Intellectual ventilation modes in Russian Federation: a short questionnaire survey

Abstract

INTRODUCTION: There are a lot of clinical trials about benefits of closed-loop ventilation modes, which are able to automatically adjust certain respiratory settings. These studies describe safety, reliability and advantages of intellectual modes over conventional ventilation modes. OBJECTIVE: To assess awareness of Russian intensive care practitioners about closed loop ventilation modes and availability of these modes in routine practice. The second aim was to explore difficulties and problems that arise for practitioners during work with these modes. MATERIALS AND METHODS: A short survey conducted with online and offline questionnaire. The survey consisted of nine questions regarding the application of closed-loop modes, some question has open answers. RESULTS: The response rate of the survey was 33 % (248 of 750). Most of respondents (85 %) have heard about closed-loop modes, and 52 % had access to these technologies in routine practice. But only 23 % of respondents use Adaptive Support Ventilation (ASV) and analogues as primary mode in their routine practice, 9 % point to Intellivent-ASV®, less than 1 % point to PAV + TM (Proportional Assist Ventilation) and nobody point to NAVA (Neurally Adjusted Ventilatory Assist) and Smart Care®. Over half of respondents (62 %) from clinicians who have access to this technology pointed to the lack of knowledge about closed loop modes; 60 % pointed to insufficient education and 40 % pointed to the lack of equipment. These facts demonstrate the necessity of additional educational programs for implementation of modern technologies in practice, need for organization of post customer service for respirators and provision of consumables in some hospitals. CONCLUSIONS: this questionnaire showed that 85 % of practitioners have heard about closed-loop ventilation modes, and half of them had access to these technologies in routine practice, but just 30 % regularly use one of these technologies.