Vital Sync™ Weaning Readiness & Spontaneous Breathing Trial (SBT) Monitoring App

Extubating too soon places patients at risk for longer hospital stays, 5 times higher risk of developing ventilator-associated pneumonia and an up to 7 times increased mortality risk.([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 metaanalysis. Heart Lung. 2016;45(4):363-371],[ANCHOR=],[LINK=]) Extubating too late can lead to:([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=])

• Increased vent dependency
• Increased length of stay and sedation use
• Risk of ventilator-associated pneumonia

But protocolised weaning can help - to identify patients who are ready for weaning more quickly and to manage the weaning process. It has been shown to significantly reduce the duration of ventilation, number of complications, and resulting costs.([FOOTNOTE=Silva CS, Timenetsky KT, Taniguchi C, et al. Low mechanical ventilation times and reintubation rates associated with a specific weaning protocol in an intensive care unit setting: a retrospective study. Clinics. 2012;67(9):995-1000.],[ANCHOR=],[LINK=])^,([FOOTNOTE=Tobin MJ. Mechanical ventilation. N Engl J Med. 1994;330(15):1056-1061.],[ANCHOR=],[LINK=])^,([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=],[LINK=])^,([FOOTNOTE=Marelich GP, Murin S, Battistella F, Inciardi J, Vierra T, Roby M. Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses: effect on weaning time and incidence of ventilator-associated pneumonia. Chest. 2000;118(2):459-467.],[ANCHOR=],[LINK=])