Individualized support of pulmonary outcomes by the use of programmable automatic lateral therapy and electrical impedance tomography.
Challenges
Mechanical ventilation complications
Lung overdistension, barotrauma, lung collapse, and blood desaturation
Significant costs to health care system
INVASIVE MECHANICAL VENTILATION (IMV) IN THE USA
IMV represents a high and mortality group of patients that are associated with significant costs to the healthcare system.
3,109cases
per 100.000 adults received IMV in 2009 (1)
600-1,500USD
hospital cost increment by one IMV day (2)
2,093USD
cost saving per patient after implementation of CLRT (3)
Solution
Programmable Automatic Lateral Therapy
Synergy between the two complementing technologies (ALT & EIT) create a closed loop system which allows immediate feedback on the effect that interventions have on the patient and precise treatment to be delivered.
AUTOMATIC LATERAL THERAPY WITH ELECTRIC IMPEDANCE TOMOGRAPHY
AUTOMATIC LATERAL THERAPY (ALT)
Lateral tilt with adequate PEEP can control ventilation distribution and trigger lung opening.
ELECTRIC IMPEDANCE TOMOGRAPHY (EIT) Provides real-time visualization of patients' mechanical ventilation.
(1) Mehta Ab, Syeda Sn, Wiener Rs, Walkey Aj. Epidemiological Trends In Invasive Mechanical Ventilation In The United States: A Population- Based Study. J Crit Care. 2015 Dec;30(6):1217-21. Doi: 10.1016/J. Jcrc.2015.07.007. Epub 2015 Jul 16. Pubmed Pmid: 26271686; Pubmed Central Pmcid: Pmc4628853.
(2) Mechanical Ventilation In The Intensive Care Unit. The American Association For The Surgery Of Trauma [Online]. 633 N Saint Clair St, Suite 2600, Chicago, Il 60611: Aast, 2019 [Cit. 2019- 09-27]. Available From: Http://Www.Aast.Org/Generalinformation/ Mechanicalventilation.Aspx.
(3) Kang Sy, Distefano Mj, Yehia F, Koszalka Mv, Padula Wv. Critical Care Beds With Continuous Lateral Rotation Therapy To Prevent Ventilator- Associated Pneumonia And Hospital-Acquired Pressure Injury: A Cost- Effectiveness Analysis. J Patient Saf. 2019 Mar 20;. Doi: 10.1097/ Pts.0000000000000582. [Epub Ahead Of Print] Pubmed Pmid: 30896557.