ABG Expert vs Mechanical Ventilation Expert

ABG Expert™ is simply the best acid-base analysis tool with features available in no other app. Designed and tested by practicing physicians, ABG Expert is trusted by medical professionals for unparalleled accuracy, flexibility, and power while remaining completely intuitive to use. Whether you are a physician, nurse, respiratory therapist, paramedic, or student, ABG Expert is your ideal acid base analysis app. Accuracy- • ABG Expert has been validated using extensive testing under real-world conditions. • No need to worry about entering physiologically impossible data by mistake. Data is checked for plausibility and for internal consistency using the Henderson-Hasselbalch equation. • An accurate analysis depends on an accurate anion gap. ABG Expert has you covered with automatic correction of the anion gap when albumin is provided. • Never again wonder about how a result was obtained. Detailed explanations include easy-to-understand equations so you can be sure the calculations are correct. Flexibility- • Need the arterial blood gas analysis, but not the anion gap or A-a gradient? No problem. ABG Expert can analyze the data for all three results separately or together. • Set the normal anion gap range based on the normal range at your institution. Or, use your patient’s own baseline anion gap to maximize your sensitivity to detect disorders. • Caring for an 80-year-old patient in Denver? Provide age and barometric pressure, and ABG Expert automatically adjusts interpretation of the A-a gradient. • Need more specificity? Adjust the normal delta gap range based on the literature you follow in your practice. • ABG Expert works as well in Bangkok as it does in Boston with full support for SI and non-SI units. Power- • Color-coded results allow for rapid analysis in critical situations. One additional click gives you a detailed differential diagnosis and additional recommendations. • Concerned about a new problem in your patient with advanced COPD? ABG Expert can adjust its calculations for chronic respiratory conditions so you can detect additional disorders that are missed by other apps. • Detailed explanations of disorders integrate ABG, anion gap, and A-a gradient results providing individualized answers like no textbook can. • Refine your differential diagnosis even further with the included osmolal gap and urine anion gap calculators. • ABG Expert combines beauty and brains with optimization for iOS devices running iOS 13 and later. Disclaimer: Brian Dale Vander Werf MD Inc. has made every effort to ensure the accuracy of the information included in this product. However, the authors, developers, and Brian Dale Vander Werf MD Inc. are not responsible for errors or omissions or for any consequences from the use of this product and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of this product. This product has been designed as a supplemental source of information for medical professionals. This product is not a substitute for clinical judgment, and the use of the information produced by this product in a particular situation remains the responsibility of the medical professional. Privacy Policy: This product does not collect, store, or transmit individually identifiable health information. References: NEJM. 2014; 371: 1434. Medicine. 1980; 59(3): 161. Kidney International. 2009; 76: 1239. Emerg Med. 1990; 19: 1310. Clin J Am Soc Nephrol. 2007; 2: 162. Nat Rev Nephrol. 2010; 6: 274. Anaesthesia. 2008; 63: 294. Clin J Am Soc Nephrol. 2012; 7: 671. The ICU Book. 3rd ed. Lippincott Williams & Wilkins; 2007.

Caution! This app is intended for intensive care physicians. If you are NOT a physician and would like to use it anyway, please consult your physician before using this app or making any medical decisions. This app has endorsement for usage in the Russian Federation. Many doctors deal with the treatment of patients with varying degrees of acute respiratory failure (ARF). But the choice of the optimal method and, especially, the timely correction of the parameters of invasive and non-invasive mechanical lung ventilation often cause difficulties, especially for young doctors. Unfortunately, expensive ventilation machines, without their skillful use, are not a guarantee of an improvement in the mortality rate in ARF. This has been especially evident during the COVID-19 pandemic. In international clinical practice, it is customary to determine the degree of ARF by the oxygenation index (the ratio of the partial pressure of oxygen in arterial blood (PaO2) to the fraction of inspired oxygen (FiO2)). This indicator is also included in most "severity of illness" scoring systems (SOFA, APACHE II-III, etc.). However PaO2 estimation is only possible after collecting the arterial blood for laboratory monitoring of blood gases, making it costly and invasive. In 2020-2021 a multicenter research was carried out at five clinical hospitals in Volgograd, Russia, which included 1038 patients with acute lung injury and acute respiratory distress syndrome against the background of viral (COVID-19) and bacterial pneumonia. The goals of the research were firstly, to develop a non-invasive method for determining the oxygenation index (PaO2 / FiO2) based on oxygen saturation (SpO2), and secondly, to define general criteria for correcting the parameters of invasive and non-invasive mechanical ventilation. This application is based on the results of the research. The relationship between SpO2 and PaO2 index values was determined for various FiO2 and types of respiratory support. The app also implements the general principle of oxygen therapy - from less to more invasive. The app allows the user not only to choose the most effective method of respiratory support, but also timely learn about the need for its correction. Every clinician knows that the mortality rate in patients with ARF is greatly influenced by the validity of the beginning and end of Invasive Mechanical Ventilation treatment - and this app solves this problem. The educational effect of this app should also be noted. It will help doctors to quickly master and more competently use expensive ventilation machines, which, of course, will have a beneficial effect on the results of treatment of patients with ARF. The following sources were used to create the app: 1. Brown SM, Grissom CK, Moss M, Rice TW, Schoenfeld D, Hou PC, Thompson BT, Brower RG; NIH/NHLBI PETAL Network Collaborators. Nonlinear Imputation of Pao2/Fio2 From Spo2/Fio2 Among Patients With Acute Respiratory Distress Syndrome. Chest. 2016 Aug;150(2):307-13. doi: 10.1016/j.chest.2016.01.003. Epub 2016 Jan 19. PMID: 26836924; PMCID: PMC4980543. 2. Bilan N, Dastranji A, Ghalehgolab Behbahani A. Comparison of the spo2/fio2 ratio and the pao2/fio2 ratio in patients with acute lung injury or acute respiratory distress syndrome. J Cardiovasc Thorac Res. 2015;7(1):28-31. doi: 10.15171/jcvtr.2014.06. Epub 2015 Mar 29. PMID: 25859313; PMCID: PMC4378672. 3. Yoshida T, Takegawa R, Ogura H. [Ventilatory strategy for ARDS]. Nihon Rinsho. 2016 Feb;74(2):279-84. Japanese. PMID: 26915253. 4. Fan E, Brodie D, Slutsky AS. Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment. JAMA. 2018 Feb 20;319(7):698-710. doi: 10.1001/jama.2017.21907. PMID: 29466596. 5. Петров, В. И. Эволюция клинико-фармакологических и терапевтических принципов лечения инфекции COVID-19 / Петров В. И. [и др. ]. - Москва : ГЭОТАР-Медиа, 2021. - 312 с. - DOI: 10.33029/9704-6386-4-ECPC-2021-1-312. - ISBN 978-5-9704-6386-4.