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
Polysomnography in stable COPD under non-invasive ventilation to reduce patient–ventilator asynchrony and morning breathlessness
Dan Adler,Stephan Perrig,Hiromitsu Takahashi,Fabrice Espa,Daniel Rodenstein,Jean-Louis Pépin,Jean-Paul Janssens +6 more
TL;DR: The subgroup of COPD patients treated by home NIV, who present marked deventilation dyspnea and unrewarded efforts may benefit from adjustment of ventilator settings under PSG or polygraphy.
Journal ArticleDOI
Impact of different backup respiratory rates on the efficacy of noninvasive positive pressure ventilation in obesity hypoventilation syndrome: A randomized trial
Olivier Contal,Dan Adler,Jean-Christian Borel,Fabrice Espa,Stephan Perrig,Daniel Rodenstein,Jean-Louis Pépin,Jean-Louis Pépin,Jean-Paul Janssens +8 more
TL;DR: In a homogenous group of patients treated with long-term NPPV for obesity-hypoventilation, changing BURR from an S/T mode with a high or low BURR to an S mode was associated with the occurrence of a highly significant increase in respiratory events, of mainly central and mixed origin.
Patent
Ventilator-initiated prompt regarding auto-PEEP detection during volume ventilation of non-triggering patient exhibiting obstructive component
TL;DR: In this paper, the authors describe systems and methods for monitoring and evaluating ventilatory parameters, analyzing those parameters and providing useful notifications and recommendations to clinicians, where a ventilator may be configured to monitor and evaluate diverse ventilatorial parameters to detect Auto-PEEP and may issue notifications and recommendation suitable for a triggering patient to the clinician when Auto-Peep is implicated.
Journal ArticleDOI
A method for monitoring and improving patient: ventilator interaction
Magdy Younes,Laurent Brochard,Salvatore Grasso,John Kun,Jordi Mancebo,Marco Ranieri,Jean-Christophe Richard,Henry Younes +7 more
TL;DR: The proposed approach should make it possible to improve patient-ventilator interaction and to obtain accurate estimates of true patient respiratory rate when there is nonsynchrony.
References
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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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