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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Patent
Ventilator-initiated prompt regarding detection of double triggering during ventilation
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, such as detecting double triggering during ventilation.
Journal ArticleDOI
Neurally adjusted ventilatory assist as an alternative to pressure support ventilation in adults: a French multicentre randomized trial.
Alexandre Demoule,Marc Clavel,Camille Rolland-Debord,Sébastien Perbet,Nicolas Terzi,Achille Kouatchet,Frédéric Wallet,Hadrien Rozé,Frédéric Vargas,Claude Guérin,J. Dellamonica,Samir Jaber,Laurent Brochard,Laurent Brochard,Thomas Similowski +14 more
TL;DR: NAVA is safe and feasible over a prolonged period of time but does not increase the probability of remaining in a partial ventilatory mode, however, NAVA decreases patient–ventilator asynchrony and is associated with less frequent application of post-extubation noninvasive mechanical ventilation.
Journal ArticleDOI
Airway Occlusion Pressure As an Estimate of Respiratory Drive and Inspiratory Effort during Assisted Ventilation
Irene Telias,Irene Telias,Detajin Junhasavasdikul,Detajin Junhasavasdikul,Nuttapol Rittayamai,Nuttapol Rittayamai,Lise Piquilloud,Lu Chen,Niall D. Ferguson,Ewan C. Goligher,Ewan C. Goligher,Laurent Brochard +11 more
TL;DR: 0.1vent is a reliable bedside tool to assess respiratory drive and detect potentially injurious inspiratory effort and correlated well with measures of drive and with esophageal pressure-time product.
Journal ArticleDOI
Pressure support improves oxygenation and lung protection compared to pressure-controlled ventilation and is further improved by random variation of pressure support*
Peter M. Spieth,Alysson R. Carvalho,Andreas Güldner,Michael Kasper,René Schubert,Nadja C. Carvalho,Alessandro Beda,Constanze Dassow,Stefan Uhlig,Thea Koch,Paolo Pelosi,Marcelo Gama de Abreu +11 more
TL;DR: Pressure support ventilation and noisy pressure support ventilation improved gas exchange and were associated with reduced histologic damage and interleukin-6 concentrations in lung tissue compared to pressure-controlled ventilation.
Journal ArticleDOI
Performance of noninvasive ventilation algorithms on ICU ventilators during pressure support: a clinical study
Laurence Vignaux,D. Tassaux,Guillaume Carteaux,Jean Roeseler,Lise Piquilloud,Laurent Brochard,Laurent Brochard,Philippe Jolliet,Philippe Jolliet +8 more
TL;DR: In acute respiratory failure, NIV algorithms provided by ICU ventilators can reduce the incidence of asynchronies because of leaks, thus confirming bench test results, but some of these algorithms can generate premature cycling.
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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