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
Effects of propofol on sleep quality in mechanically ventilated critically ill patients: a physiological study.
TL;DR: In critically ill patients ventilated on assisted modes, propofol administration to achieve the recommended level of sedation suppresses the REM sleep stage and further worsens the poor sleep quality of these patients.
Journal ArticleDOI
Patient self-inflicted lung injury and positive end-expiratory pressure for safe spontaneous breathing.
TL;DR: The role of positive end-expiratory pressure (PEEP) is discussed as one of the potential strategies to render spontaneous effort less injurious in severe acute respiratory distress syndrome (ARDS).
Journal ArticleDOI
Indications and practical approach to non-invasive ventilation in acute heart failure
Josep Masip,Josep Masip,W. Frank Peacock,Susanna Price,Louise Cullen,F. Javier Martín-Sánchez,Petar M. Seferović,Alan S. Maisel,Òscar Miró,Gerasimos Filippatos,Christiaan Vrints,Michael Christ,Martin R. Cowie,Elke Platz,John J.V. McMurray,Salvatore DiSomma,Uwe Zeymer,Héctor Bueno,Chris P Gale,Maddalena Lettino,Mucio Tavares,Frank Ruschitzka,Alexandre Mebazaa,Veli-Pekka Harjola,Christian Mueller +24 more
TL;DR: Non-invasive ventilation is also indicated in patients with AHF associated to pulmonary disease and may be considered, after haemodynamic stabilization, in some patients with CS, and the new modality 'high-flow nasal cannula' seems promising in cases of AHF with less severe RF.
Journal ArticleDOI
Managing the apparent and hidden difficulties of weaning from mechanical ventilation
Andreas Perren,Laurent Brochard +1 more
TL;DR: Adequately managing simple and difficult weaning requires one to think about ICU policies in terms of sedation, fluid balance and having a systematic screening strategy; it also needs an individualized approach to understand and treat the failing patients.
Journal ArticleDOI
Patient–ventilator interaction in ARDS patients with extremely low compliance undergoing ECMO: a novel approach based on diaphragm electrical activity
Tommaso Mauri,Giacomo Bellani,Giacomo Grasselli,A Confalonieri,Roberto Rona,Nicolò Patroniti,Antonio Pesenti +6 more
TL;DR: EAdi allows accurate analysis of asynchrony patterns and magnitude in ARDS patients with very low Cstrs undergoing ECMO, and in these patients, NAVA is associated with reduced as synchrony.
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.
Jean Louis Vincent,R. Moreno,Jukka Takala,Sheila Willatts,A. de Mendonça,Hajo A. Bruining,C. K. Reinhart,P. M. Suter,L. G. Thijs +8 more
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.
Journal ArticleDOI
A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study
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.
Journal ArticleDOI
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
T. C. Smith,J. J. Marini +1 more
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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