Ventilator Weaning Management Product Solutions

The Vital Sync™ weaning readiness and spontaneous breathing trial (SBT) Monitoring application may allow clinicians to streamline and simplify the implementation of protocolized weaning. By continuously monitoring a configurable set of physiologic variables like RR, VT, VE, heart rate, and blood pressure, the Vital Sync™ weaning readiness feature alerts clinicians when patients demonstrate a readiness and tolerance for an SBT based on ACCP/AARC/SCCM guidelines.([FOOTNOTE=MacIntyre, N. R., Cook, D. J., Ely, E. W., Jr., et al. 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. Chest. 2001;120(6 Suppl):375S-395S.],[ANCHOR=],[LINK=])

Once clinicians initiate a spontaneous breathing trial, the Vital Sync™ SBT remote monitoring feature evaluates multiple patient parameters against the SBT protocol criteria.

Puritan Bennett™ ventilation systems are designed to promote more natural breathing and help improve patient comfort.([FOOTNOTE=Elganady, A. A., Beshey, B. N., & Abdelaziz, A. A. H. (Writer) (2014).],[ANCHOR=],[LINK=]) In doing so, Puritan Bennett™ ventilation systems help improve weaning success by improving patient-ventilator synchrony and reducing work of breathing.([FOOTNOTE=Grasso, S., Puntillo, F., Mascia, L., et al. Compensation for increase in respiratory workload during mechanical ventilation. Pressure-support versus proportional-assist ventilation. Am J Respir Crit Care Med. 2000;161(3 Pt 1):819-826.],[ANCHOR=],[LINK=])^,([FOOTNOTE=Akoumianaki, E., Prinianakis, G., Kondili, E., Malliotakis, P., & Georgopoulos, D. Physiologic comparison of neurally adjusted ventilator assist, proportional assist and pressure support ventilation in critically ill patients. Respir Physiol Neurobiol. 2014;203:82-89.],[ANCHOR=],[LINK=])^,([FOOTNOTE=Kondili, E., Prinianakis, G., Alexopoulou, C., Vakouti, E., Klimathianaki, M., & Georgopoulos, D. Respiratory load compensation during mechanical ventilation--proportional assist ventilation with load-adjustable gain factors versus pressure support. Intensive Care Med. 2006;32(5):692-699.],[ANCHOR=],[LINK=])

PAV+™ Patient software - Engineered to Help Patients Breathe More Naturally

When patients are ventilated with Proportional Assist Ventilation Plus patient software (PAV+™ patient software), sedation is limited([FOOTNOTE=Georgopoulos, D., Xirouchaki, N., Tzanakis, N., & Younes, M. Driving pressure during assisted mechanical ventilation: Is it controlled by patient brain? Respir Physiol Neurobiol. 2016;228:69-75.],[ANCHOR=],[LINK=]) so the patient’s respiratory drive remains intact and neither driving pressure or VT are set by the caregiver.([FOOTNOTE=Wright, B. J. Lung-protective ventilation strategies and adjunctive treatments for the emergency medicine patient with acute respiratory failure. Emerg Med Clin North Am. 2014;32(4):871-887.],[ANCHOR=],[LINK=]) Instead, the patient’s intrinsic reflexes and instantaneous muscle activity control ventilation.⁷