Flow-controlled ventilation (FCV)
of ARDS patients using Evone – Supporting evidence
CLINICAL EXPERIENCE
Summary:
- 22 year old male patient with traumatic brain injury and chest trauma admitted to ICU; P/F ratio 49 mmHg
- Conventional strategies (VCV and lateral rotational therapy) did not improve respiratory parameters; ECMO was contraindicated
- FCV was started and settings were individually optimized
- Significant lung improvement within few hours: P/F ratio 177, 270 and 397 mmHg after 1, 12 and 24 hours, respectively
- Chest radiographs showed improved lung condition
- Patient entered weaning procedure after in total 77 hours FCV ventilation
- Discharged two weeks later in favorable condition
Publication:
Bergold et al. WAMM 2019. Flow-controlled ventilation: A novel approach to treating severe acute respiratory distress syndrome. Link to e-poster: https://epostersonline.com/wamm2019/node/1498?view=true

Day 1

Day 3
CLINICAL EXPERIENCE
Summary:
- 3 hours of FCV compared to VCV, with similar PEEP, Peak, tidal volume and respiratory rate
- FCV improved oxygenation by 47% while using a 26% lower minute volume
- FCV showed decreased signs of alveolar lung damage
- FCV resulted in significantly more normally aerated and less non-aerated lung tissue compared to VCV

Publication:
Schmidt et al. Flow-Controlled Ventilation Attenuates Lung Injury in a Porcine Model of Acute Respiratory Distress Syndrome: A Preclinical Randomized Controlled Study. Crit Care Med 2020; 48:e241–e248. Link to full publication: https://journals.lww.com/ccmjournal/Fulltext/2020/03000/Flow_Controlled_Ventilation_Attenuates_Lung_Injury.36.aspx
Randomized controlled study: FCV showed superior ventilation to PCV in porcine ARDS
- FCV was individually optimized based on compliance
- Manuscript currently in preparation
BACKGROUND
- Safety and performance of FCV for ventilation of lung-healthy patients demonstrated in observational and randomised controlled studies
- FCV provides higher efficient ventilation, more homogenous lung recruitment, better lung aeration, and ventilation with lower energy dissipation than VCV or PCV
- For details and links to all publications see http://ventinovamedical.com/literature/
LATEST NEWS
Symposium organized by Erasmus Medical Center
Erasmus Medical Center (Rotterdam, the Netherlands) is organizing a hybrid symposium on Flow Controlled Ventilation blowing away VILI.The event will be held on the 28th of October in Rotterdam but can also be watched online.For more information click...
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