Development and implementation of explicit computerized protocols for mechanical ventilation in children

Annals of Intensive Care

Table 1 Characteristics of the SmartCare/PS^™ Draeger Medical and IntelliVent^™ Hamilton Medical explicit computerized protocols

Characteristics	SmartCare/PS™	IntelliVent™
Ventilation mode	PSV	ASV
Type of breath	PS	PC and PS
Body weight range for use	≥15 kg	≥7 kg
Primary goal of the ECP	wean while maintaining ET_PCO2, RR, Vt within predefined range	maintaining ET_PCO2, RR, Vt, SpO₂ within predefined ranges
Initial settings	IBW, humidification system, medical history	IBW, medical history
Clinical decision support Option (open-loop)	No	Yes
Input data	_{2 min}ET_PCO2, _{2 min}RR, _{2 min}Vt, PEEP, PS level,	ET_PCO2, RR, Vt, SpO₂ PEEP, PIP, breath by breath
Output data	PS level,	MV, PEEP, FiO₂
SBT	Yes	Yes
Recommendation for separation from the ventilator	Yes	SBT duration displayed

Adapted from Jouvet et al. [39]
PS, pressure support; PC, pressure controlled; ASV, adaptive support ventilation; IBW, ideal body weight; Vt, tidal volume; RR, respiratory rate; ET_PCO2, end tidal PCO₂; SpO₂, pulse oxygen saturation; _{2 min}Vt, _{2 min}RR, or _{2 min}ET_PCO2, mean value on 2 min of Vt, RR, or ET_PCO2; MV, minute volume; PEEP, positive end expiratory pressure; FiO₂, inspired fraction of oxygen; PIP, positive inspiratory pressure; SBT, spontaneous breathing trial.