DID YOU KNOW? - draeger.com...DID YOU KNOW?-References: 1. Guthrie SO, et al. A crossover analysis...
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What is it? PressureLink is an optional coupling of Pinsp and PEEP, when PressureLink is active Pinsp and PEEP are connected and if you set one of them, also the other one is modified. Pressure Link DID YOU KNOW? - References: 1. Guthrie SO, et al. A crossover analysis of mandatory minute ventilation compared to synchronized intermittent mandatory ventilation in neonates. J Perinatol. 2005;25(10):643-6. 2. Burns KE, et al. Automating the weaning process with advanced closed-loop systems. Intensive Care Med. 2008;34(10):1757-65. 3. Davis S, et al. Mandatory minute volume weaning in patients with pulmonary pathology. Anaesth Intensive Care. 1989 ;17(2):170-4. 4. Sulzer CF, et al. Adaptive support ventilation for fast tracheal extubation after cardiac surgery: a randomized controlled study. Anesthesiology. 2001;95(6):1339-45. How to use it? • Select one parameter (Pinsp or PEEP) • Touch the “Link” Button • The corresponding parameter is also selected • Both pressures become adjustable simultaneously • “Driving pressure” ∆P is kept constant Why is it relevant? Driving pressure is one of the most important settings in order to perform recruitment maneuvers and to avoid lung damage induced by the ventilator. Having a constant driving pressure is also allowing to have less interactions with the user interface of the ventilator, resulting in less potential errors. With PressureLink you can perfrom recrutiment maneuvers, reducing the interaction with the device, while keeping the driving pressure constantt. Why is it helpful to improve outcomes? Link ∆P Psupp 23.0 7.0 21 2.00 10.0 0.20 0 7.0 30.0 6 12 18 24 60 40 20 0 -10 0 TI RR Slope FIO 2 Pinsp [mbar] PEEP [mbar] Psupp 60 50 0 -60 21 FIO 2 Vol% 13 Pmean mbar 4.6 PEEP mbar 4.94 MVe L/ min 10 RR /min 499 VT mL Basic settings Additional settings 0 10 20 30 40 50 60 70 45 50 55 60 T MAX = 16 min TIME ∆P = 15 PEEP = 26 AIRWAY PRESSURE (cm H 2 O)
Transcript of DID YOU KNOW? - draeger.com...DID YOU KNOW?-References: 1. Guthrie SO, et al. A crossover analysis...
What is it?
PressureLink is an optional coupling of Pinsp and PEEP, when PressureLink is active Pinsp and PEEP are connected and if you set one of them, also the other one is modified.
Pressure Link
DID YOU KNOW?
-
References:1. Guthrie SO, et al. A crossover analysis of mandatory minute ventilation compared to synchronized intermittent mandatory ventilation in neonates. J Perinatol. 2005;25(10):643-6. 2. Burns KE, et al. Automating the weaning process with advanced closed-loop systems. Intensive Care Med. 2008;34(10):1757-65. 3. Davis S, et al. Mandatory minute volume weaning in patients with pulmonary pathology. Anaesth Intensive Care. 1989 ;17(2):170-4.4. Sulzer CF, et al. Adaptive support ventilation for fast tracheal extubation after cardiac surgery: a randomized controlled study. Anesthesiology. 2001;95(6):1339-45.
How to use it?
• Select one parameter (Pinsp or PEEP) • Touch the “Link” Button • The corresponding parameter is also selected • Both pressures become adjustable simultaneously • “Driving pressure” ∆P is kept constant
Why is it relevant?
Driving pressure is one of the most important settings in order to perform recruitment maneuvers and to avoid lung damage induced by the ventilator.Having a constant driving pressure is also allowing to have less interactions with the user interface of the ventilator, resulting in less potential errors.
With PressureLink you can perfrom recrutiment maneuvers, reducing the interaction with the device, while keeping the driving pressure constantt.
Why is it helpful to improve outcomes?
Link
∆PPsupp
23.07.0
21 2.00 10.0 0.20
07.030.0
6 12 18 24
60
40
20
0-10
0
TI RR SlopeFIO2
Pinsp [mbar] PEEP [mbar] Psupp
60
50
0
-60
21FIO2
Vol%
13Pmean mbar
4.6PEEP mbar
4.94MVe L/ min
10RR /min
499VT mL
Basic settings
Additional settings
0
10
20
30
40
50
60
70
4550
5560
TMAX = 16 min
TIME
∆P = 15
PEEP = 26
AIRW
AY P
RESS
URE
(cm
H2O
)
