Overview

How to liberate your patient from mechanical ventilation sooner

The ICU can be unsettling for patients who require mechanical ventilation. With limited consciousness and restricted communication, patients have little control over their own comfort.([FOOTNOTE=Siegel MD. Management of agitation in the intensive care unit. Clin Chest Med. 2003:24(4):713–725. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Tate JA, Devito Dabs A, Hoffman LA, Milbrandt E, Happ MB. Anxiety and agitation in mechanically ventilated patients. Qual Health Res. 2012;22(2): 157–173. ],[ANCHOR=],[LINK=])

When conventional ventilation modes can’t match a patient’s breathing pattern, patient-ventilator asynchrony can occur and hinder their recovery.

Powering a unique level of patient-ventilator interaction, the IE Sync™ software option for the Puritan Bennett™ 980 ventilator is designed to put the patient in control of the start and end of every breath. 

And it empowers you to help liberate your patient from mechanical ventilation at the earliest possible time by avoiding the delays that can be the result of late cycling and missed triggering.

See how to setup and use the IE Sync™ software option

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Fig. 1

Vital concerns of a vicious cycle of asynchrony and sedation during mechanical ventilation

Increased sedation to manage asynchrony can lead to complications and longer recoveries:

  • Failure to wean1
  • Prolonged ICU stays1
  • Increased cost of care1
Order Information
Order code DESCRIPTION unit Quantity
980IESYNC IE Sync software option for the Puritan Bennett™ 980 ventilator for OUS customers Each 1
980IESYNC-US IE Sync software option for the Puritan Bennett™ 980 ventilator for US customers Each 1

Order Information

Break the cycle of asynchrony and sedation

Patient-ventilator asynchrony is the primary reason 71 percent of ICU patients experience agitation.1

Clinicians may increase sedation in response to asynchrony to improve patient comfort. And while greater sedation may alleviate patient anxiety, it can also lead to delirium, longer ventilator dependency,1 and respiratory muscle atrophy.([FOOTNOTE=Epstein SK. Optimizing patient-ventilator synchrony. Semin Respir Crit Care Med. 2001;22(2):137–152.],[ANCHOR=],[LINK=]),([FOOTNOTE=Pohlman MC, McCallister KE, Schweickert WD, et al. Excessive tidal volume from breath stacking during lung-protective ventilation for acute lung injury. Crit Care Med. 2008;36(11):3019–3023.],[ANCHOR=],[LINK=]),([FOOTNOTE=Levine S, Nguyen T, Taylor N, et al. Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med. 2008;358(13):1327–1335.],[ANCHOR=],[LINK=]),([FOOTNOTE=deWit Marjolein, Miller Kristin B, Green David A, Ostman Henry E, Gennish C, Epstein Scott K Ineffective triggering predicts increased duration of mechanical ventilation. Critical Care Med. 2009;37(10):2740–2745.],[ANCHOR=],[LINK=])

Asynchrony and sedation can result in this infinite loop that may lead to complications and impact patient outcomes. But the IE Sync™ software option for the Puritan Bennett™ 980 ventilator may help avoid this loop.

Synchronizing with a patient’s respiratory rhythms, IE Sync™ software offers a way to help stave off asynchrony and prolonged sedation for a more restful and restorative path to recovery.

Avoid Triggering and Cycling Asynchrony During Mechanical Ventilation

With conventional triggering and cycling systems, 24 percent of patients experience asynchrony in at least 10 percent of breaths.([FOOTNOTE=Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L. Patientventilator asynchrony during assisted mechanical ventilation. Int. Care Med. 2006;32:1515–1522.],[ANCHOR=],[LINK=])

IE Sync™ software was developed to address this problem.

With its fine-tuned approach to triggering and cycling, the IE Sync™ software option for the Puritan Bennett™ 980 ventilator is designed to make every breath count for your patient.

IE Sync™ software can even provide timely triggering and cycling of pressure support and volume support breaths when airflow obstruction and air-trapping are present.([FOOTNOTE=PB980 Triggering Performance Study, Flow triggering vs IE Sync Triggering. Engineering report RE00222008 RevA, Carlsbad, CA.],[ANCHOR=],[LINK=]) 

For patients, that may amount to fewer missed breaths and potentially less time on ventilators.For clinicians, it may mean avoiding delays in weaning that could impact patient outcomes.