PERFORMANCE UNDER PRESSURE.

Transcription

1 PERFORMANCE UNDER PRESSURE. IntelliCuff Cuff Pressure Controller and SubG Endotracheal Tube Smart technology to help reduce risk of VAP and tracheal injuries

2 Replace Complexity with Efficiency. Managing a patient s airway requires a delicate balance. Too much cuff pressure and you can injure the trachea. 6 Too little cuff pressure and secretions leak past the endotracheal (ET) tube into the lungs a key risk factor for VAP. 6, 7 We understand the challenges you face. And we can help. Guided by input from clinical experts, we ve developed a combined approach for delivering accurate and effective airway management helping enhance patient outcomes.

3 Facts About Ventilator-Associated Pneumonia (VAP) Causes, Costs and Outcomes No. 1 Pneumonia is the most common HAI in U.S. hospitals 1 5 to 9 Excess days in ICU attributable to VAP 4 300,000 Estimated number of U.S. patients on mechanical ventilation each year 2 10 % Estimated VAP mortality rate 3 $ 40,000 Per case cost of VAP 5 55 % of VAP cases can be avoided with existing evidence-based protocols 5 $ 3.09 BILLION Approximate annual cost of VAP 5

4 SubG Endotracheal Tube Reduce Leakage. Lower the Risk of VAP. Endotracheal tubes are a necessary part of mechanical ventilation. But channels can form in the ET tube cuff, allowing contaminated secretions to leak into the lungs putting patients at risk for VAP. 8, 9, 10 Polyurethane-cuffed ET tubes with ports for subglottic secretion drainage 9, 10 (SSD) have been observed to reduce leakage and VAP. Here s why: Polyurethane cuffs are much thinner than standard PVC cuffs, resulting in fewer folds between the cuff and tracheal wall. 8, 9, 10 In vitro studies showed that polyurethane cuffs 8, 9, 10 prevented leakage more efficiently than PVC cuffs. When secretions pool above the cuff, ET tubes with SSD ports provide a way to drain them. Recommended by SHEA, they ve been shown to help lower VAP rates by 55%, decrease ventilation time and reduce ICU stay based on analysis of clinical trials % of intubated critically ill patients experience microaspiration of secretions. 8

5 Set the Standard for Airway Management. Using an ET tube with subglottic drainage and a continuous cuff pressure controller may help prevent VAP in mechanically ventilated patients. 7 Advantages of SubG ET Tube A. Suction line cap to keep contaminants out of the lumen B. Subglottic suction port for removing secretions above the cuff C. Integrated subglottic suctioning lumen D. Integrated cuff inflation line E. Kink-resistant, thermosensitive tubing w/easy-to-read insertion markings F. Split-resistant, radiopaque lines G. Polyurethane cuff to help prevent channel formation H. High volume, low pressure barrelshaped cuff for optimal sealing I. Smooth Murphy eye for airflow J. Bullnose beveled tip for easy, gentle insertion K. Responsive pilot balloon to help ensure cuff inflation and integrity

6 Advantages of IntelliCuff L. Fits the luer connector on most cuffed tubes M. Safety alarms for disconnection, leak, high pressure N. Large display keeps important data visible at all times O. Convenient buttons make adjusting and verifying settings easy P. Deflation function deflates the cuff on command, helping support safe extubation Q. Disposable tubing w/bacterial filter for patient safety R. Shut-off valve prevents loss of pressure in case of accidental disconnection S. Time-limited hold function allows cuff pressure to be increased for a defined time period T. Cuff pressure can be set between 5 50 cmh2o U. Measures, adjusts and continuously maintains cuff pressure with two sensors

7 IntelliCuff Ensure Cuff Pressure. Enhance Outcomes. A cuff pressure between 20 and 30 cmh 2 O is recommended to provide an adequate seal and reduce the risk of intubationrelated complications. 8, 11 But cuff pressure easily deviates out of this target. 10 One study reported that cuff pressure was outside therapeutic range over 50% of the time. 11 Existing solutions for managing cuff pressure include palpating the pilot balloon, manometers and minimal leak technique. But several studies have demonstrated that palpitation alone is often inaccurate. 12 And connecting a manometer can cause a sudden drop in pressure. 8 There is a better way. The Hamilton IntelliCuff pressure controller continuously measures and automatically maintains set cuff pressure of ET or tracheal tubes. Research shows that automatic regulation of cuff pressure helps keep it consistently within range and could aid in reducing risk of microaspiration, 6, 7, 8, 10, 11 VAP and tracheal injuries. 13 to 20 MILLION Number of times ET tube cuff inflation is performed in the U.S. each year. 12

