ResMed technologies for COPD

Successful treatment for COPD patients focuses on improving gas exchange, reducing the work of breathing and maintaining comfort. For some patients, this is where oxygen therapy and non-invasive ventilation (NIV) can help.1

One factor critical to oxygen therapy or ventilation is to maintain patient-device synchrony as it can affect comfort, compliance and clinical outcomes. To help, ResMed's oxygen concentrators and ventilators feature the following technologies to help improve synchrony and address patient comfort:

Oxygen

Auto Mode. As a patient's activity levels change, Auto Mode will detect differences in a patient's breath rate and automatically adjust the trigger sensitivity accordingly. 

Pulse-Wave. Pulse-Wave technology works with Auto Mode to deliver the selected dose of oxygen at the right time. It controls the flow of oxygen during inhalation to help patients obtain the full dose and maintain oxygen saturation. 

NIV

TiControlTiControl helps patients exhale. It allows clinicians to limit the minimum and maximum amount of inspiratory time according to the patient's disease state. For COPD patients whose respiratory flow is restricted and who experience challenges in exhaling, setting a shortened Ti Max (maximum time the patient can spend in inspiration) will prevent late cycling to expiratory pressure and can provide a better match to the patient's ideal inspiratory time. 

Adjustable trigger and cycle sensitivities. Adjustable trigger and cycle sensitivities allow further customization at the beginning and end of each inspiration, which further improves patient-device synchronization. Clinicians may want to consider setting the cycle sensitivity to high to provide an earlier cycle to exhalation.

Adjustable rise time. Rise time is the time it takes for the ventilator to reach the set inspiratory pressure after triggering. The greater the rise time value, the longer it takes for pressure to increase. A controllable rise time allows you to optimize the patient’s work of breathing, comfort and synchrony. For a COPD patient, a faster rise time setting allows the lungs to fill quickly.

Managing COPD with oxygen and ventilation

From hospital to in-home care, ResMed has a range of quality solutions for effective oxygen delivery and ventilation. 

Portable oxygen concentrators. ResMed Mobi™ expands our oxygen therapy solutions and has been designed to improve quality of life for patients needing oxygen therapy. It features Pulse-Wave technology to deliver the selected dose of oxygen at the right time. 

Ventilation with integrated oxygen. Several studies show that using oxygen at home for more than 15 hours a day increases quality of life for patients who have severe COPD and low blood levels of oxygen.2 For this reason, ResMed offers a variety of home therapy devices that allow you to easily integrate oxygen into the patient's ventilation therapy. 

Improved oxygen delivery and ventilation monitoring. Many of our solutions improve oxygen delivery with integrated FiO2 monitoring, helping physicians prescribe concentrations of oxygen, which are more precise than liter flows (e.g. LPM). Our ventilators also allow you to take FiO2 monitoring one step further, with the option of integrated oximetry for objective patient monitoring. 

ClimateLineMAX Oxy. ClimateLineMax offers easy oxygen integration. Ideal for patients using a ResMed CPAP or bilevel device that requires supplemental oxygen, the ClimateLineMAX Oxy connects neatly to the back of the device, removing the inconvenience of a separate tube connection to the mask and allowing the oxygen to completely mix with warmed, humidified air.

References

  • 01

    Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2014, accessed 17 August 2015, http://www.goldcopd.org/guidlines-global-strategy-for-diagnosis-management.html

  • 02

    McIvor RA, et al. (2011). COPD, search date April 2010. Online version of BMJ Clinical Evidence: http://www.clinical evidence.com.