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.