SmartCare/PS is an integrated automated clinical protocol that is designed to stabilize the patient’s spontaneous breathing in a comfortable zone of normal ventilation.
Proven facts: Improved outcome with SmartCare/PS
—- Shorter ventilation saves costs and reduces mortality1
- The only ventilation mode that shortens weaning time and ICU stay2
SmartCare/PS - the automated weaning protocol
Want to mobilize your patients earlier? Why not start with the breathing muscles?
SmartCare/PS: How it works
SmartCare/PS is designed to shorten weaning. The automated weaning protocol can be used for (long term ventilated) adult and pediatric patients (15kg - 35kg).
Based on the monitored parameters (RR, VT, ETCO2), the patient is classified into a condition of normal ventilation, insufficient ventilation, hypoventilation, hyperventilation, unexplained hyperventilation, tachypnea, or severe tachypnea.
SmartCare/PS will supervise the weaning process and based on the user defined parameters will either adopt to the patient’s changing clinical requirements, maintain current support, or continue to observe and suggest separation. When the “Consider Separation” notice appears, the clinician must evaluate the patient and consider the appropriate course of action (ie: extubation or continue mechanical ventilation).
SmartCare®/PS is an option available on the Evita® Infinity® V500 ventilator.
What customers say about SmartCare
—Case studies from clinical practice
Artificial ventilation and associated weaning are among the most demanding processes in modern intensive care treatment. The following examples from clinical practice, and expert interviews graphically demonstrate the benefits of the automated weaning protocol.
"The real problem is that clinicians and nursing staff need to take an adequate amount of time to ensure that they do not miss an opportunity to advance the weaning stage. This often proves to be difficult as the focus is frequently on the provision of acute medical care for patients."
Prof. Phillipe Jolliet, CHUV, Lausanne
Interview with Prof. Philippe Jolliet
Earlier extubation with SmartCare®/PS - Andreas Möhlendick
Essential part of the ventilation strategy - Philip Thaut
"I think that one of the greatest challenges in a busy intensive care unit is to be able to give a therapist enough time for each of his patients with long-term ventilation."
Clinical evidence on SmartCare/PS shows that:
- The use of the SmartCare/PS weaning protocol resulted in reductions in weaning, ventilation duration and ICU length of stay whereas non-protocolized weaning methods did not influence these outcomes.
(Cochrane Library 2013, Issue 6) - Automated weaning had significantly shorter median times to first successful spontaneous breathing trial, extubation and successful extubation and underwent fewer tracheostomies and episodes of protracted ventilation.
(Am J Respir Crit Care Med Vol 187, Iss. 11, pp 1203–1211, Jun 1, 2013) - SmartCare®/PS has been shown to reduce weaning times by up to 40% and ventilation times by up to 33%3
(Am J Respir Crit Care Med. 2006 Oct 15; 174(8):894-900)
Downloads
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Clinical reference list
Booklet
Brochure
Option sheet
Whitepaper
Poster
Get in Touch With Your Specialist
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Sources
1Rose L, Schultz MJ, Cardwell CR, Jouvet P, McAuley DF, Blackwood B, 2013, Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children (Review)
2Rose L, Schultz MJ, Cardwell CR, Jouvet P, McAuley DF, Blackwood B, 2003, Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children (Cochran Review)
Evita V500 is registered with the FDA as the Infinity Acute Care System Workstation Critical Care