Effect of Angulus on Patient-elevation Compliance
Purpose
Ventilator-associated events (VAE) are a scourge of critical care settings and hospital systems at large. There is extensive evidence that ventilator-associated pneumonia (VAP) and related VAEs increase mortality rates in critically ill patients by up to 50%, while simultaneously increasing cost of care. C Best-practice guidelines state that positioning ventilated patients at an angle between 30-45 degrees significantly reduces the potential for VAP and other VAE to develop. While the intent of the guidelines is to govern patient elevation angle, the lack of a mechanism to accurately measure patient elevation requires that nurses rely on the head-of-bed (HOB) protractor - a tool which reflects the angle of the bed, not the patient - to measure compliance. Depending upon the position and posture of the patient in the bed, a patient's elevation angle may be significantly different from the HOB angle. Critical care teams currently rely on built-in HOB protractors and digital inclinometers that measure the angle of the bed not the patient. Angulus, LLC has developed a dual-component Angulus sensor to fill this gap in critical care technology. Angulus enables critical care practitioners to instantaneously understand a patient's elevation, identify when the patient is outside of the desired 30-45 degree recumbency scope, and efficiently correct the patient's orientation with immediate feedback. Angulus supports real-time minute-to-minute data display as well as longitudinal aggregation of data.
Conditions
- Ventilator Adverse Event
- Ventilator Associated Pneumonia
- Hospital Acquired Condition
- Hospital-acquired Pneumonia
- Recumbency
- Head-of-bed
Eligibility
- Eligible Ages
- Between 18 Years and 75 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Mechanical ventilation with any modality (e.g., endotracheal tube, tracheostomy) - Age between 18 and 75 years
Exclusion Criteria
- Patients with a known allergy to the encasing materials - Patients who are advised to be positioned outside of the 30-45 degree scope. - Patients with any major chest wall abnormalities, or defects, including but not limited to: - post-cardiac surgical patients - pectus excavatum (or any congenital chest wall deformity) - complicated skin and soft tissue infections on the chest wall - heart-lung machine systems
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover Assignment
- Intervention Model Description
- Clustered randomized cross over trial
- Primary Purpose
- Prevention
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Feedback |
The ICU with feedback will be equipped with display device corresponding to each Angulus device with an interactive software interface which displays the patient's elevation. |
|
Other No Feedback |
The Angulus device will be on the patient but will NOT have the corresponding display data on patient elevation available to nurses. |
|
More Details
- Status
- Completed
- Sponsor
- Angulus, LLC