Medical Learning Tool for Ventilator Weaning Protocols.

Herramienta médica para el Aprendizaje de Protocolos de Destete Ventilatorio.

Published 2020-06-21 — Updated on 2020-06-21

Open | Download
PDF (Spanish) FLIP
Issue
Vol. 17 No. 34 (2020)
Section
Articles
How to Cite
Medical Learning Tool for Ventilator Weaning Protocols. (2020). Revista EIA, 17(34), 1-12. https://doi.org/10.24050/reia.v17i34.1416
DOI

https://doi.org/10.24050/reia.v17i34.1416
Dimensions
PlumX
Citations
Crossref
Citations in Crossref
Scopus
Citations in Scopus
Google Scholar
Europe PMC
Citations in Europe PMC
license
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright statement

The authors exclusively assign to the Universidad EIA, with the power to assign to third parties, all the exploitation rights that derive from the works that are accepted for publication in the Revista EIA, as well as in any product derived from it and, in in particular, those of reproduction, distribution, public communication (including interactive making available) and transformation (including adaptation, modification and, where appropriate, translation), for all types of exploitation (by way of example and not limitation : in paper, electronic, online, computer or audiovisual format, as well as in any other format, even for promotional or advertising purposes and / or for the production of derivative products), for a worldwide territorial scope and for the entire duration of the rights provided for in the current published text of the Intellectual Property Law. This assignment will be made by the authors without the right to any type of remuneration or compensation.

Consequently, the author may not publish or disseminate the works that are selected for publication in the Revista EIA, neither totally nor partially, nor authorize their publication to third parties, without the prior express authorization, requested and granted in writing, from the Univeridad EIA.

Juan Camilo Mesa Agudelo
Universidad de Antioquia
http://orcid.org/0000-0002-1890-5241
Maria Bernarda Salazar Sánchez
Universidad de Antioquia
http://orcid.org/0000-0002-6137-6357
Show authors biography

Juan Camilo Mesa Agudelo,

Mi nombre es Juan Camilo Mesa Agudelo, oriundo del bello municipio de Santa Rosa de Osos
(Antioquia), lugar donde crecí e inicié mi formación como persona y profesional. En el año 2000
inicié mi formación educativa en la Institución Escuela Porfirio Barba Jacob, cuna del poeta
emblemático del norte Antioqueño. Allí tuve la oportunidad de desarrollar mis primeras
habilidades tales como escribir, leer y lo más importante a compartir y convivir en sociedad.
Durante mi estancia en esta institución fuí acreedor de diferentes reconocimientos académicos.
En el año 2006 culmine mi etapa de educación básica primaria.
En el año 2007, inicié mis estudios de básica secundaria en el Colegio Técnico Nuestra Señora
de las Misericordias, lugar donde aprendí y disfruté mi niñez y adolescencia. Allí tuve la
oportunidad de conocer algunos maestros y compañeros que marcaron mi vida, especialmente el
profe de matemáticas quien impulsó en mí el espíritu de ser Ingeniero y servir a la sociedad a
partir de la ciencia, la física y las matemáticas. Por tanto, decidí aplicar a una ingeniería que
tuviese un gran compromiso con la vida, especialmente una que presentara un enfoque directo
con el cuidado y preservación de la vida humana a partir de innovadores soluciones tales como
dispositivos, aplicaciones móviles, entre otras herramientas tecnológicas.
En el año 2013 fui admitido a la Universidad de Antioquia al programa de Bioingeniería, en la
actualidad estoy cursando el último semestre de esta hermosa carrera. Durante mi estancia en la
Universidad, he tenido la oportunidad de enriquecer no solo mis habilidades investigativas y
académicas sino también el valor del compartir y aprender a convivir en sociedad. En el
transcurso de la carrera he sido acreedor de diferentes reconocimientos académicos, donde se
resalta la beca obtenida dentro del programa Talento Joven del Ministerio de Ciencia, Tecnología
e Innovación (MinCiencias), donde tuve la oportunidad de realizar una pasantía de investigación
en la Universidad de Purdue en los Estados Unidos de América. En la actualidad, soy Joven
Investigador del Grupo de Investigación en Bioinstrumentación e Ingeniería Clínica (GIBIC)
adscrito al programa de Bioingeniería, en este grupo he tenido la oportunidad de conocer
personas maravillosas que han marcado mi vida como estudiante, permitiéndome aprender y
enriquecer mi ser a partir de la ciencia e innovación.
En general, me considero una persona disciplinada, con muchas ganas de ayudar a la sociedad,
especialmente a partir de la aplicación de los conocimientos adquiridos como Bioingeniero. Amo

compartir con mi familia y mis seres queridos y lo mas importante servir a la sociedad no solo
como ingeniero sino también como persona.

Maria Bernarda Salazar Sánchez,

Maria Bernarda Salazar es Bioingeniera (2011) y Doctora en Ingeniería Electrónica (2018) de la Universidad de Antioquia. Actualmente es Profesora Universitaria Ocasional del Programa de Bioingeniería de la Universidad de Antioquia y lidera el desarrollo del Primer Proyecto Intregrativo de Semestre de dicho programa académico. Forma parte del grupo de Investigación Bioinstrumentation and Clinical Engineering Research Group (GIBIC- www.gibicgroup.com) de la misma Universidad en Medellín, Colombia en la línea respiratoria, modelado y procesamiento de señales.

