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Published in: Intensive Care Medicine 7/2022

Open Access 20-05-2022 | What's New in Intensive Care

Automation to improve lung protection

Authors: Laura A. Buiteman-Kruizinga, Ary Serpa Neto, Marcus J. Schultz

Published in: Intensive Care Medicine | Issue 7/2022

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Excerpt

Lung protective ventilation, usually referred to as ventilation with low tidal volumes (VT) and low inspiratory pressures (Pinsp), has repeatedly been shown to reduce mortality in patients with acute lung injury [1]. Conservative oxygen supplementation, a strategy that prevents arterial hyperoxemia through restricted use of oxygen [2], could be seen as another way to protect the lungs as use of low fractions of inspired oxygen (FiO2) reduces the direct toxic effects of oxygen on pulmonary tissue. Ventilation with low driving pressure (ΔP) and less mechanical power (MP) may also improve outcomes [3, 4
Literature
1.
go back to reference MacIntyre N, Rackley C, Khusid F (2021) Fifty years of mechanical ventilation-1970s to 2020. Crit Care Med 49(4):558–574CrossRef MacIntyre N, Rackley C, Khusid F (2021) Fifty years of mechanical ventilation-1970s to 2020. Crit Care Med 49(4):558–574CrossRef
2.
go back to reference Damiani E, Adrario E, Girardis M, Romano R, Pelaia P, Singer M et al (2014) Arterial hyperoxia and mortality in critically ill patients: a systematic review and meta-analysis. Crit Care 18(6):711CrossRef Damiani E, Adrario E, Girardis M, Romano R, Pelaia P, Singer M et al (2014) Arterial hyperoxia and mortality in critically ill patients: a systematic review and meta-analysis. Crit Care 18(6):711CrossRef
3.
go back to reference Amato MB, Meade MO, Slutsky AS, Brochard L, Costa EL, Schoenfeld DA et al (2015) Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 372(8):747–755CrossRef Amato MB, Meade MO, Slutsky AS, Brochard L, Costa EL, Schoenfeld DA et al (2015) Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 372(8):747–755CrossRef
4.
go back to reference Urner M, Jüni P, Hansen B, Wettstein MS, Ferguson ND, Fan E (2020) Time-varying intensity of mechanical ventilation and mortality in patients with acute respiratory failure: a registry-based, prospective cohort study. Lancet Respir Med 8(9):905–913CrossRef Urner M, Jüni P, Hansen B, Wettstein MS, Ferguson ND, Fan E (2020) Time-varying intensity of mechanical ventilation and mortality in patients with acute respiratory failure: a registry-based, prospective cohort study. Lancet Respir Med 8(9):905–913CrossRef
5.
go back to reference Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr (2000) Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA 284(21):2762–2770CrossRef Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr (2000) Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA 284(21):2762–2770CrossRef
6.
go back to reference British Medical Association (2021) Medical staffing in England: a defining moment for doctors and patients. BMA House, London British Medical Association (2021) Medical staffing in England: a defining moment for doctors and patients. BMA House, London
7.
go back to reference Mamdani M, Slutsky AS (2021) Artificial intelligence in intensive care medicine. Intensive Care Med 47(2):147–149CrossRef Mamdani M, Slutsky AS (2021) Artificial intelligence in intensive care medicine. Intensive Care Med 47(2):147–149CrossRef
8.
go back to reference Botta M, Wenstedt EFE, Tsonas AM, Buiteman-Kruizinga LA, van Meenen DMP, Korsten HHM et al (2021) Effectiveness, safety and efficacy of INTELLiVENT-adaptive support ventilation, a closed-loop ventilation mode for use in ICU patients—a systematic review. Expert Rev Respir Med 15(11):1403–1413CrossRef Botta M, Wenstedt EFE, Tsonas AM, Buiteman-Kruizinga LA, van Meenen DMP, Korsten HHM et al (2021) Effectiveness, safety and efficacy of INTELLiVENT-adaptive support ventilation, a closed-loop ventilation mode for use in ICU patients—a systematic review. Expert Rev Respir Med 15(11):1403–1413CrossRef
