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Nurse with ventilated patient

Improve patient outcomes during mechanical ventilation

When you change the way you look at things, the things you look at change.

Tópicos

Do you have an easy-to-use mechanical ventilator?

Difficult-to-use mechanical ventilators can lead to use errors and patient harm.[1] [2] [3] But how do you know which ventilator is the easiest to use?

Learn more about ease of use

Diaphragm weakness impacts clinical outcomes during mechanical ventilation

The presence of diaphragm weakness significantly increases the risk of difficult weaning, prolonged weaning and hospital mortality, says Dr Ewan Goligher, referencing a recent study on the topic. [4]

Play the video or read more at the link below.

Can we further reduce weaning failures?

Research indicates that 29% of ventilated ICU patients experience frequent weaning failures due to diaphragm dysfunction.[5] This increases the time on ventilation by up to 16 days.

The study also shows that the low sensitivity (26%) of the patient’s rapid shallow breathing index (RSBI), commonly used to measure weaning readiness, can unnecessarily prolong mechanical ventilation.

Go to study

How to keep your ventilated ICU patients less sedated

"If we sedate patients they will stay in the ICU for a longer time, so we want them to be more awake" says Dr Torben Stensgard Andersen, Vejle Hospital. 

It sounds simple, but keeping patients less sedated changes a lot of routines. Vejle Hospital started its journey around 2004 and they have come a long way since.

Learn how to keep patients less sedated

How to improve mechanical ventilation in the assisted mode

Dr. Salvatore Grasso discusses how monitoring diaphragmatic activity can help you adapt ventilation to the patient’s needs. 

Learn how Getinge can help you meet key clinical challenges during mechanical ventilation

Artigos relacionados

  • Cuidados Intensivos

"Without access to an Edi signal you can’t give patients the best possible respiratory care."

Using the electrical activity of the diaphragm (Edi) to evaluate ICU patients’ need for respiratory support is a valuable and often superior complement to standard monitoring parameter, according to senior respiratory consultant Sten Borgström.

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A facilidade de uso do ventilador influencia a segurança do paciente

A facilidade de uso pode ter um impacto na rotina da equipe e na segurança do paciente. Este artigo dará acesso a um estudo sobre a correlação entre a facilidade de uso e a segurança do paciente. Você também poderá baixar um formulário para ajudá-lo no processo de comparação ao investir em novos equipamentos.

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  • Cuidados Intensivos

Paciente ventilado mecanicamente: por que o diafragma é importante?

A presença de fraqueza diafragmática aumenta significativamente o risco de desmame difícil ou prolongado e mortalidade hospitalar, afirma o Dr. Ewan Goligher, citando um estudo recente sobre o assunto.

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  • Cuidados Intensivos

Monitore o diafragma e melhore a ventilação mecânica

O suporte respiratório é uma intervenção que salva vidas na UTI, mas sem o equilíbrio correto também aumenta o risco de resultados prejudiciais.1,2 Isso é quando o monitoramento do diafragma pode ajudar, pois é um marcador de resultados como mortalidade hospitalar e desmame prolongado. Além disso, ele pode ajudá-lo a tomar decisões terapêuticas mais informadas durante todo o tratamento respiratório.

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  • Cuidados Intensivos

Mitigating the risk of harm during the transition from controlled to assisted mechanical ventilation

Monitoring the strength of the patient's breathing effort, titrating the sedation, and selecting the correct mode of ventilation is vital when transitioning from controlled to assisted ventilation.

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  • Cuidados Intensivos

The Italian experience: a practical advice

Professor Salvatore Grasso, Head of the Department of Anesthesia and Resuscitation at the Faculty of Medicine and Surgery of the University of Bari Aldo Moro Polyclinic, tells his story about the worst health care situation in Italy. Watch the video and learn what he experienced firsthand during the treatment of severely ill patients, at this time, infected by an unknown virus.

Ler mais

Todas as referências

  1. Gravenstein JS. How does human error affect safety in anesthesia? Surg Oncol Clin N Am. 2000;9:81–95.

  2. Gajic O, Frutos-Vivar F, Esteban A, Hubmayr RD, Anzueto A. Ventilator settings as a risk factor for acute respiratory distress syndrome in mechanically ventilated patients. Intensive Care Med. 2005;31:922–6.

  3. Donchin Y, Seagull FJ. The hostile environment of the intensive care unit. Curr Opin Crit Care. 2002;8:316–20.

  4. Dres M, Dubé BP, Mayaux J, Delemazure J, Reuter D, Brochard L, Similowski T, Demoule A. Coexistence and Impact of Limb Muscle and Diaphragm Weakness at Time of Liberation from Mechanical Ventilation in Medical Intensive Care Unit Patients. Am J Respir Crit Care Med. 2017 Jan 1;195(1):57-66.

  5. Kim WY, et al. Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011 Dec;39(12):2627-30.