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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.

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Book ChapterDOI

“Deventilation Syndrome” in CPAP Users with Obstructive Sleep Apnea: Clinical Impact and Solutions

TL;DR: The underlying mechanisms that are still not clarified are reviewed and how to avoid the syndrome is reviewed.
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Le «Neurally adjusted ventilatory assist»: vers une révolution de la ventilation mécanique?

TL;DR: En NAVA, le patient adapte lui-meme le ventilateur a sa demande inspiratoire, ce qui represente un changement de fond dans the conception habituelle de the ventilation mecanique.
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Asynchrony During Pediatric Noninvasive Ventilation With a Nasal Cannula Interface: A Lung Model Study.

TL;DR: In this article, an ASL 5000 breathing simulator was used to model pediatric patients with varying patient efforts and lung conditions and significant asynchrony (AI > 0.1) existed in the majority of scenarios for both pressure control continuous mandatory ventilation and pressure control continuously spontaneous ventilation (79% and 93%, respectively).
Journal ArticleDOI

Proportional-assist ventilation with load-adjustable gain factors for mechanical ventilation: a cost-utility analysis

TL;DR: Use of PAV+ mode is expected to benefit patient care in the intensive care unit (ICU) and be a cost-effective alternative to PSV in the Canadian setting, and Canadian hospital payers may consider how best to optimally deliver mechanical ventilation in the ICU as they expand ICU capacity.
References
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Journal ArticleDOI

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Journal ArticleDOI

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- 22 Dec 1993 - 
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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

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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