Effect of Angulus on Patient-elevation Compliance



Status:Recruiting
Conditions:Pneumonia, Pneumonia
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:18 - 75
Updated:7/13/2018
Start Date:July 10, 2018
End Date:April 30, 2019
Contact:Perry Dubin, MD
Email:perry@angulus.us
Phone:(732) 924-5371

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Measuring the Effect of Angulus on Patient-elevation Compliance

Ventilator-associated events (VAE) are a scourge of critical care settings and hospital
systems at large. There is extensive evidence that ventilator-associated pneumonia (VAP) and
related VAEs increase mortality rates in critically ill patients by up to 50%, while
simultaneously increasing cost of care. C

Best-practice guidelines state that positioning ventilated patients at an angle between 30-45
degrees significantly reduces the potential for VAP and other VAE to develop. While the
intent of the guidelines is to govern patient elevation angle, the lack of a mechanism to
accurately measure patient elevation requires that nurses rely on the head-of-bed (HOB)
protractor - a tool which reflects the angle of the bed, not the patient - to measure
compliance. Depending upon the position and posture of the patient in the bed, a patient's
elevation angle may be significantly different from the HOB angle. Critical care teams
currently rely on built-in HOB protractors and digital inclinometers that measure the angle
of the bed not the patient.

Angulus, LLC has developed a dual-component Angulus sensor to fill this gap in critical care
technology. Angulus enables critical care practitioners to instantaneously understand a
patient's elevation, identify when the patient is outside of the desired 30-45 degree
recumbency scope, and efficiently correct the patient's orientation with immediate feedback.
Angulus supports real-time minute-to-minute data display as well as longitudinal aggregation
of data.


Inclusion Criteria:

- Mechanical ventilation with any modality (e.g., endotracheal tube, tracheostomy)

- Age between 18 and 75 years

Exclusion Criteria:

- Patients with a known allergy to the encasing materials

- Patients who are advised to be positioned outside of the 30-45 degree scope.

- Patients with any major chest wall abnormalities, or defects, including but not
limited to:

- post-cardiac surgical patients

- pectus excavatum (or any congenital chest wall deformity)

- complicated skin and soft tissue infections on the chest wall

- heart-lung machine systems
We found this trial at
1
site
3550 Jerome Avenue
Bronx, New York 10467
(718) 920-4321
Principal Investigator: Michelle Gong, MD
Montefiore Medical Center As the academic medical center and University Hospital for Albert Einstein College...
2438
mi
from 91732
Bronx, NY
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