IntelliSync®+ Keep an eye on patient-ventilator synchrony Significant patient-ventilator asynchronies occur in more than 25% of all mechanically ventilated patients1, and are associated with increased work of breathing2, prolonged ventilation time1, and higher mortality3. The well-trained eye of a ventilation expert is capable of detecting asynchronies by analyzing the waveform shapes of either the flow or the pressure waveforms. However, the expert cannot always be at the bedside, and the patient condition can change from breath to breath. That is where IntelliSync+ takes over. This new technology mimics the expert‘s eye to identify signs of patient effort (trigger) or relaxation (cycling), thus replacing conventional trigger settings for inspiration and expiration. 1 Thille AW, Intensive Care Med. 2006 | 2 Tassaux D, Am J Respir Crit Care Med. 2005 | 3 Blanch L, Intensive Care Med. 2015

Detection of patient-ventilator asynchronies The analysis of flow waveforms (Fig.1-4) is a valuable tool for clinicians to identify the asynchronies in patientventilator interaction4,5. However, the expert can only adjust the triggers based on the previous breath and cannot be at the bedside 24/7. Real-time optimization is impossible to achieve with this method. 4 Georgopoulos D., Intensive Care Med. 2006. | 5 Mojoli F., Intensive Care Med. 2016

Current practice of fixed trigger settings for inspiration and expiration In current practice (Fig. 5), the inspiratory trigger is set at a fixed positive flow or negative pressure. The initiation of expiration (cycling) occurs when the flow drops below a user-defined percentage of the maximum flow of the breath (expiratory trigger sensitivity - ETS). Such fixed settings have severe limitations because constantly changing patient conditions and leaks are not taken into account. Inspiratory efforts can occur during negative flow and remain undetected by conventional triggers, resulting in delayed...

Availability IntelliSync+ is currently available as an option for selected Hamilton Medical ventilators. More information: www.hamilton-medical.com/intellisync+ The products shown here are not available for purchase by the general public. The information provided here is intended for healthcare professionals only. Always read the labels and follow the product’s instructions for use. Specifications are subject to change without notice. Some features are options. Not all features are available in all markets. All images are used for illustrative purposes only and may not accurately represent the...