SCCM Resource Library-Safe De-Escalation of Care Automating Clinical Pathways

Video Transcription

Video Summary

In this webcast, Josh Thalben and Santiago Borossino discuss the use of risk analytics algorithms in the ICU to inform weaning protocols and improve patient outcomes. The algorithms, developed by Etiometry, use real-time physiological data to predict clinical deterioration and guide clinical decision-making. One such algorithm is the IDO2 algorithm, which calculates the probability of a patient's mixed venous oxygen saturation falling below 40%. This information can be used to monitor patients' oxygenation levels and make timely interventions if needed. Another algorithm, IVCO2, calculates the probability of a patient's PCO2 level rising above 50. By incorporating these algorithms into clinical practice, healthcare providers can identify patients who may need closer monitoring and adjust their care accordingly. The speakers also discuss the implementation and impact of these algorithms in their own institutions. They found that using the algorithms led to significant reductions in total ventilation time and length of hospital stay, suggesting that they can improve the efficiency of care delivery. The speakers note that while the algorithms are currently focused on pediatric patients, there is potential to apply them to adult patients as well. They also emphasize the importance of considering human factors and workflow in the implementation of these algorithms, as well as the ongoing need to evaluate their impact on patient outcomes and resource utilization. Overall, the use of risk analytics algorithms in the ICU shows promise in improving patient care and outcomes, and has the potential to be a valuable tool for healthcare providers.

Asset Subtitle

Pulmonary, Procedures, 2023

Asset Caption

Learn how automating clinical pathways can inform clinicians when patients are ready for extubation readiness trials or when it is safe to wean medications to help liberate patients from invasive treatments. Subject matter experts outline how automation can improve ICU outcomes and reduce length of stay by:

Reducing time on mechanical ventilation
Completing prompt, early weaning of vasoactive medication

This webcast is sponsored by Etiometry.

Meta Tag

Content Type Webcast

Knowledge Area Pulmonary

Knowledge Area Procedures

Knowledge Area Quality and Patient Safety

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Mechanical Ventilation

Tag Extubation

Tag Evidence Based Medicine

Year 2023

Keywords

risk analytics algorithms

ICU

weaning protocols

patient outcomes

Etiometry

real-time physiological data

clinical decision-making

IDO2 algorithm

IVCO2 algorithm

healthcare providers

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.