Navigation Links
Computer-Driven System Reduces Patient Mechanical Ventilation Time Significantly

For patients with acute respiratory failure, a computer-driven system can significantly reduce the duration of mechanical ventilation and length of stay in the intensive// care unit (ICU), as compared with the traditional physician-controlled weaning process.

The study, which was conducted in five medical-surgical ICUs in Barcelona, Brussels, Créteil, Geneva and Paris, appears in the second issue for October 2006 of the American Journal of Respiratory and Critical Care Medicine, published by the American Thoracic Society.

Laurent J. Brochard, M.D., of the H?pital Henri Mondor in Créteil, France, and 12 associates weaned 74 patients using the computer-driven system and 70 with the usual process. They found the computerized system reduced the duration of mechanical ventilation from 12 days to 7.5 days and cut patients’ ICU stay from 15.5 days to 12 days.

“The computerized protocol included an automatic gradual reduction in pressure support, automatic performance of spontaneous breathing trials and generation of an incentive message when the patient’s spontaneous breathing trial was successfully passed,” said Dr. Brochard.

According to the researchers, the total number of ventilator-related complications such as reintubation, self-removal from ventilator assistance, need for noninvasive ventilation, mechanical ventilation longer than 21 days, and tracheostomy (surgically opening the trachea), was reduced by 30 percent in the computer-driven weaning group.

“The system used in the study was developed several years ago and has been repeatedly evaluated since then,” said Dr. Brochard. “It ensures that the desired ventilation protocol is applied. In the usual weaning group, weaning was performed according to local guidelines, representing the usual care in the university centers involved in respiratory and weaning research.”

The authors noted that automation of the weaning protocol could explain an ess ential part of their results. The system was designed to perform several tasks comparable to a ventilator weaning protocol 24 hours a day, seven days a week. It automatically and gradually reduced the ventilatory assistance to the patient; it performed the equivalent of a spontaneous breathing test; and it displayed an incentive message for the doctor and technicians when the patient was deemed ready to breathe spontaneously.

“The computer-driven weaning protocol does not depend on the willingness or availability of the staff, and full compliance with the weaning protocol is therefore ensured,” said Dr. Brochard.

The investigators said that the message delivered by the computerized system also constituted a strong incentive for the clinician to consider possible removal from ventilator breathing assistance for the patient.

In an editorial on the research in the same issue of the journal, Gordon D. Rubenfeld, M.D., M.Sc., of Harborview Medical Center in Seattle, wrote: “Every year in industrialized nations, hundreds of thousands of people require mechanical ventilation for acute respiratory failure. We have evidence to improve outcomes in these areas with protocols for acute lung injury and weaning, but need strategies to make sure every patient has access to this care.”

“Some physicians may find computer-based protocols more acceptable than sharing responsibility with a respiratory therapist or nurse,” he continued. “Computer-based protocols may be more effective, less expensive or more reliable than implementation by non-physician clinicians. Hopefully, future studies of this technology will explore these questions with appropriate comparisons and measurements. In the meantime, it is refreshing to see the debate move from whether we should have non-physician-driven protocolized mechanical ventilation to how we might demonstrate and implement these protocols.”

Sourc-Newswise
SRM
'"/>




Related medicine news :

1. Early Warning System For Breast Cancer
2. Gene connected to Multi-System disorder discovered
3. Reviving the Immune System
4. Painkilling Patch As Effective As Intravenous Delivery Systems
5. Wrestling found To Be Good for the Immune System
6. Computer System To Predict Deep Vein Thrombosis
7. Gene-Nanoparticle Gene Transfer Is Better Than Viral Vector Transfer System
8. Nutrient Profiling System Launched By Food Officials in UK
9. Block Immune System Chemical For Treating Asthma
10. Smoking Hazardous To The Enzymes System In Lungs
11. HIIP- A Novel Inhaled Insulin Delivery System As An Alternative To Injectable Insulin Therapy
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:5/31/2016)... , ... May 31, 2016 , ... According to recent ... States, and more than 100,000 physical therapy clinics. Each physical therapy professional and ... of clients. At the same time, staying afloat in a competitive industry is also ...
(Date:5/31/2016)... ... , ... Throughout the day, adults often find themselves reaching for a cup of coffee, an ... be reaching for instead is a cup of Matcha green tea. Matcha is a premium ... tea is harvested from early June to mid-July, when the leaves are the most tender. ...
(Date:5/31/2016)... ... , ... Twenty years ago it was revolutionary: enabling the people who hear ... they hear. But this approach has proven transformative, both for people who hear voices ... and now is used around the world, but it still lags in the United ...
(Date:5/31/2016)... ... May 31, 2016 , ... ... device that enables unprecedented portability and convenience. , The Cube is exceptionally small—it ... in size, the Cube fits easily into any space, whether in a hospital, ...
(Date:5/31/2016)... ... May 31, 2016 , ... WaterField Designs, an innovative ... announces the waxed-canvas and leather Duo Dopp Kit , the ideal gift upgrade ... ballistic nylon, the Duo is smartly designed for Dad’s grooming routine. Two ...
Breaking Medicine News(10 mins):
(Date:5/31/2016)... 2016 PaperHive Will Enable ... Elsevier,s ScienceDirect Database Elsevier , ... information products and services, today announced it will ... collaboration platform PaperHive to enable researchers to easily discover, ... on ScienceDirect , the world,s largest database ...
(Date:5/31/2016)... PUNE, India , May 31, 2016 ... 2016" market research report with comparative analysis of Asthma ... mechanism of action (MoA), route of administration (RoA) and ... and press releases. It also reviews key players involved ... on late-stage and discontinued projects. Complete report ...
(Date:5/30/2016)... , May 30, 2016 On ... eliminate viral hepatitis by 2030. At the 69 th ... ever Global Viral Hepatitis Strategy, signalling the greatest global commitment ... a goal of eliminating hepatitis B and C by 2030 ... if reached, will reduce annual deaths by 65% and increase ...
Breaking Medicine Technology: