Taichung, Taiwan, May 15, 2023 /PRNewswire/ — After the global COVID-19 pandemic, most people are suffering from mild illness, and severe COVID-19 patients have Acute respiratory distress syndrome (ARDS) is common. Chan, 46, who suffered from hypertension and nephropathy, underwent a kidney transplant 10 years ago. She tested positive for COVID-19 and had severe respiratory failure. She was diagnosed with ‘Acute Respiratory Distress Syndrome (ARDS)’. In the negative pressure isolation ICU of China Medical University Hospital (CMUH), Ms. Zhang underwent immediate endotracheal intubation and emergency use of ECMO was initiated to temporarily replace her pulmonary function. Thanks to a visual smart medical system designed by CMUH, Chan’s vital respiratory therapy can now be monitored in real time. In addition, her patient was given appropriate antibiotics and antivirals, and her ECMO support for 15 days improved Ms. Chan’s condition. She had her endotracheal tube removed on day 23, Ms. Chan was in stable condition, and she was discharged successfully after 35 days of hospitalization.
“CMUH Smart Medical System: ARDS Real-time Monitoring Dashboard” guarantees Mr. Zhang’s “LPV”. The green zone represents a safe range of lung volumes in the acute phase to protect the patient’s lungs.
ARDS needs a timely “LPV” smart medical system that could contribute to reducing mortality in critically ill patients
Doctor. Chen Wei ChenThe VS of the CMUH Respiratory and Critical Care Medicine Unit said the predicted mortality rate was 70% according to the Acute Physiology and Chronic Health Assessment (APACHE) II score on Chan’s first admission to the isolation ICU. . However, the medical team delivered precise tidal volumes (TV) to protect the lungs from damage with the help of a smart medical system. In addition, all professionals and departments, including respiratory, critical care, renal transplant, infectious diseases, cardiovascular surgery doctors, nurse specialists, hospital specialists, nurses, etc. An “ARDS team” that surpassed the border immediately gathered and combined all their strengths to save Mr. Chan. A respiratory technician, an extracorporeal technician, a pharmacist, and a nutritionist worked together to provide her with seamless care.
Doctor. Chen Wei Chen described ARDS as a form of diffuse alveolar injury with rapid progression and severe hypoxemia. It is a cross-disciplinary syndrome in critical care and its common causes include all types of pneumonia, sepsis, pulmonary contusion and pancreatitis. A patient may be admitted to her ICU for respiratory failure or multiple organ failure. Such conditions consume considerable medical manpower, resources and interprofessional collaboration.
Doctor. Chen Wei Chen He further explained that ARDS is a rather troublesome complication. As shown in the literature, ARDS mortality can reach up to 80% in the elderly and in patients with sepsis, despite significant improvements in respiratory treatment techniques in modern medicine. Most ARDS patients require endotracheal intubation to survive and also require timely diagnosis and course of treatment to improve prognosis. “Lung protective ventilation (LPV)” is currently the best treatment strategy based on strong evidence. ”
Doctor. Chen Wei Chen A number of national and international studies have stated that satisfactory implementation rates have not been increased due to the inability to properly and accurately integrate the timing of interdisciplinary care team interventions. At the Chinese Medical University Hospital, a pulmonologist and an emergency physician called on their colleagues to form an interdisciplinary “ARDS team.” Specialist nurses, RT teams, perfusionists, pharmacists, and nutritionists were also invited, as well as cardiovascular surgeons and emergency medicine physicians. The most valuable part is that we also invited information experts from smart medical systems to join our team. Through Microsoft-developed Power business intelligence (BI), all ARDS patient medical information and data are visualized, integrated, and calculated by the system to provide real-time big data to support medical teams.
As a result, medical teams will be able to offer data-driven personalized treatment strategies to ARDS patients. Under such a model of treatment, most severe ARDS patients can recover normally, as proper assessment and the implementation of correct treatment will improve the condition.
Outstanding work of CMUH ARDS team published in top international medical journal
CMUH’s “ARDS Team” will apply the improved interface of the smart medical system to treat the rapidly changing ARDS with a real-time visualization dashboard for the interdisciplinary team. gave us universal control over patient medical data. Such excellent clinical results have been highly evaluated by “Critical Care”, the top international medical journal on emergency and critical care, and related results have been published in the same journal. August 2022 Article entitled “Using Real-Time Visualization Systems for Data-Driven Decision Support to Achieve Lung Protective Strategies: A Retrospective Observational Study.”
The outstanding performance of CMUH’s interdisciplinary “ARDS team” in critical care was recognized by international emergency and critical care professionals. This clinical study was published in an international journal with a high impact factor of 19.3. Furthermore, Dr. Chen Wei Chen Best Presenter Award and Young Researcher Award at TSCCM/TSECCM/JSICM Joint Conference, TSECCM Quality Award, Best Oral Presentation Award for Cross-Territory Holistic Healthcare, 1st Place in Taiwan Al Academy Industrialization Innovation Contest, Educational Innovation, etc. We have received many awards both at home and abroad.
Doctor. Chen CheeronCMUH’s Division of Respiratory and Critical Care Medicine said it can reflect the level of critical condition in ICU patients based on the APACHE II score, with scores above 20 belonging to the high-risk group. The assessment gave Mr. Chan a score of 30 and a predicted mortality rate of 70% for him. Under the active care of her ARDS team, Chan was given antibiotics and antivirals in addition to her LPV strategy, and her critical condition improved with 15 days of ECMO support. . The 23rdrd The endotracheal tube was successfully removed that day, and Chan was in stable condition and discharged after 35 days of hospitalization.
Dr. Howe-Yang TsengWorking with the Department of Information Technology to create the “ARDS Real-time Monitoring Dashboard,” he said Power BI integrates all medical data from various sources in the system and reflects them in a real-time monitoring dashboard to provide status. and display the status. Data trends for each patient. For example, physicians can monitor the status of all patients through unit distribution graphs showing ventilator, vasopressor, and continuous dialysis utilization. Relevant information is ranked in descending order according to PF ratio, expediting patient screening to identify patients of interest. In addition, it allows medical staff to rapidly control changes in patient conditions, enabling early implementation of LPV treatment strategies and increased cure rates.
contact: Feng Min Shee, [email protected]
Source Chinese Medical University Hospital