Su actividad docente se enfoca en las áreas de Teoría de Modelos, Simulación de Sistemas, Procesamiento de Señales Biomédicas, Análisis de Circuitos y Electrónica Analógica. Su actividad de investigación se concentra en el análisis, modelado, procesamiento de señales y desarrollo de aplicaciones a los campos del sistema respiratorio y cardiovascular en su interacción con el ventilador mecánico. También participa en proyectos de investigación en el campo de entrenamiento médico.

Mechanical ventilation is one of the most used medical procedures in intensive care units across the world. In clinical practice, it represents a high level of complexity, especially in both stages, the extubation and weaning protocols. In order to enhance medical and nursing student's training skills regarding those topics, an interactive application was developed to teach basic information for ventilator weaning. The application has two fully graphic modules, which provide theoretical information and a set of clinical cases of patients under spontaneous breathing tests. It also includes information about medical records and interactive panels for weaning criteria and patient clinical condition during the weaning trials. A usability testing was performed with 12 subjects to validate the application usability, where the level of satisfaction with them showed that the app provides a straightforward tool to interact with the critical concepts of ventilator weaning.

Article visits 1995 | PDF visits 575

Downloads

Download data is not yet available.
  1. Alhaqwi, A. I. and Taha, W. S. (2015) ‘Promoting excellence in teaching and learning in clinical education’, Journal of Taibah University Medical Sciences. Elsevier Ltd, 10(1), pp. 97–101. https:// doi.org/10.1016/j.jtumed.2015.02.005.
  2. Alroobaea, R. and Mayhew, P. J. (2014) ‘How many participants are really enough for usability studies?’, Proceedings of 2014 Science and Information Conference, SAI 2014. The Science and Information (SAI) Organization, pp. 48–56. https:// doi.org/10.1109/SAI.2014.6918171.
  3. Blackwood, B., Alderdice, F., Burns, K., Cardwell, C., Lavery, G. and O’Halloran, P. (2011) ‘Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients:Cochrane systematic review and meta-analysis’, Bmj, 342(7790), p. 214.
  4. https:// doi.org/10.1136/bmj.c7237.
  5. Branson, R. D. (2018) ‘Automation of Mechanical Ventilation’, Critical Care Clinics, 34(3), pp. 383–394. https:// doi.org/10.1016/j.ccc.2018.03.012.
  6. Cohen, J., Shapiro, M., Grozovski, E., Fox, B., Lev, S. and Singer, P. (2009) ‘Prediction of extubation outcome: A randomised, controlled trial with automatic tube compensation vs. pressure support ventilation’, Critical Care, 13(1), pp. 1–7. https:// doi.org/10.1186/cc7724.
  7. Correa-Gutierrez, S. J., Castro-Gutierrez, D. J. and Vera-Rondón, S. J. (2008) ‘Destete Ventilatorio Un Enfoque Fisioterapeutico Ventilatory Weaning a Physiotherapist Approach’, Movimiento científico, 2(1), p. 24. https:// doi.org/10.33881/2011-7191.%25x.
  8. Danckers, M., Grosu, H., Jean, R., Cruz, R. B., Fidellaga, A., Han, Q., Awerbuch, E., Jadhav, N., Rose, K. and Khouli, H. (2013) ‘Nurse-driven, protocol-directed weaning from mechanical ventilation improves clinical outcomes and is well accepted by intensive care unit physicians’, Journal of Critical Care. Elsevier Inc., 28(4), pp. 433–441.
  9. https:// doi.org/10.1016/j.jcrc.2012.10.012.
  10. DDSurgical (2020) ‘Basics of Mechanical Ventilation’.
  11. https://apps.apple.com/us/app/basics-of-mechanical-ventilation/id671298263.
  12. De-Miguel-Díez, J., Jiménez-García, R., Hernández-Barrera, V., Zamorano-Leon, J. J., Villanueva-Orbaiz, R., Albaladejo-Vicente, R. and López-de-Andrés, A. (2019) ‘Trends in mechanical ventilation use and mortality over time in patients receiving mechanical ventilation in Spain from 2001 to 2015.’, European Journal of Internal Medicine. Elsevier, 74(September 2019), pp. 67–72. https:// doi.org/10.1016/j.ejim.2019.11.023.
  13. Florek, A. G. and Dellavalle, R. P. (2016) ‘Case reports in medical education: A platform for training medical students, residents, and fellows in scientific writing and critical thinking’, Journal of Medical Case Reports. Journal of Medical Case Reports, 10(1), pp. 1–3.
  14. https:// doi.org/10.1186/s13256-016-0851-5.
  15. Hansen, B. S. and Severinsson, E. (2007) ‘Intensive care nurses’ perceptions of protocol-directed weaning-A qualitative study’, Intensive and Critical Care Nursing, 23(4), pp. 196–205. https:// doi.org/10.1016/j.iccn.2007.03.001.
