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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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Citations
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Book ChapterDOI

“Nocturnal” Noninvasive Ventilation: An Overview

TL;DR: Noninvasive ventilation represents a ventilatory support strategy employed without the use of endotracheal intubation or tracheostomy, which should be considered in several clinical settings.
Dissertation

Influência da mecânica e padrão respiratórios e do tipo de ventilador pulmonar mecânico na assincronia paciente-ventilador durante a ventilação não invasiva

TL;DR: The Auto-Trak® as discussed by the authors consists of uma tecnologia capaz de ajustar automaticamente, ciclo a Ciclo, os mecanismos de disparo and ciclagem durante o modo PSV.
Journal ArticleDOI

Impact on the ability of healthcare professionals to correctly identify patient-ventilator asynchronies of the simultaneous visualization of estimated muscle pressure curves on the ventilator display: a randomized study (Pmus study)

TL;DR: A prospective single-center randomized study with parallel assignment was conducted to assess whether the display of the estimated inspiratory muscle pressure (Pmus) waveform would improve the correct identification of asynchronies in simulated clinical scenarios as mentioned in this paper .
Journal ArticleDOI

Automatic Selector Between Cardiogenic Oscillation and Airway Secretion in Mechanical Ventilation Flow Signals Using Artificial Immune System

TL;DR: An artificial immune system algorithm is used in a pre-processed flow signal to automatically detect the presence or absence of airway secretions, even if the sample contains the influence of cardiogenic oscillation.
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.
Journal ArticleDOI

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.
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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