Clinical Value

Help Prevent Complications Before They Happen

Preventing complications before they happen. It’s integral to quality care. The Vital Sync™ monitoring and CDS solution is designed to do just that.

The Vital Sync™ CDS solution automatically collects and aggregates patient physiological information while continuously assessing a patient’s condition based on your chosen protocol. Point of care analytics can help you understand your patient’s condition better than any individual parameter. So you can spot trends sooner — and provide care earlier.

Below are five specific patient care challenges that the Vital Sync™ CDS solution can help you manage:

Know the Minute Your Patient is Ready to Wean

Weaning mechanically ventilated patients is a top clinical priority in the ICU. Your challenge, however, is navigating the delicate balance of two extremes.

Weaning too late can increase vent dependency, increase length of stay, and risk of ventilator-associated pneumonia (VAP).([FOOTNOTE=MacIntyre NR. The ventilator discontinuation process: an expanding evidence base. Respir Care. 2013;58(6):1074-1086.],[ANCHOR=],[LINK=]),([FOOTNOTE=Esteban A, Alia I, Gordo F, et al. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med. 1997;156(2 Pt 1):459-465.],[ANCHOR=],[LINK=]),([FOOTNOTE=Esteban A, Alia I, Tobin MJ, et al. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med. 1999;159(2):512-518.],[ANCHOR=],[LINK=]),([FOOTNOTE=Hess D, Kacmarek RM. Essentials of mechanical ventilation. Third edition. ed. New York: McGraw Hill Education, Medical Publishing Division; 2014.],[ANCHOR=],[LINK=])   Too soon can lead to reintubation, which is associated with longer hospital stays, 5x higher risk of developing VAP and a 7x higher risk of dying in the hospital.([FOOTNOTE=Gao F, Yang LH, He HR, et al. The effect of reintubation on ventilator-associated pneumonia and mortality among mechanically ventilated patients with intubation: A systematic review and meta-analysis. Heart Lung. 2016;45(4):363-371.],[ANCHOR=],[LINK=])  The Vital Sync™ weaning readiness and spontaneous breathing trial (SBT) monitoring app lets you set weaning readiness criteria based on your hospital’s protocol and alerts you when your patient is ready to begin a weaning trial. So you can start the weaning process at the right time.

Remotely Monitor Spontaneous Breathing Trials

The Vital Sync™ weaning readiness and SBT monitoring app allows you to track the breath-by-breath progress of your patient through the trial from wherever you are. The vendor-neutral device connectivity lets you include other parameters — like blood pressure, SpO2, heart rate, or RR — to guide your care.

You can define guardrails that determine the trial’s progress toward a successful conclusion. If your patient falls outside those thresholds, you and your clinical team are alerted. So you can go to the bedside and intervene when possible. And because you can view all of this data from wherever you are, you can run multiple SBTs simultaneously. So you, and the entire respiratory team, will always be by your patients’ side — wherever you are.

Identify Patient Deterioration Sooner with Automated Early Warning Scores

Automating the calculations of an early warning score can give you an earlier indication of patient deterioration.([FOOTNOTE=Kang MA, Churpek MM, Zadravecz FJ, Adhikari R, Twu NM, Edelson DP. Real-Time Risk Prediction on the Wards: A Feasibility Study. Crit Care Med. 2016;44(8):1468-73.],[ANCHOR=],[LINK=])  And timing is critical – the first warning signs can appear as early as 6 hours in advance of a code blue.([FOOTNOTE=Maupin JM, Roth DJ, Krapes JM. Use of the Modified Early Warning Score decreases code blue events. Jt Comm J Qual Patient Saf. Dec 2009;35(12):598-603.],[ANCHOR=],[LINK=])

Early warning score systems monitor multiple parameters at the same time and identify at-risk patients at the first sign of a subtle change in vital signs. These systems have a range of sensitivities and specificities that can detect a subtle change in patient deterioration so clinical intervention can occur even before a single parameter device would recognize a problem.([FOOTNOTE=Hravnak M, Devita MA, Clontz A, Edwards L, Valenta C, Pinsky MR. Cardiorespiratory instability before and after implementing an integrated monitoring system. Critical care medicine. 2011;39(1):65-72.],[ANCHOR=],[LINK=])

Our Vital Sync™ early warning score app helps you automate these scores so that you can detect subtle signs of deterioration earlier. And prevent the preventable.

Reposition the Pressure Ulcer Problem

As you know, pressure ulcers are one of the most common hospital acquired conditions.([FOOTNOTE=Agency for Healthcare Research and Quality. 2010 Estimated Final HAC Data. Available at: Accessed November 23, 2016.],[ANCHOR=],[LINK=])  But did you know that despite advances in patient monitoring and widespread acceptance of patient-turning protocols, implementation of these protocols remains a challenge?

The Vital Sync™ monitoring and CDS solution offers a patient repositioning feature that remotely monitors patient turn-time compliance according to your hospital’s turn-time protocols. It alerts you when a patient needs to be repositioned and tracks when a patient has turned himself. Saving you from unnecessary spot checks.

Transition from Telemetry to Surveillance Monitoring

Telemetry overuse can be a costly problem for the healthcare system, leading to increased facility costs and nursing time.([FOOTNOTE=Chen EH, Hollander JE. When do patients need admission to a telemetry bed? J Emerg Med. 2007;33(1):53-60.],[ANCHOR=],[LINK=]),([FOOTNOTE=Benjamin EM, Klugman RA, Luckmann R, Fairchild DG, Abookire SA. Impact of cardiac telemetry on patient safety and cost. Am J Manag Care. 2013;19(6):e225-232.],[ANCHOR=],[LINK=]),([FOOTNOTE=Curry JP, Russell MW, Hanna CM, Devine GA. Continuous pulse oximetry: a viable and valuable alternative to ECG telemetry in patients “at risk.” Anesthesiology. 2001;95:A1089.],[ANCHOR=],[LINK=])

But while telemetry monitoring is indicated for patients at risk for cardiac events.10 it is often overused to provide enhanced patient monitoring, even for patients without a significant underlying cardiac risk.10,12 Guidelines from the American Heart Association (AHA) indicate that low-risk patients do not require telemetry, as outcomes of these patients are not affected by telemetry monitoring.([FOOTNOTE=Curry JP, Hanson CW, 3rd, Russell MW, Hanna C, Devine G, Ochroch EA. The use and effectiveness of electrocardiographic telemetry monitoring in a community hospital general care setting. Anesth Analg. 2003;97(5):1483-1487.],[ANCHOR=],[LINK=])

Learn how remote patient monitoring may provide a cost-effective alternative for patients who need to be monitored more closely, but who do not meet the AHA criteria for cardiac telemetry.