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Medic-All Adaptive Support Ventilation Treatment Team, TSGH 〉 Automatic Ventilation Mode-Adaptive Support Ventilation Provide Comprehensive Ventilator Treatment for Critical Illness Patients

Automatic Ventilation Mode-Adaptive Support Ventilation Provide Comprehensive Ventilator Treatment for Critical Illness Patients

Automatic Ventilation Mode-Adaptive Support Ventilation Provide Comprehensive Ventilator Treatment for Critical Illness Patients

1. Automatic adjustment
2. Unique safety range design
3. The most excellent feature of this model could shorten the period of weaning from mechanical ventilation

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Overview
The crew of Department of Critical Care Medicine and the Department of Pulmonary Medicine of the Tri-service General Hospital uphold the patient-centered concept and provide quality medical services by professional medical staff to actively treat patients requiring critical respiratory therapy. The medical team is also committed to the intensive care and respiratory therapies. Education and training for all respiratory-care staff in the country to train outstanding professional health care professionals; we attach importance to critical care medicine, respiratory therapy, and basic research, to the world of severe medical medicine convergence, enhance the quality of medical services.

Nursing care center is the hospital manpower, equipment, the highest cost of the unit, shorten the number of hospital days is the key to cost savings. Our nursing center fully utilizes the automatic compliance support breathing mode (ASV) to adopt the microcomputer automatic control mode, and many papers confirm that it can effectively reduce the number of days of use of the respirator. The hospital has published two consecutive SCI articles, the first confirmed in the MICU can be 6 days from the ventilator, and lead a number of domestic medical centers to complete ASV in ARDS patients clinical research. At present, the advanced respirator in this hospital is the main model in MICU, CCU, SNICU, INFICU, RCC, which can effectively reduce the number of days of respirator, reduce the burden of caregivers and continue to lead the research. The extensive use of ASV mode, improve patient comfort and safety, accelerate respirator detachment, ICU critically ill patients get the best care, is our honor, but also our responsibility.
Features
Adaptive Support Ventilation(ASV) is a new ventilator mode, is a closed loop system in cooperation with the patients tightly, the difference of breathing support, can be built by the preset programs and automatic adjustment of the microcomputer on the ventilator. This mode can be adapted to the patient's actual lung condition and potential changes that may occur to automatically adjust to fit the patient's breathing requirements. Particularly during the weaning phase from the mechanical ventilation. The ventilation could automatically adjust the pressure level according to the patient's current lung function. In contrast to the most commonly used PSV or PSV + SIMV ventilator disengagement models, our study has been the first to demonstrate that ASVs achieve an average of 6 days out of the respirator target in a more complex medical intensive care unit. Statistics of the Republic of China 101-104 years of nursing homes using the ASV model of the service a total of about 2,200 people, and for our hospital more than 104 residents of the physicians, respiratory therapist, and the configuration of the ASV model respirator models The percentages of satisfaction and consent were higher than 80%, and the percentage of patients who agreed to the process of medical treatment satisfaction and the number of very agreeable persons were above 75-90%. More than 82% of the nurses in the nursing care center considered that ASV accelerates the detachment of the respirator.

Summary:
  1.  Automatic adjustment: based on the Odis equation, eliminating the complex adjustment between the mode of conversion, and can be automatically changed between control and weaning modes.
  2. Unique safety range design, does not occur extremely high or low tidal volume, respiratory rate.
  3. The most excellent feature of this model could shorten the period of weaning from mechanical ventilation compared with traditional protocols for patients after cardiac surgery, MICU admission, having a medical history of COPD.
  4. According to different types of lung disease such as obstructive or restrictive diseases, the safest ventilation could automatically select.
  5. The only dual-automatic adjustment mode that can affect greatly in the acute phase and the period of weaning from ventilation.
Service Procedure
Notification
Ventilator-induced lung injury (VILI) has been an important topic in the field of respiratory therapy. Pressure-type pneumothoraxes, which may be caused by stress injury (Barotrauma), ICU's frequent lung collapse are often discussed and associated with the inadequate tidal volume, Therefore, both over and under will result in patient injury. The ASV model has a safe range of tidal volume and high or low respiratory frequency, which can be used to protect the patient from such damage. ASV mode because of simple operation and safety of the unique design, in the hospital since the introduction of 89 years of the Republic of China, has not yet reported disease events. Respiratory-related complications on the whole community is the most early in respiratory failure, not actively from training, resulting in diaphragmatic respiratory muscle atrophy, resulting in long-term respirator-dependent results, although the impact of ventilator detachment for many reasons, But the early detection of the patient is ready, with the latest microcomputer automatic feedback control mode, to assist in patients with difficulty from the ventilator to achieve the purpose of the ASV model in the literature and clinical practice of the most powerful contribution.
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