Proportional Pressure Support (PPS) has shown to reduce asynchronies and duration of ventilation
- PPS (Proportional Pressure Support) is a proportional mode that was associated with a reduction in incidence with AI >10%1 and duration of ventilation2 when compared with PSV (Pressure Support Ventilation).
- Patient-ventilator asynchrony is considered high when the Asynchrony Index (AI) is >10%3, and it is associated with longer ventilation times4 and higher mortality rates5.
- While the support during PSV always remains constant, in PPS, support is provided proportionally. This proportional delivery results in support being provided only when it is needed.
PPS, efficient weaning, and more
From a study of 87 ICU patients10, compared to patients on ventilators using the common ASB (Assisted Spontaneous Breath) ventilation mode, patients on ventilators using PPS (Proportional Pressure Support) had
- Reduced incidence of high man-machine confrontation from 27% to 9%11,
- Reduced failure rate of first spontaneous breathing trial (SBT) from 23% to 7%12, and
- Shortened ventilator weaning time from 51±38 to 13±14 hours13.
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References
1. Kataoka J, Kuriyama A, Norisue Y, Fujitani S. Proportional modes versus pressure support ventilation: a systematic review and meta-analysis. Ann Intensive Care. 2018 Dec 10;8(1):123. doi: 10.1186/s13613-018-0470-y. PMID: 30535648; PMCID: PMC6288104.
2. Ibid
3. Blanch L, Villagra A, Sales B, Montanya J, Lucangelo U, Luján M, et al. Asynchronies during mechanical ventilation are associated with mortality. Intensive Care Med 2015;41:633-41.
4. Ibid
5. Ibid
6. Brummel NE, Girard TD. Preventing delirium in the intensive care unit. Crit Care Clin. 2013 Jan;29(1):51-65. doi: 10.1016/j.ccc.2012.10.007. PMID: 23182527; PMCID: PMC
8. Ibid
9. Ibid
10. Yin C et al., Comparison of the effect of CPAP+PPS mode and CPAP+ASB mode in weaning on acute exacerbation of chronic obstructive pulmonary disease patients, Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2018 Oct;30(10):939-942. doi: 10.3760/cma.j.issn.2095-4352.2018.10.006.
11. Ibid
12. Ibid
13. Ibid