Mermaid Care has modified the BEACON Caresystem to perform Closed-Loop (Autopilot) ventilation on the Pandemic ventilator developed by Aalborg University in Denmark
What does "Autopilot" means?
It means that BEACON will automatically adjust the ventilator settings
The adjustment is based on the patient's physiological status and BEACONs estimation of the clinical benefit by balancing the competing goals of mechanical ventilation
We still show the Advice screen on BEACON even though we make the ventilator changes automatically.
We do this, so you can have full transparency of what is going on with the ventilation management
The advice screen will be shown for 10sec and then the ventilator settings will be changed automatically
You can also decide to run in semi-pilot mode. It means that BEACON will provide you advice, and then you have to click on "Apply" to implement the ventilator changes
The pandemic ventilator without BEACON, does not have a waveform screen. BEACON offers you that.
The waveform screen shows the following information
Ppeak, Pplat, VO2 and VCO2 as values
Pressure (cmH2O) and Flow (l/min) as waveforms - automatically adjusted
The current ventilator settings
An option to change the ventilator manually
View current patient status
The BEACON Simulation screen has several layers of information, relevant for your level of expertise and for the understanding of the patient status and ventilation management
On the left side of the screen, the Current and Simulated settings of the Ventilator are shown, where
Current is the actual settings of the ventilator
Simulated is a simulation functionality, where the user can simulate other ventilator settings than calculated by BEACON
On the right side of the screen, the Hexagon is shown. The Hexagon shows the balance of over- and under-ventilation of the current and simulated ventilator settings for the patient:
Too much oxygen vs too little oxygen,
Too much pressure vs. too little pressure, and
Too much support vs too little support,
BEACON has build-in physiological monitoring
What does that mean for your Hospital?
It means that you
don't need experienced staff to run and manage the ventilator - its done automatically.
can reduce the patient's time on ventilation by up to 25% - meaning freeing up ventilator capacity
can protect your staff for contamination risk as they don't need to be near the patient when managing the ventilator
When we run in autopilot-mode we still show FULL transparency, so that your staff has insight to the management of the patient
Historical review of patient status
BEACONs Historical review screen shows all previous ventilator changes made by BEACON. The Historical review screen has several layers of information, relevant for your level of expertise and for the understanding of the past patient status
On the Historical Review screen all ventilator changes are shown by displaying the Hexagon for each (2 are shown in this example)
The Historical review screen is very useful during ICU rounds, in order to provide the ICU Doctor and/or Respiratory Therapist with a simple overview of how the patient has progressed over time
For each Hexagon, information about ventilator settings and changes can be shown
With the physiological monitoring screen you can monitor the physiological variables of the patient:
FetCO2 and FeCO2 measurements
Anatomical (Vd-ana) and Alveolar (Vd-alv) deadspace measurements
VO2 and VCO2 measurements
Gas-Exchange measurements shown as the SHUNT value (%), the Low V/Q value (delta PO2) and the High V/Q value (delta PCO2)
Optimizing Nutrition for the Covid-19 patient
VO2 - is the measured Oxygen Consumption of the patient
VCO2 - is the produced Carbon Dioxide production of the patient
REE - is the calculated Resting Energy Expenditure of the patient, based on the VO2 and VCO2 measurements
RQ - is the calculated difference between VO2 and VCO2
For VO2 and VCO2, the average Variable in % is shown over a time window of 30 minutes
For REE, the current REE is shown and average REE is shown over a time window of 30 minutes
The Pandemic Ventilator is intended for treating patients with respiratory failure or insufficiency. The Pandemic Ventilator should only be used by professional health care personal trained in using this specific ventilator. The Pandemic Ventilator should only be used in hospital environments and other facilities with the primary purpose of treating respiratory complications. The Pandemic Ventilator can be used for transport between or within health care facilities.