Synchronize your patient’s breathing

Exhibiting a significant proportion of asynchronous breaths is associated with an almost five-fold increase in ICU mortality,([FOOTNOTE=Blanch L, Villagra A, Sales B, et al. Asynchronies during mechanical ventilation are associated with mortality. Intensive care medicine. 2015;41(4):633-641.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=906058]) a three-fold increase in median duration of mechanical ventilation and a greater than two-fold increase in median hospital length of stay.([FOOTNOTE=de Wit M, Miller KB, Green DA, Ostman HE, Gennings C, Epstein SK. Ineffective triggering predicts increased duration of mechanical ventilation. Critical care medicine. 2009;37(10):2740-2745.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=720867])

Optimize the delivery of mechanical ventilation and subsequent weaning

Approximately 36% of patients admitted to the ICU require mechanical ventilation.([FOOTNOTE=Dasta JF, McLaughlin TP, Mody SH, Piech CT. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Critical care medicine. 2005;33(6):1266-1271.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=959739])  Those patients who endure a prolonged time on mechanical ventilation are at-risk for greater resource utilization and length of stay. ([FOOTNOTE=Zilberberg MD, Luippold RS, Sulsky S, Shorr AF. Prolonged acute mechanical ventilation, hospital resource utilization, and mortality in the United States. Critical care medicine. 2008;36(3):724-730.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=1203240]) Therefore a great deal of clinical focus has developed around optimizing the delivery of mechanical ventilation and subsequent weaning. An increasing amount of evidence is revealing the relationship between patient-ventilator asynchrony (PAV) and adverse outcome in mechanically ventilated patients including increased time on mechanical ventilation and mortality.1,2 Therefore, the identification, prevention and resolution of patient-ventilator asynchrony is increasingly being recognized as being integral to the optimization of quality of care for mechanically ventilated patients.

 

Discover below which software products from Medtronic can help  monitoring patients who have been diagnosed with patient ventilator  asynchrony. 

Incidence

Up to 25% of patients with acute respiratory failure exhibit a significant proportion of asynchronous breaths (>10 %)([FOOTNOTE=Robinson BR, Blakeman TC, Toth P, Hanseman DJ, Mueller E, Branson RD. Patient-ventilator asynchrony in a traumatically injured population. Respiratory care. 2013;58(11):1847-1855. ],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=1203233])

Clinical Impact

Exhibiting a significant proportion of asynchronous breaths is associated with an almost five-fold increase in ICU mortality,1 a three-fold increase in median duration of mechanical ventilation and a greater than two-fold increase in median hospital length of stay.2

CAUSES

Patient-ventilator asynchrony consists of multiple types of asynchrony. The identification and treatment of each type is multifactorial, influenced by a myriad of ventilator-related and patient-specific factors.([FOOTNOTE=Pierson DJ. Patient-ventilator interaction. Respiratory care. 2011;56(2):214-228.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=1203232])

OUTCOMES

Reduction of asynchrony with the Puritan Bennett 980 ventilator may improve patient outcomes compared to PS and VC. ([FOOTNOTE=Bosma K, Ferreyra G, Ambrogio C, et al. Patient-ventilator interaction and sleep in mechanically ventilated patients: pressure support versus proportional assist ventilation. Critical care medicine. 2007;35(4):1048-1054.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=352110]),([FOOTNOTE=Xirouchaki N, Kondili E, Klimathianaki M, Georgopoulos D. Is proportional-assist ventilation with load-adjustable gain factors a user-friendly mode? Intensive care medicine. 2009;35(9):1599-1603.],[ANCHOR=View Abstract],[LINK=content/mitg/websites/languagemasters/emea/en-gb/support/clinical-evidence.html?id=719463])

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Recommended Products

Puritan Bennett™ PAV+™ Patient software
Puritan Bennett™ Leak Sync Patient software
Patient Safety in Our Hands

Puritan Bennett™ PAV+™ Patient software

Helps clinicians address patient-ventilator asynchrony.

Puritan Bennett™ Leak Sync Patient software

Helps to manage your patients' work of breathing.

Respiratory & Monitoring Solutions

PATIENT SAFETY IN OUR HANDS

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