Overview

Help Overcome Increased Work of Breathing Caused by an Endotracheal or Tracheostomy Tube

In mechanical ventilation, the artificial airway can create a considerable amount of imposed work of breathing (WOB).([FOOTNOTE=Fabry B, Guttman J, Eberhard L, Wolff G. Automatic compensation of endotracheal tube resistance in spontaneous breathing patient. Tech Health Care. 1994;1:281-291.],[ANCHOR=View Abstract],[LINK=/content/covidien/websites/medtronic/com/en/covidien/support/clinical-evidence.html?id=805240]),([FOOTNOTE=Haberthür C, Fabry B, Stocker R, Ritz R, Guttmann J. Additional inspiratory work of breathing imposed by tracheostomy tubes and non-ideal ventilator properties in critically ill patients. Intensive Care Med. 1999;25(5):514-519.],[ANCHOR=View Abstract],[LINK=/content/covidien/websites/medtronic/com/en/covidien/support/clinical-evidence.html?id=352267])

The Puritan Bennett™ Tube Compensation software option is a spontaneous breath type that accurately overcomes imposed WOB from endotracheal and tracheostomy tubes. It compensates for the resistance across the artificial airway.

The easy-to-implement option is engaged after four variables are entered into the ventilator. The ventilator adjusts up to 200 times a second to a patient’s spontaneous breaths.

Features

Ease of Use

Key in the size of endotracheal tube or tracheostomy tube in place, and the ventilator automatically calculates the correct support.

Lower WOB

Patients can experience a lower work of breathing with the Tube Compensation software option when compared to CPAP or T-piece breathing.([FOOTNOTE=Cohen JD, Shapiro M, Grozovski E, Lev S, Fisher H, Singer P. Extubation outcome following a spontaneous breathing trial with automatic tube compensation versus continuous positive airway pressure. Crit Care Med. 2006;34(3):682-686.],[ANCHOR=View Abstract],[LINK=/content/covidien/websites/medtronic/com/en/covidien/support/clinical-evidence.html?id=352132]),([FOOTNOTE=Haberthür C, Mols G, Elsasser S, Bingisser R, Stocker R, Guttmann J. Extubation after breathing trials with automatic tube compensation, T-tube, or pressure support ventilation. Acta Anaesthesiol Scand. 2002;46(8):973-979.],[ANCHOR=View Abstract],[LINK=/content/covidien/websites/medtronic/com/en/covidien/support/clinical-evidence.html?id=352204])

Potential for Improved Patient Comfort

Patients who breathe spontaneously through an endotracheal tube while the Tube Compensation software option is engaged show increased signs of comfort compared to CPAP or T-piece breathing.([FOOTNOTE=Guttmann J, Bernhard H, Mols G, et al. Respiratory comfort of automatic tube compensation and inspiratory pressure support in conscious humans. Intensive Care Med. 1997;23(11):1119-1124.],[ANCHOR=View Abstract],[LINK=/content/covidien/websites/medtronic/com/en/covidien/support/clinical-evidence.html?id=882304])

Ability to Track Patients with Variable Drive

A patient’s ventilatory drive and flow can change dramatically depending on whether the patient is asleep or awake, calm or agitated. The Tube Compensation software can vary pressure to compensate for flow demand.([FOOTNOTE=Cohen JD, Shapiro M, Grozovski E, Lev S, Fisher H, Singer P. Extubation outcome following a spontaneous breathing trial with automatic tube compensation versus continuous positive airway pressure. Crit Care Med. 2006;34(3):682-686.],[ANCHOR=View Abstract],[LINK=/content/covidien/websites/medtronic/com/en/covidien/support/clinical-evidence.html?id=352132])

Order Information

Resources