SmartCare/PS: Shortening The Weaning Process - SmartCare-PS-Stage-Ventilation-Scene-16-6-D-2718-2019.jpg

SmartCare/PS: Shortening The Weaning Process

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Improving the weaning process of ventilated patients

As Your Specialist in Acute Care, we understand that when treating a patient with artificial respiration, the usual strategy is to minimize invasiveness and duration of mechanical ventilation to avoid lung damage and further complications. In particular, long-term ventilated patients can get so accustomed to a ventilator that weaning them off it becomes a major task. Every ventilated patient must be weaned, making weaning protocols a good target for automation. Dräger SmartCare®/PS is an integrated automated clinical protocol designed to shorten weaning – improving patient outcome while freeing up valuable time for caregivers.

"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."

Respiratory Therapist Phillip Thaut, Cedar City, Utah

Proven facts: improved outcome with SmartCare/PS

  • Shorter ventilation saves costs and improves mortality1
  • The only ventilation mode that shortens weaning time and ICU stay2
  • As good as having a 1:1 experienced critical care specialty caregiver to patient ratio3
SmartCare/PS: the automated weaning protocol

SmartCare/PS is designed to accelerate weaning off the ventilator and frees up time for other tasks with the help of an integrated automated clinical protocol. See how it can reduce the length of ICU stay, decrease ventilation time and lead to earlier patient mobilisation by helping to re-train the respiratory muscles to work efficiently on their own.

The idea of SmartCare/PS

SmartCare/PS can be used for (long-term ventilated) adult and pediatric patients. Based on the monitored parameters (f,Vt, etCo2), the patient is classified into a condition of normal ventilation, insufficient ventilation, hypoventilation, hyperventilation, unexplained hyperventilation, tachypnea or severe tachypnea.

SmartCare/PS supervises the weaning process and, based on user-defined parameters, either adopts to the patient’s changing clinical requirements, maintains current support, or continues to observe and suggest separation. When the “Consider Separation” notice appears, the clinician must evaluate the patient and consider the appropriate course of action (for example, extubation or continued mechanical ventilation).

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“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 difficult as the focus is frequently on the provision of acute medical care for patients.”

Prof. Phillipe Jolliet – CHUV, Lausanne

Clinical evidence on SmartCare/PS shows that:

  • The use of the automated closed loop system SmartCare/PS resulted in reductions in weaning, ventilation duration and ICU length of stay whereas the ASV and other automated systems including Automode, MMV, MRV, and a non-commercially available system did not influence these outcomes.3
  • 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.4
  • SmartCare®/PS has been shown to reduce weaning times by up to 40% and ventilation times by up to 33%.5

Literature List SmartCare/PS

Get more information about SmartCare/PS here in our download section

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Respiration pathway

Mechanical ventilation: As non-invasive as possible, as invasive as necessary. Patients in the intensive care unit (ICU), who are dependent on mechanical ventilation, need the best care from admission to discharge – and beyond.

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  1.  Rose 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)
  2.  Rose 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 (Cochrane Review)
  3.  Rose L et al., 2008, A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare/PS.
  4.  Burns KE et al., 2013, Wean earlier and automatically with new technology (the WEAN study). A multicenter, pilot randomized controlled trial. (Am J Respir Crit Care) 
  5.  Lellouche F et al., 2006, A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. (Am J Respir Crit Care)