Berlin criteria confirmation
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- Lung-protective ventilation bundle tracking
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- Severity classification (P/F-based)
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- Rescue therapy escalation pathway
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## Evidence Base
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VENT-CDSS 2026 synthesizes **35 verified citations** from landmark trials, systematic reviews, and international guidelines:
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VENT-CDSS 2026 incorporates **35 verified citations** from landmark trials, systematic reviews, and international guidelines:
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- **Lung-protective ventilation:** ARDSNet, Amato driving pressure, Berlin Definition, ATS/ERS/SCCM guidelines
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- **Prone positioning:** PROSEVA trial, Munshi meta-analysis
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- **Neuromuscular blockade:** ACURASYS, ROSE trials
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- **Weaning:** Yang-Tobin RSBI, ABC trial, ATS/ACCP guidelines, ISCCM 2024 position statement
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- **PEEP titration:** ALVEOLI, EXPRESS, esophageal pressure-guided ventilation
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- **ECMO:** EOLIA, CESAR trials, Munshi VV-ECMO meta-analysis
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- **Guidelines:** Surviving Sepsis Campaign 2021/2026, UK ARDS guidelines, ERS/ATS NIV guidelines
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- **Guidelines:** Surviving Sepsis Campaign guidelines 2021 and 2026, UK ARDS guidelines, ERS/ATS NIV guidelines
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All citations verified against primary sources as of May 2026.
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## Technical Specifications
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- **Format:** Single HTML file (no dependencies, no internet required)
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- **Size:** ~95 KB
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- **Size:** ~75 KB
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- **Compatibility:** Modern browsers (Chrome, Firefox, Safari, Edge)
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- **Offline capability:** Fully functional without network connectivity
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- **Mobile-friendly:** Responsive design for tablets and smartphones
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Planned enhancements (community feedback welcome):
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- Export to standardized formats (FHIR, HL7)
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- Ventilator waveform visualization
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- Trend graphs (P/F ratio, driving pressure over time)
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- Protocol templates for common scenarios
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- Enhanced mobile UI optimization
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```
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Kirtania J. VENT-CDSS 2026: Ventilator Clinical Decision Support System.
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GitHub repository. 2026. https://github.com/[username]/VENT-CDSS-2026
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GitHub repository. 2026. https://hodanesthtmcvns-stack.github.io/jk/VENT-CDSS-2026.html
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```
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**Version:** 2026.1
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**Last Updated:** May 2026
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**Evidence Base Current Through:** January 2025
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**Evidence Base Current Through:** April 2026

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