Intensive Care ventilation-New norm establishes a uniform nomenclature for ventilation modes

© 2022. The Author(s)..

BACKGROUND: The current naming of ventilation modes in anesthesiology and critical care is characterized by manufacturer-specific inconsistent acronyms. This is confusing for users and potentially life-threatening for patients. The standard, published in August 2021 in its German version as DIN EN ISO 19223:2021, aims to introduce a uniform classification with corresponding nomenclature.

AIM OF THE WORK: To present the new standard and its consequences for the user.

MATERIAL AND METHOD: Review and summary of DIN EN ISO 19223:2021 with a critical appraisal of its strengths and weaknesses.

RESULTS: A simplified scheme shows the group classification of ventilation modes based on similar characteristics. These are further specified by additional variables. A reference table contrasts the new nomenclature of ventilation modes with those currently in use. Accordingly, the new classification scheme appears inconsistent and the variables are difficult to distinguish.

CONCLUSION: Standardized terminology and semantics in respiratory care are necessary and desirable for error reduction. However, the recently presented standard fulfils these expectations only to some extent and in its current form will probably lead to further ambiguities and problems in the clinical routine. Accordingly, it is imperative that this first version of DIN EN ISO 19223:2021 be understood as the starting point for a discussion of its content, even outside the standards committees, so that its obvious weaknesses can be eradicated and the nomenclature made suitable for everyday use.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:71

Enthalten in:

Die Anaesthesiologie - 71(2022), 6 vom: 01. Juni, Seite 475-482

Sprache:

Deutsch

Weiterer Titel:

Intensivbeatmung – neue Norm legt einheitliche Nomenklatur für Beatmungsmodi fest

Beteiligte Personen:

Kremeier, Peter [VerfasserIn]
Böhm, Stephan H [VerfasserIn]
Woll, Christian [VerfasserIn]
Reuter, Daniel A [VerfasserIn]
Pulletz, Sven [VerfasserIn]

Links:

Volltext

Themen:

DIN EN ISO 19223:2021
Journal Article
Review
Taxonomy
Ventilation modes
Ventilation patterns
Ventilators

Anmerkungen:

Date Completed 08.08.2022

Date Revised 22.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00101-021-01081-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM335209440