Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology

Background Automation of mechanical ventilation allows for reduction of variation in patient management and has the potential to provide increased patient safety by strict adherence to computer driven ventilator protocols. Methods A retrospective, observational study compared a group of 19...

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Main Authors: Ronald R. Sanderson, Denise Whitley, Christopher Batacan
Format: Article
Language:English
Published: Society of Mechanical Ventilation 2021-03-01
Series:Journal of Mechanical Ventilation
Subjects:
Online Access:https://www.journalmechanicalventilation.com/automated-mechanical-ventilation-using-adaptive-support-ventilation-versus-conventional-ventilation-including-ventilator-length-of-stay-mortality-and-professional-social-aspects-of-adoption-of-new-t/
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author Ronald R. Sanderson
Denise Whitley
Christopher Batacan
author_facet Ronald R. Sanderson
Denise Whitley
Christopher Batacan
author_sort Ronald R. Sanderson
collection DOAJ
description Background Automation of mechanical ventilation allows for reduction of variation in patient management and has the potential to provide increased patient safety by strict adherence to computer driven ventilator protocols. Methods A retrospective, observational study compared a group of 196 of general ICU patients managed exclusively on automated mechanical ventilation, adaptive support ventilation (ASV), to another group of 684 managed by usual, non-automated mechanical ventilation (No ASV). The data was collected in a unique access database designed to collect data for assessment of mechanical ventilation outcomes in a small medical center ICU. Results The length of ventilator stay was non-significant between both groups, (81.7 ± 35.2 hours) in the ASV group; vs. (94.1 ± 35.1 hours) in the No ASV. Percent mortality was significantly less in the ASV group, 8.6% compared to 27.3% in the No ASV. Conclusion Automated ventilation appears to be a safe ventilator strategy; however, cause effect relationships cannot be determined without further, more sophisticated studies.
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spelling doaj.art-4845db483c2e4b29a2d1d6625172f8992023-05-29T12:39:49ZengSociety of Mechanical VentilationJournal of Mechanical Ventilation2694-04502021-03-0122485210.53097/JMV.10021Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technologyRonald R. SandersonDenise WhitleyChristopher BatacanBackground Automation of mechanical ventilation allows for reduction of variation in patient management and has the potential to provide increased patient safety by strict adherence to computer driven ventilator protocols. Methods A retrospective, observational study compared a group of 196 of general ICU patients managed exclusively on automated mechanical ventilation, adaptive support ventilation (ASV), to another group of 684 managed by usual, non-automated mechanical ventilation (No ASV). The data was collected in a unique access database designed to collect data for assessment of mechanical ventilation outcomes in a small medical center ICU. Results The length of ventilator stay was non-significant between both groups, (81.7 ± 35.2 hours) in the ASV group; vs. (94.1 ± 35.1 hours) in the No ASV. Percent mortality was significantly less in the ASV group, 8.6% compared to 27.3% in the No ASV. Conclusion Automated ventilation appears to be a safe ventilator strategy; however, cause effect relationships cannot be determined without further, more sophisticated studies.https://www.journalmechanicalventilation.com/automated-mechanical-ventilation-using-adaptive-support-ventilation-versus-conventional-ventilation-including-ventilator-length-of-stay-mortality-and-professional-social-aspects-of-adoption-of-new-t/closed loop ventilationasvventilation length of stay
spellingShingle Ronald R. Sanderson
Denise Whitley
Christopher Batacan
Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology
Journal of Mechanical Ventilation
closed loop ventilation
asv
ventilation length of stay
title Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology
title_full Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology
title_fullStr Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology
title_full_unstemmed Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology
title_short Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology
title_sort automated mechanical ventilation using adaptive support ventilation versus conventional ventilation including ventilator length of stay mortality and professional social aspects of adoption of new technology
topic closed loop ventilation
asv
ventilation length of stay
url https://www.journalmechanicalventilation.com/automated-mechanical-ventilation-using-adaptive-support-ventilation-versus-conventional-ventilation-including-ventilator-length-of-stay-mortality-and-professional-social-aspects-of-adoption-of-new-t/
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