Vapotherm Center of Excellence
Gaylord Hospital is a 137 bed Long Term Care Hospital (LTCH) located in Wallingford, CT. Founded as a tuberculosis sanatorium in 1902, Gaylord has become one of the premier New England long-term care facilities for the treatment and rehabilitation of medically complex patients. The information, data, and testimonials presented on this page derive from the experience of Gaylord.
In 2014, Vapotherm designated Gaylord Hospital as its first Center of Excellence. Gaylord is a pioneer in the use of heated humidification to improve patient outcomes.
Although individual results may vary, Vapotherm believes Gaylord’s story represents a powerful example of the impact Vapotherm’s humidification can have in an LTACH setting.
Dedicated Pulmonary Program
Gaylord has an extensive pulmonary program which includes inpatient pulmonary care, ventilator weaning and outpatient rehabilitation.
Thirty percent of the patients that Gaylord receives are on a ventilator and/or have a tracheostomy. One of Gaylord's primary outcome objectives is to liberate these patients from the vent. Typically, this is done by gradually shifting more of the breathing workload from the ventilator to the patient.
One of the main exercises in this process is taking the patient off the ventilator for increasing periods each day. During this time, humidified, oxygenated breathing gas continues to be delivered to the patient through a tracheostomy collar/mask.
Historical Approach to Humidification
Historically, Gaylord had followed industry practice of using cold aerosol mist to provide humidification.
Returning Patients to Highest Level of Function
Gaylord immediately saw thinner patient secretions, eliminating all tracheostomy tube plugging. They also began to experience improved patient outcomes. The improved patient outcomes corresponded with improved hospital efficiencies and financial results, including exceeding the organization’s financial goals. The stats to the right are outcomes that were illustrated in a poster from the 2017 National Association of Long Term Hospitals Annual Meeting. Click here to download a copy of the poster.
Challenging the Status Quo
At the end of 2012, unsatisfied with cool mist's ability to mobilize secretions, Gaylord turned to the Vapotherm Precision Flow. The Precision Flow delivers gas at body temperature and humidity, which is important since the body's natural humidifier, the nose, is bypassed with tracheostomy patients.
Listen to the Gaylord staff talk about how they implemented Vapotherm.
Gaylord treats each patient individually, but with the main goal to return them to their highest level of function.
Hear first hand how they accomplish this goal.
Developing Specific Protocols
To ensure that Vapotherm was used as standard of care, Gaylord developed protocols for Ventilator Weaning and Decannulation that specifies how to use Vapotherm during each of these processes.
Gaylord presented their Decannulation Protocol at the 2014 American Thoracic Society Conference.
To request a copy of Gaylord's protocols, click here.
In addition to ventilator weaning and decantation, Gaylord uses Vapotherm as part of their mobilization protocol, for pulmonary rehabilitation and Hi-VNI respiratory support.
Nasal Cannula Support
Gaylord also uses Vapotherm for their high flow nasal cannula needs to treat the signs and symptoms of respiratory distress in patients who are intolerant to bi-level or under palliative/hospice care.