Overview

Helping You Make the Right Decisions at the Right Time

Weaning is a top clinical decision priority for mechanically ventilated patients in the ICU. But how do you know when it is time to start weaning? 

Weaning too late can increase vent dependency, length of stay, sedation use and risk of developing 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 new Vital Sync™ weaning readiness and spontaneous breathing trial (SBT) monitoring app can help you make the right decision at the right time. This innovative clinical decision support (CDS) app continuously monitors your patient’s readiness to initiate an SBT based on AARC guidelines([FOOTNOTE=Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support. A collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Respir Care 2002;47(1):69-90.],[ANCHOR=],[LINK=]) and tracks the breath-by-breath progress of your patient through an SBT from wherever you are.

Evidence has shown that CDS technology may help with implementing and adhering to protocol-driven management of your ventilated patients,([FOOTNOTE=Piquilloud L, Jolliet P, Revelly JP. Automated detection of patient-ventilator asynchrony: new tool or new toy? Crit Care. 2013;17(6):1015.],[ANCHOR=],[LINK=]),([FOOTNOTE=Sinderby C, Liu S, Colombo D, et al. An automated and standardized neural index to quantify patient-ventilator interaction. Crit Care. 2013;17(5):R239.],[ANCHOR=],[LINK=]) which has been shown to reduce weaning duration, time spent on a ventilator and ICU length of stay.([FOOTNOTE=Blackwood B, Burns KE, Cardwell CR, O’Halloran P. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. The Cochrane database of systematic reviews. 2014(11):CD006904.],[ANCHOR=],[LINK=])

Features

Two Apps in One

The Vital Sync™ weaning readiness and spontaneous breathing trial (SBT) monitoring app has two components that support critical steps in your hospital’s weaning process:

  • Know when it’s time to start weaning your patients
  • Remotely monitor spontaneous breathing trials (SBT’s)

Know the Minute Your Patient is Ready to Begin Weaning

The weaning readiness feature helps you get your patients off ventilation faster by continuously monitoring your patients, tracking when they are ready to begin the weaning process, and alerting you the second they reach your identified readiness criteria. The weaning readiness criteria is based on AARC guidelines([FOOTNOTE=Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support. A collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Respir Care 2002;47(1):69-90.],[ANCHOR=],[LINK=]) or you may set the criteria based on your team’s current protocols.

Track Your Patients Throughout a Breathing Trial from Wherever You Are

The SBT monitoring feature lets you and your entire respiratory team remotely track the breath-by-breath progress of your patients through the trial.  By viewing this data from wherever you are, you can go to the bedside and intervene when possible and run multiple SBTs simultaneously.  So you will always be by your patients’ side — wherever you are.

Customization Capabilities

The app’s default criteria are based on AARC published guidelines. But you have the flexibility to customize the app to use your own protocols.

For example, you can:

  • Identify specific criteria to determine who is ready to begin weaning
  • Identify the parameters and thresholds you want to monitor during an SBT
  • Define the criteria that determine your patients’ readiness to extubate
  • Include parameters from Medtronic devices, other manufacturers’ devices, the EMR, or manual inputs

Specifications