  16. Hashemian, S. M., Mortaz, E., Jamaati, H., Bagheri, L., Mohajerani, S. A., Garssen, J., Movassaghi, M., Barnes, P. J., Hill, N. S. and Adcock, I. M. (2018) ‘Budesonide facilitates weaning from mechanical ventilation in difficult-to-wean very severe COPD patients: Association with inflammatory mediators and cells’, Journal of Critical Care, 44, pp. 161–167. https:// doi.org/10.1016/j.jcrc.2017.10.045.
  17. Hernández-Valdivieso, A. M., Salazar-Sánchez, M. B., Urrego-Higuita, D. A., Costa-Castelló, R. and Mañanas-Villanueva, M. A. (2011) ‘Virtual laboratory for simulation and learning of cardiovascular system function in BME studies’, Revista Facultad de Ingenieria, (60), pp. 194–201.
  18. Ibrahim, R. (2018) ‘Mechanical Ventilation Advanced’. https://play.google.com/store/apps/details?id=soooooonandroid.mechanicalventilationadvanced&hl=en.
  19. Kogler, V. M. (2009) ‘Advantage of spontaneous breathing in patients with respiratory failure’, Signa Vitae, 4(1), pp. 10–13. https:// doi.org/10.22514/SV41.042009.2.
  20. MacIntyre, N. R. (2001) ‘Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support: A Collective Task Force Facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine’, Chest, 120(6, Supplement), pp. 375S-395S.
  21. https:// doi.org/10.1378/chest.120.6_suppl.375S.
  22. Medtronic (2020a) Ventilator Weaning Management, Challenges with ventilator weaning management. Available at: https://www.medtronic.com/covidien/en-us/clinical-solutions/weaning-management/challenges-with-weaning-management.html.
  23. Medtronic (2020b) Vital SyncTM Monitoring and CDS Solution Clinical Value. Available at: https://www.medtronic.com/covidien/en-us/products/health-informatics-and-monitoring/vital-sync-monitoring-and-cds-solution/clinical-value.html.
  24. Nagata, I., Takei, T., Hatakeyama, J., Toh, M., Yamada, H. and Fujisawa, M. (2019) ‘Clinical features and outcomes of prolonged mechanical ventilation: a single-center retrospective observational study’, JA Clinical Reports. JA Clinical Reports, 5(1).
  25. https:// doi.org/10.1186/s40981-019-0284-4.
  26. Salazar-Sánchez, M. B., Hernández-Valdivieso, A. M., Botero-Ospina, A. F. and Cortés-Daza, C. C. (2017) ‘Learning Tool for Mechanical Ventilation during Spontaneous Breathing Test on Patients Intoxicated with Pesticides’, in Torres, I., Bustamante, J., and Sierra, D. A. (eds) VII Latin American Congress on Biomedical Engineering CLAIB 2016, Bucaramanga, Santander, Colombia, October 26th -28th, 2016. Singapore: Springer Singapore, pp. 248–251.
  27. Salazar-Sánchez, M. B., Hernández-Valdivieso, A. M., Rodríguez-López, C., Mesa-Agudelo, J. C., Muñoz-Ortega, I. C., Serna-Higuita, L. Y. and Buitrago-Castro, L. F. (2019) ‘Areas with the Highest Use of Simulator for Health Education in Colombia’, Communications in Computer and Information Science, 1052, pp. 643–652.
  28. https:// doi.org/10.1007/978-3-030-31019-6_54.
  29. Serna, L. Y., Hernandez, A. M. and Mañanas, M. A. (2010) ‘Computational tool for modeling and simulation of mechanically ventilated patients’, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC’10, (August), pp. 569–572. https:// doi.org/10.1109/IEMBS.2010.5626429.
  30. Stahl, C., Dahmen, G., Ziegler, A. and Muhl, E. (2009) ‘Comparison of automated protocol-based versus non-protocol-based physician-directed weaning from mechanical ventilationVergleich von automatisierter protokollbasierter mit arztgesteuerter nicht protokollbasierter Entwöhnung vom Beatmungsgerät’, Intensivmedizin und Notfallmedizin, 46(6), pp. 441–446. https:// doi.org/10.1007/s00390-009-0061-0.
  31. TruCorp (2020) ‘TruVent App’. Available at: https://www.trucorp.com/P/144/TruVentApp.
  32. Yousefi, H., Toghyani, F., Yazdannik, A. R. and Fazel, K. (2015) ‘Effect of using Richmond Agitation Sedation Scale on duration of mechanical ventilation, type and dosage of sedation on hospitalized patients in intensive care units.’, Iranian journal of nursing and midwifery research, 20(6), pp. 700–704. https:// doi.org/10.4103/1735-9066.170008.
  33. Zein, H., Baratloo, A., Negida, A. and Safari, S. (2016) ‘Ventilator Weaning and Spontaneous Breathing Trials; an Educational Review.’, Emergency (Tehran, Iran), 4(2), pp. 65–71. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893753/.

Information

Sistema OJS 3.4.0.7 - Metabiblioteca |