Keep up with the pace of your busy ICU, while delivering individualized respiratory care.
The CARESCAPE R860 ventilator can help with:
- Swipe-screen navigation - The intuitive user interface with optional views and workspaces helps ease your daily workflow and reduces mental fatigue.1
- Actionable data - Decision support tools such as comparing event-centric trends and visual spirometry help you plan next steps and keep track of patient progress.
- Individualized therapy - Perform advanced clinical maneuvers tailored for each patient to ensure lung protective ventilation, assess readiness to wean (SBT-weaning mode), determine nutrition status using Indirect Calorimetry, and implement protocols for O2 Therapy.
1. Marjanovic, N. S., Simone, A. D., Jegou, G., & L’Her, E. A new global and comprehensive model for ICU ventilator performances evaluation. Annals of Intensive Care. 2017; 7:68
Hear what clinicians have to say about the CARESCAPE R860 Ventilator
Simplify transition to high flow oxygen therapy with the CARESCAPE R860 ventilator
HFOT (flow rates up to 60 L/min) has become an alternative to conventional/low flow oxygen therapy due to its heated, humidified oxygen that is well tolerated by ICU patients. Read about the benefits of HFOT in this data sheet, so you may help lower the risk of re-intubation after mechanical ventilation2.
CARESCAPE R860 ventilator with integrated O2 Therapy provides:
- Seamless transition from mechanical ventilation to oxygen therapy without changing your breathing circuit – single-limb and dual-limb!
- Unique Circuit Pressure bar graph to alert you to any occlusions before the patient desaturates
- Swipe-screen navigation that displays trend lines to help track patient transitions and progress
Learn more about noninvasive ventilation modes on the CARESCAPE R860 ventilator when you watch this how-to video.
To see how simple the O2 Therapy mode is to set up, review this quick reference guide.
2. Maggiore SM, et al. Am J Respir Crit Care Med. 2014 Aug 1;190(3):282-8.
Lung Protective Ventilation
Help reduce pulmonary complications
Ventilator-induced lung injury can occur if pressure and volume settings on the ventilator are not individualized for each patient. To prevent barotrauma and atelectasis3, especially in patients with acute respiratory distress syndrome (ARDS), the CARESCAPE R860 ventilator has a number of lung protection tools that may help you. Read this data sheet for a quick overview.
Quickly set up a lung protective ventilation strategy using advanced tools that:
- Visualize lung compliance and track pressure delivered to the lungs with the SpiroDynamics™ Sensor System
- Determine functional residual capacity (FRC) in ventilation (EELV)4 modes using the FRC INview™ Software
- Quickly perform sequential FRC measurements at increasing or decreasing PEEP levels with PEEP INview™ Software
See how a lung protective strategy was used to help COVID-19 patients in this webinar presented by Professor Luciano Gattinoni.
Request a copy of the quick reference guide to see how to use the CARESCAPE R860 lung protection tools.
3. Moloney E D and Griffiths M J D, Protective ventilation of patients with acute respiratory distress syndrome, 2004; British J Anaes. 2004; 92(2): 261-270.
4. Chiumello D, Nitrogen washout/washin, helium dilution and computed tomography in the assessment of End Expiratory Lung Volume, Crit Care Med 2008; 12: R150 doi:10.1186/cc7139.
Lung Protective Strategies in the ICU
Intuitive, individualized weaning with the CARESCAPE R860 ventilator
Help your patients reduce their length of stay by assessing their ability to wean off mechanical ventilation.5,6 Liberate your patients using an easy-to-follow weaning tool on the CARESCAPE R860 Ventilator. The Spontaneous Breathing Trial (SBT) mode allows you to administer trials in a simple, consistent manner, while providing trends to assess patient progress. By using a standardized weaning protocol, ICU clinicians can reduce the amount of time spent weaning by 78%.7
Clinicians can easily set SBT mode Stop Criteria such as:
- SBT duration
- Apnea time
- High and low expired minute volume
- High and low respiratory rate
If a patient fails their SBT, then the ventilator automatically resumes previous mechanical ventilator settings, freeing you to attend to other patients and work tasks. Use the Trends screen to track patient progress.
See how simple it can be to assess if your patient is ready to wean off the CARESCAPE R860 ventilator when you watch “Weaning from mechanical ventilation”.
View details on how to use the SBT mode in the CARESCAPE R860 quick guide.
5. Hess DR, Kacmarek RM. Ventilator Liberation. In: Essentials of Mechanical Ventilation. Fourth Edition. McGraw-Hill Education; 2019:167-175.
6. Haas CF, Loik PS. Ventilator Discontinuation Protocols. Respiratory Care. 2012;57(10):1649.
7. Blackwood B. et al. Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients: Cochrane systematic review and meta-analysis. BMJ 2011: 342: c7237.
