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A PHYSICS ENGINE BEHIND EVERY READING

Upload the waveform. Understand your patient.

The photo does not go to a generic chat. PLATEAU reads the screen and runs the equation of motion: it reconstructs resistance, compliance and the patient's effort, spots any asynchrony, and tells you what it all means for the settings in front of you.

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ANALYSIS · EXAMPLE PRESSURE CONTROL
Paw Flow DOUBLE TRIGGER
EXAMPLE READING

Double triggering

Two consecutive breaths with almost no expiratory time between them. It suggests the patient's demand outlasts the set inspiratory time.

  • Compare set Ti with neural Ti
  • Assess respiratory drive and sedation
  • Consider a flow-cycled mode

Before you change it, simulate the flow-cycled mode on this same patient.

RESISTANCE/COMPLIANCE/PATIENT EFFORT/DOUBLE TRIGGERING/INEFFECTIVE EFFORT/AUTO-TRIGGERING/PREMATURE CYCLING/DELAYED CYCLING/INSUFFICIENT FLOW/REVERSE TRIGGERING/SETTING SIMULATION/
WHY NOT A GENERIC CHAT

Same photo. A different kind of answer.

A general AI chat looks at the picture and describes it. PLATEAU treats it as data from a patient on a ventilator.

Generic AI chat DESCRIBES THE IMAGE
READS
The shape of the lines, like any other picture.
MECHANICS
No resistance, compliance or patient effort. Nothing to measure against.
WHEN IT CAN'T TELL
Answers anyway, in the same confident tone.
KNOWS
A bit of everything, from the whole internet.
GIVES YOU
A general paragraph about ventilation.
PLATEAU RUNS THE PHYSICS
READS
Pressure and flow, point by point, on the ventilator's own timing.
MECHANICS
Resistance, compliance and muscle pressure for that breath.
WHEN IT CAN'T TELL
Says which part of the curve it cannot read, and asks for another photo.
KNOWS
Patient–ventilator interaction criteria, set by a respiratory physiotherapist with 20 years at the bedside.
GIVES YOU
Your patient's mechanics, any asynchrony and why it happens, and what to check before you touch a setting.
THE ENGINE

The physics runs first.

The waveform is reconstructed. The mechanics, the asynchrony and what to consider all come from that reconstruction.

Pawairway pressure = PEEPbaseline + R·flowresistance + V/Ccompliance − Pmuspatient effort

Airway pressure equals the ventilator, minus the patient's effort.

  1. 01 This breath, reconstructed Resistance, compliance and muscle pressure come out of the pressure and flow on the screen.
  2. 02 Two clocks, one mismatch The asynchrony is the patient's timing against the ventilator's. It is calculated from those two clocks.
  3. 03 Try a change before you make it Propose a setting and PLATEAU re-simulates it on the same patient's mechanics. If the equation does not fit the curve, it says so.
HOW IT WORKS

Three steps. No hunting for papers at 3 AM.

Built for a real shift: the ventilator screen, your phone, and a reading you can follow.

  1. 1

    Photograph the screen

    Pressure, flow, and volume waveforms. Crop anything that identifies the patient before you upload.

  2. 2

    The engine runs the equation

    From pressure and flow it estimates effort and mechanics. The pattern is where the patient's timing and the ventilator's timing diverge.

  3. 3

    Get what to check and consider

    Your patient's mechanics, any asynchrony and why it happens, and adjustments worth considering, in direct clinical language. You can simulate one before you touch the ventilator.

What's included

Physics engine

Every reading is the equation of motion on that waveform: mechanics, effort, asynchrony and what to consider next.

INCLUDED

Your ventilator, explained

A photo of the machine, and a short guide to setup and its quirks, like those of the Puritan Bennett.

SOON

Ventilation questions

Modes, respiratory mechanics, PEEP, weaning. Answers grounded in evidence, like a colleague on call.

SOON

On Telegram too

Send the photo to the bot without opening the browser. Same account, same reading.

SOON

Less than your streaming.

One plan, full access to what's available today and to what we add. Cancel anytime.

PLATEAU MONTHLY
US$8/ month
  • 30 waveform readings a month
  • Setting simulations on the same patient
  • Web app at app.plateau.care
  • New features as they ship
Subscribe on Patreon Secure payment via Patreon · How access works
PLATEAU+ Equipment guides, clinical cases, and more.
US$15/month · soon
HOW YOU GET ACCESS

From Patreon to your first reading.

Payment goes through Patreon. These three steps are all there is. No surprises on the way in.

  1. 1

    Subscribe on Patreon

    Choose the PLATEAU tier, US$8 a month. Patreon takes the payment. If you don't have an account, you create it right there.

  2. 2

    Log in with Patreon

    At app.plateau.care, tap “Log in with Patreon”. We check your membership. No new password.

  3. 3

    Upload your first waveform

    Your 30 readings are active right away and renew every month with your membership.

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You create one while subscribing.
How do I cancel?
From your memberships on Patreon, whenever you want. There is nothing to cancel on PLATEAU.
Why Patreon?
It handles the payment securely. PLATEAU never sees your card.
FREE ON PATREON

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Join free on Patreon Reading is free. The app is part of the US$8 subscription.

Built in the clinic, not in a lab.

PLATEAU was created by a Chilean respiratory physiotherapist with 20 years of bedside practice and hospital teaching. It reads the ventilator the way a senior colleague would talk you through it, and every answer draws on the scientific literature on mechanical ventilation and patient–ventilator interaction.

PLATEAU is a support and education tool. It does not replace clinical judgment or your unit's protocols. Do not upload images that identify the patient.