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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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Citations
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Ventilación Mecánica Asistida: Hacia una mejor adaptación del respirador a las necesidades del paciente

TL;DR: Mechanical ventilation is routinely delivered to patients admitted in intensive care units to reduce work of breathing, improve oxygenation or correct respirations.
Journal ArticleDOI

Can utilizing neurally adjusted ventilatory assist in the ventilation support of critically ill neonates results in shorter hospital stay

TL;DR: Respiratory efforts and work of breathing may be influenced by the mode of ventilation used in the respiratory support of the very low birth weight (VLBW) infants.
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Acute Respiratory Failure Due to Acute Exacerbation of Chronic Obstructive Pulmonary Disease: The Spectrum of Ventilator Strategies

TL;DR: Noninvasive mechanical ventilation has led to significant improvement in outcomes of COPD and reduced morbidity and mortality compared with invasive mechanical ventilation, and an emerging modality, extracorporeal carbon dioxide removal is now being studied to reduce the need for Ventilatory assistance in acute ventilatory failure due to COPD exacerbation.
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Advantages and drawbacks of helmet noninvasive support in acute respiratory failure

TL;DR: In this paper , the clinical applications of helmet support compared to the other available non-invasive strategies in the different phenotypes of acute respiratory failure were discussed, and the authors concluded that helmet support can be safely applied in hypoxemic patients with ACPE, with no advantages over facemasks.

Clinical outcome in neurally adjusted ventilatory assist: A review

TL;DR: Assessment of the effect of Neurally adjusted ventilatory assist on clinical endpoints found no robust advantage of NAVA on primary endpoints was shown and future research should aim to differentiate between recognition of asynchrony and the effects ofNAVA mode itself.
References
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Journal ArticleDOI

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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.
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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.
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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