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Intensive Care Medicine

Published in:

01-10-2008 | Review

Automating the weaning process with advanced closed-loop systems

Authors: Karen E. A. Burns, Francois Lellouche, Martin R. Lessard

Published in: Intensive Care Medicine | Issue 10/2008

Abstract

Background

Limiting the duration of invasive ventilation is an important goal in caring for critically ill patients. Several clinical trials have shown that compared to traditional care, protocols can reduce the total duration of mechanical ventilation. Computerized or automated weaning has the potential to improve weaning, while decreasing associated workload, and to transfer best evidence into clinical practice by integrating closed-loop technology into protocols that can be operationalized continuously.

Discussion

In this article, we review the principles of automated systems, discuss automated systems that can be used during weaning, and examine the best-current evidence from randomized trials and observational studies supporting their use. We highlight three commercially available systems (Mandatory Minute Ventilation, Adaptive Support Ventilation and SmartCare™) that can be used to automate the weaning process. We note advantages and disadvantages associated with individual weaning systems and differences among them.

Conclusions

We discuss the potential role for automation in complimenting clinical acumen, reducing practice pattern variation and facilitating knowledge translation into clinical practice, and underscore the need for additional high quality investigations to evaluate automated weaning systems in different practice settings and diverse patient populations.

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Title: Automating the weaning process with advanced closed-loop systems
Authors: Karen E. A. Burns
Francois Lellouche
Martin R. Lessard
Publication date: 01-10-2008
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 10/2008
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-008-1154-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Automating the weaning process with advanced closed-loop systems

Abstract

Background

Discussion

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Discussion

Conclusions

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