Journal ArticleDOI
Patient-ventilator asynchrony during assisted mechanical ventilation
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TLDR
One-fourth of patients exhibit a high incidence of asynchrony during assisted ventilation, which is associated with a prolonged duration of mechanical ventilation and with excessive levels of ventilatory support.Abstract:
Objective
The incidence, pathophysiology, and consequences of patient-ventilator asynchrony are poorly known. We assessed the incidence of patient-ventilator asynchrony during assisted mechanical ventilation and we identified associated factors.read more
Citations
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Journal ArticleDOI
Clinical challenges in mechanical ventilation.
TL;DR: Key clinical challenges include averting intubation in patients with respiratory failure with non-invasive techniques for respiratory support; delivering lung-protective ventilation to prevent ventilator-induced lung injury; maintaining adequate gas exchange in severely hypoxaemic patients; avoiding the development of ventilATOR-induced diaphragm dysfunction; and diagnosing and treating the many pathophysiological mechanisms that impair liberation from mechanical ventilation.
Journal ArticleDOI
Monitoring of noninvasive ventilation by built-in software of home bilevel ventilators: a bench study.
Olivier Contal,Laurence Vignaux,Christophe Combescure,Jean-Louis Pépin,Jean-Louis Pépin,Philippe Jolliet,Jean-Paul Janssens,Jean-Paul Janssens +7 more
TL;DR: In this paper, the authors evaluated seven home ventilators on a bench model adapted to simulate NIV and generate unintentional leaks (i.e., other than of the mask exhalation valve).
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Dynamic hyperinflation and auto-positive end-expiratory pressure: lessons learned over 30 years.
TL;DR: This discussion reviews some of the more important aspects of AP that bear on the care of the ventilated patient with critical illness.
Patent
Ventilator-Initiated Prompt Regarding Auto-PEEP Detection During Pressure Ventilation
TL;DR: In this paper, the authors describe systems and methods for monitoring and evaluating ventilatory parameters, analyzing the data associated with those parameters, and providing useful notifications and/or recommendations to clinicians.
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Artificial Intelligence in the Intensive Care Unit.
TL;DR: This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020, which describes the state of the art in intensive care and emergency medicine in 2020.
References
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Inspiratory Pressure Support Prevents Diaphragmatic Fatigue during Weaning from Mechanical Ventilation
TL;DR: Pressure support ventilation can assist spontaneous breathing and avoid diaphragmatic fatigue in patients demonstrating difficulties in weaning from the ventilator and clinical monitoring of sternocleidomastoid muscle activity allows the required level of pressure support to be determined to prevent fatigue.
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Ventilator-induced Diaphragmatic Dysfunction
TL;DR: This Critical Care Perspective defines the phenomenon, henceforth referred to as ventilatorinduced diaphragmatic dysfunction (VIDD), as a loss of diaphRAGmatic force-generating capacity that is specifically related to the use of mechanical ventilation.
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Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction
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TL;DR: Low levels of PEEP may improve lung mechanics and reduce the effort required of mechanically ventilated patients with severe airflow obstruction, without substantially increasing the hazards of hyperinflation.
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