Nutrition Therapy Support - may help reduce length of stay
Length of Stay: Calculate the ICU impact
Evidence-based nutrition assessment using Indirect Calorimetry has been shown to potentially reduce LOS in the ICU as much as 2.9 days1
- Approximately 40 - 50% of ICU patients are malnourished. 2,3,4
- Malnutrition is associated with increased morbidity and mortality. 5-11
- Predictive equations are accurate 30% of the time. 12,13,14
- Average cost $4,772 per day. 15
1. Neumayer LA, Smout RJ, Horn HG, Horn SD. Early and sufficient feeding reduces length of stay and charges in surgical patients. J Surg Res. 2001;95(1):73–77.
2. Reid, CL. Nutritional requirements of surgical and critically-ill patients: do we really know what they need? Proc Nutr Soc. 2004 Aug;63(3):467-72.
3. Fessler. Malnutrition: A Serious Concern for Hospitalized Patients. Today’s Dietitian. 2008; Vol. 10 No. 7; 44.
4. Delgado, Artur et al. Hospital malnutrition and inflammatory response in critically ill children and adolescents admitted to a tertiary intensive care unit. Clinics. 2008;63:357-62
5. Rubinson L, Diette GB, Song X, Brower RG, Krishan JA. Low caloric intake is associated with nosocomial bloodstream infections in patients in the medical intensive care unit. Crit Care Med 2004; 32(2): 350-356.
6. Heyland DK, Schroter-Nopee D, Drover JW, Minto J, Keefe L, Dhaliwal R, et al. Nutrition support in the critical care setting: current practice in Canadian ICUs – opportunities for improvement? JPEN J Parenter Enteral Nutr 2003; 27(1): 74-83.
7. Zijlstra N, Dam SM, Hulshof PJM, Ram C, Hiemstra G, Roos NM. 24-hour indirect calorimetry in mechanically ventilated critically ill patients. Nutr Clin Pract 2007; 22(2): 250-255.
8. Campbell CG, Zander E, Thorland W. Predicted vs. measured energy expenditure in critically ill, underweight patients. Nutr Clin Pract 2005; 20(2): 276-280.
9. Benotti PN, Bistrian B, Metabolic and nutritional aspects of weaning from mechanical ventilation. Crit Care Med 1989; 17(2): 181-185.
10. Fraser IM. Effects of refeeding on respiration and skeletal muscle function. Clin Chest Med 1986; 7(1): 131-139.
11. Artinian, V, Krayem, H, DiGiovine, B. Effects of Early Enteral Feeding on the Outcome of Critically Ill Mechanically Ventilated Medical Patients. Chest. 2006; 129: 960 –967.
12.Malone AM. Methods of assessing energy expenditure in the intensive care unit. Nutr Clin Pract. 2002; 17: 21-28.
13. Matarese LE, Gottschlich MM (eds). Contemporary Nutrition Support Practice: A Clinical Guide. 1998: 79-98.
14. Reeves MM, Capra S. Variation in the application of methods used for predicting energy requirements in acutely ill adult patients: a survey of practice. Eur J Clin Nutr. 2003; 57: 1530-1535.
15. Dasta, J. McLaughlin T. Mody S, et al. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit care Med 2005 Vol. 33, No. 6, pgs. 1266-71. 14.
16. Metnitz PG, Metnitz B, Moreno RP, Bauer P, Del Sorbo L, Hoermann C, de Carvalho SA, Ranieri VM; SAPS 3 Investigators. Epidemiology of mechanical ventilation: analysis of the SAPS 3 database. Intensive Care Med. 2009 May;35(5):816-25.
The ventilation requirements for neonates are very different from the needs of adults. That’s why it’s important to have a Neonatal option designed to meet the specific physiological needs of the neonate.
With the CARESCAPE R860 ventilator, validated to treat these vulnerable patients, special color-coding distinguishes this NICU option from other ventilators in your fleet. And specialized ventilation modes are included that help transition neonatal patients off of mechanical ventilation. Modes like Volume Support help support spontaneous breathing. The mode nCPAP, with the option of setting Rate and Pressure, can help support the baby non-invasively and prevent intubation. Split screen view supports four Spirometry views, as well as the ability to select up to four waveforms and seven measured views.
By precisely tailoring ventilation to serve the sensitive needs of neonates, you can expand your diagnostic therapy capability.
ICU Ventilation User Resources
Be prepared to respond to increases in the number of patients needing ventilation during the COVID-19 pandemic. Find all the details you need to quickly set up and operate the CARESCAPE™ R860 Ventilator, so you can focus on delivering compassionate patient care. Watch video tutorials, access free online training modules, listen to webinars by leading practitioners and more.