Gentle Lung®

This app allows clinicians to perform a decremental PEEP titration maneuver to help identify the lowest PEEP that provides the highest lung compliance. At the end of the procedure, clinicians can either resume normal ventilation or select the Recruitment Maneuver.

This app allows clinicians to conveniently monitor the transpulmonary pressure (P-tp) of the ventilated patient. In addition to real time P-tp waveform, the app measures peak value, mean value, plateau value and end expiratory value of transpulmonary pressure. The app also measures the driving pressure which is the inflation pressure of transpulmonary pressure. Talmor et al have found that adjusting the PEEP setting to achieve an end expiratory transpulmonary pressure of 0 to 10 cm H2O significantly improved oxygenation and respiratory compliance in patients with ARDS (Talmor NEJM 2008). Amato, et al. has found that among all variables, driving pressure is the variable that is most strongly associated with patient survival in ARDS patients (Amato, et al. NEJM 2015).

This app provides a guided tool for clinicians to quickly assess whether or not a particular patient will benefit from lung recruitment. The tool is easy to use. At the end of the procedure, the ventilator will display recruitable lung volume and gain in compliance.

This app provides a guided tool for clinicians to recruit the patient’s lungs. By setting a few parameters in this app, clinicians can allow the ventilator to execute the recruitment maneuver during which the ventilator will ventilate the patient while increasing the PEEP step-by-step, eventually elevating the airway pressure to such a level that the collapsed lungs are recruited (i.e., re-opened). At the end of the procedure, the ventilator can resume normal ventilation or transition to PEEP titration, depending on the clinician’s choice.