8 Optimal Airway Management Starts Here. Our SubG endotracheal tubes and IntelliCuff pressure controllers provide an exceptional tracheal seal and reliable cuff pressure. Efficient and reliable, they re ideal for use in ICUs, O.R.s and for transport. Ordering Information Item No. Description Pkg. DYNJ18860 SubG ET tube, size /bx DYNJ18865 SubG ET tube, size /bx DYNJ18870 SubG ET tube, size /bx DYNJ18875 SubG ET tube, size /bx DYNJ18880 SubG ET tube, size /bx DYNJ18885 SubG ET tube, size /bx HCS IntelliCuff Pressure Controller 1/ea HCS IntelliCuff Disposable Tubing 10/cs HCS IntelliCuff Power Cord 1/ea HCS IntelliCuff Mount, Click 1/ea HCS IntelliCuff Mount, Rail 1/ea HCS IntelliCuff Mount, Multi-Angle 1/ea For more information or a demonstration, contact your Medline Representative. Medline Industries, Inc. Three Lakes Drive, Northfield, IL FOLLOW US BLOG Medline United States MEDLINE ( ) medline.com info@medline.com Medline Canada medline.ca canada@medline.com Medline México medlinemexico.com mexico@medline.com Some products may not be available for sale in Mexico or Canada. We reserve the right to correct any errors that may occur within this brochure Medline Industries, Inc. All rights reserved. SubG is a trademark and Medline is a registered trademark of Medline Industries, Inc. IntelliCuff is a registered trademark of Hamilton Medical AG. MKT / LIT654R / 2.5M / SG / 3 REFERENCES: 1. HAI Data and Statistics. Centers for Disease Control and Prevention website. Available at: Accessed November 10, Surveillance for Ventilator-Associated Events. Centers for Disease Control and Prevention website. Available at: Accessed November 3, Klompas M, et al. Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals: 2014 Update. Infection Control and Hospital Epidemiology. 2014;35(8): Available at: Accessed November 3, Poelaert J, Depuydt P, De Wolf A, et al. Polyurethane Cuffed Endotracheal Tues to Prevent Early Postoperative Pneumonia After Cardiac Surgery: A Pilot Study. 2008;135: Available at: sciencedirect.com/science/article/pii/s Accessed November 2, Zimlichman E, Henderson D, Tamir Orly, et al. Healthcare-Associated Infections: A Meta-Analysis of Costs and Financial Impact on the U.S. Healthcare System. JAMA Intern Med. 2013;173(22): Available at Accessed November 4, Nseir S, Zerimech F, Fournier C, et al. Continuous Control of Tracheal Cuff Pressure and Microasperation of Gastric Contents in Critically Ill Patients. Am J Respir Crit Care Med. 2011;184: Available at: Accessed November 2, Lorente L, Lecuona M, Jiménez A, et al. Continuous Endotracheal Tube Cuff Pressure Control System Protects Against Ventilator-Associated Pneumonia. Critical Care. 2014;18(2):R77. Available at: Accessed November 2, Jaillette E, Martin-Loeches I, Artigas A, Nseir S. Optimal Care and Design of the Tracheal Cuff in the Critically Ill Patient. Annals of Intensive Care. 2014;4:7. Available at: Accessed November 1, Haas CF, Eakin RM, Konkle MA, Blank R. Endotracheal Tubes: Old and New. Respiratory Care. 2014;59(6): Available at: Accessed November 2, Blot SI, Poelaert J, Kollef M. How to Avoid Microaspiration? A Key Element for the Prevention of Ventilator-Associated Pneumonia in Intubated ICU Patients. Infectious Diseases. 2014;14:119. Available at: Accessed November 2, Sole ML, Su X, Talber S, et al. Evaluation of an intervention to Maintain Endotracheal Tube Cuff Pressure Within Therapeutic Range. Am J Crit Care. 2011; 20(2): Available at: Accessed November 2, Sultan P, Carvalho B, Rose BO, Cregg R. Endotracheal Tube Cuff Pressure Monitoring: A Review of the Evidence. Jour of Periop Prac. 2011;21(11) Available at: Endotracheal_tube_cuff_pressure_monitoring_a_review_of_the_evidence. Accessed November 7, 2016.