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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.

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Impact de la NAVA sur l’asynchronisme patient machine en post opératoire de chirurgie abdominale

TL;DR: Ce travail met en evidence une prevalence non negligeable des asynchronies en post operatoire de chirurgie abdominale lourde chez les patients ventiles plus de 48 h.
Journal ArticleDOI

An implantable soft robotic ventilator augments inspiration in a pig model of respiratory insufficiency

TL;DR: In this article , a contractile soft robotic actuator implanted above the diaphragm augments its motion during inspiration, which increased tidal volumes and maintained ventilation flow rates within the normal range.
Journal ArticleDOI

Cardiogenic Auto-Triggering as a Consequence of Hemoperitoneum.

TL;DR: Cardiogenic auto-triggering leads to patient-ventilator dyssynchrony, respiratory alkalosis, lung distension, and difficulty with weaning from the ventilator, and it may be unrecognized in ICUs.
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Surveillance du patient sous ventilation mécanique invasive

TL;DR: An update on the monitoring of the patient under invasive mechanical ventilation based on clinical examination, information from the ventilator, alarms management, and patient-ventilator interaction is proposed.
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Effects on Humidification and Ventilatory Parameters of Three Single-limb Heated-wired Circuits for Non-invasive Ventilation: A Bench Study.

TL;DR: Humidification performance varied significantly among the three circuits, being FP the only one able to maintain stable AH values during the study with no influence on ventilatory parameters.
References
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Journal ArticleDOI

The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine.

TL;DR: The ESICM developed a so-called sepsis-related organ failure assessment (SOFA) score to describe quantitatively and as objectively as possible the degree of organ dysfunction/failure over time in groups of patients or even in individual patients.
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A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study

J R Le Gall, +2 more
- 22 Dec 1993 - 
TL;DR: The SAPS II, based on a large international sample of patients, provides an estimate of the risk of death without having to specify a primary diagnosis, and is a starting point for future evaluation of the efficiency of intensive care units.
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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.
Journal ArticleDOI

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.
Journal ArticleDOI

Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction

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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