9.
go back to reference De Bie AJR, Neto AS, van Meenen DM, Bouwman AR, Roos AN, Lameijer JR et al (2020) Fully automated postoperative ventilation in cardiac surgery patients: a randomised clinical trial. Br J Anaesth 125(5):739–749CrossRef De Bie AJR, Neto AS, van Meenen DM, Bouwman AR, Roos AN, Lameijer JR et al (2020) Fully automated postoperative ventilation in cardiac surgery patients: a randomised clinical trial. Br J Anaesth 125(5):739–749CrossRef
10.
go back to reference Buiteman-Kruizinga LA, Mkadmi HE, Schultz MJ, Tangkau PL, van der Heiden PLJ (2021) Comparison of mechanical power during adaptive support ventilation versus nonautomated pressure-controlled ventilation-a pilot study. Crit Care Explor 3(2):e0335CrossRef Buiteman-Kruizinga LA, Mkadmi HE, Schultz MJ, Tangkau PL, van der Heiden PLJ (2021) Comparison of mechanical power during adaptive support ventilation versus nonautomated pressure-controlled ventilation-a pilot study. Crit Care Explor 3(2):e0335CrossRef
11.
go back to reference Buiteman-Kruizinga LA, Mkadmi HE, Serpa Neto A, Kruizinga MD, Botta M, Schultz MJ et al (2021) Effect of INTELLiVENT-ASV versus conventional ventilation on ventilation intensity in patients with COVID-19 ARDS-An observational study. J Clin Med 10(22):5409CrossRef Buiteman-Kruizinga LA, Mkadmi HE, Serpa Neto A, Kruizinga MD, Botta M, Schultz MJ et al (2021) Effect of INTELLiVENT-ASV versus conventional ventilation on ventilation intensity in patients with COVID-19 ARDS-An observational study. J Clin Med 10(22):5409CrossRef
12.
go back to reference Georgopoulos D, Xirouchaki N, Tzanakis N, Younes M (2016) Data on respiratory variables in critically ill patients with acute respiratory failure placed on proportional assist ventilation with load adjustable gain factors (PAV+). Data Brief 8:484–493CrossRef Georgopoulos D, Xirouchaki N, Tzanakis N, Younes M (2016) Data on respiratory variables in critically ill patients with acute respiratory failure placed on proportional assist ventilation with load adjustable gain factors (PAV+). Data Brief 8:484–493CrossRef
13.
go back to reference Burns KE, Lellouche F, Nisenbaum R, Lessard MR, Friedrich JO (2014) Automated weaning and SBT systems versus non-automated weaning strategies for weaning time in invasively ventilated critically ill adults. Cochrane Database Syst Rev 2014(9):Cd008638PubMedCentral Burns KE, Lellouche F, Nisenbaum R, Lessard MR, Friedrich JO (2014) Automated weaning and SBT systems versus non-automated weaning strategies for weaning time in invasively ventilated critically ill adults. Cochrane Database Syst Rev 2014(9):Cd008638PubMedCentral
14.
go back to reference Kampolis CF, Mermiri M, Mavrovounis G, Koutsoukou A, Loukeri AA, Pantazopoulos I (2021) Comparison of advanced closed-loop ventilation modes with pressure support ventilation for weaning from mechanical ventilation in adults: a systematic review and meta-analysis. J Crit Care 68:1–9CrossRef Kampolis CF, Mermiri M, Mavrovounis G, Koutsoukou A, Loukeri AA, Pantazopoulos I (2021) Comparison of advanced closed-loop ventilation modes with pressure support ventilation for weaning from mechanical ventilation in adults: a systematic review and meta-analysis. J Crit Care 68:1–9CrossRef
15.
go back to reference Bialais E, Wittebole X, Vignaux L, Roeseler J, Wysocki M, Meyer J et al (2016) Closed-loop ventilation mode (IntelliVent®-ASV) in intensive care unit: a randomized trial. Minerva Anestesiol 82(6):657–668PubMed Bialais E, Wittebole X, Vignaux L, Roeseler J, Wysocki M, Meyer J et al (2016) Closed-loop ventilation mode (IntelliVent®-ASV) in intensive care unit: a randomized trial. Minerva Anestesiol 82(6):657–668PubMed
Metadata
Title
Automation to improve lung protection
Authors
Laura A. Buiteman-Kruizinga
Ary Serpa Neto
Marcus J. Schultz
Publication date
20-05-2022
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 7/2022
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-022-06719-9

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