Improve patient outcomes during mechanical ventilation
When you change the way you look at things, the things you look at change.
- Terapia intensiva
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.
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.
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
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Riferimenti
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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.
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Donchin Y, Seagull FJ. The hostile environment of the intensive care unit. Curr Opin Crit Care. 2002;8:316–20.
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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.
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Kim WY, et al. Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med. 2011 Dec;39(12):2627-30.