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
Dyspnea and surface inspiratory electromyograms in mechanically ventilated patients.
Matthieu Schmidt,Felix Kindler,Stewart B. Gottfried,Stewart B. Gottfried,Mathieu Raux,François Hug,François Hug,Thomas Similowski,Alexandre Demoule,Alexandre Demoule +9 more
TL;DR: Surface electromyograms of extradiaphragmatic inspiratory muscles provides a simple, reliable and non-invasive indicator of respiratory muscle loading/unloading in mechanically ventilated patients.
Journal ArticleDOI
Neurally adjusted ventilatory assist (NAVA) allows patient-ventilator synchrony during pediatric noninvasive ventilation: a crossover physiological study
Laurence Ducharme-Crevier,Jennifer Beck,Sandrine Essouri,Sandrine Essouri,Philippe Jouvet,Guillaume Emeriaud +5 more
TL;DR: NIV-NAVA is feasible and well tolerated in PICU patients and allows improved patient-ventilator synchronization, and Inspiratory trigger dys-synchrony and cycling-off dys- synchrony periods were significantly shorter in NIV- NAVA versus initial and final conventional NIV periods.
Journal ArticleDOI
Automatic detection of patient-ventilator asynchrony by spectral analysis of airway flow
Guillermo Gutierrez,Guillermo Ballarino,Hulya Turkan,Juan C. Abril,Lucy M. De La Cruz,Connor Edsall,Binu George,Susan Gutierrez,Vinayak Jha,Jalil Ahari +9 more
TL;DR: Spectral analysis of airway flow provides an automatic, non-invasive assessment of ventilator asynchrony at fixed short intervals and can be adapted to ventilATOR systems as a clinical monitor of as synchrony.
Journal ArticleDOI
Physiological effects of noninvasive positive ventilation during acute moderate hypercapnic respiratory insufficiency in children.
Sandrine Essouri,Philippe Durand,Laurent Chevret,Vincent Haas,Claire Perot,Annick Clement,Denis Devictor,Brigitte Fauroux +7 more
TL;DR: This study shows that NPPV is able to unload the respiratory muscles and improve clinical outcome in young patients admitted to the paediatric intensive care unit for acute moderate hypercapnic respiratory insufficiency.
Journal ArticleDOI
Parasternal electromyography to determine the relationship between patient-ventilator asynchrony and nocturnal gas exchange during home mechanical ventilation set-up
Michelle Ramsay,Swapna Mandal,Eui-Sik Suh,Joerg Steier,Abdel Douiri,Patrick B. Murphy,Michael I. Polkey,Anita K. Simonds,Nicholas Hart +8 more
TL;DR: Severe PVA was identified in the majority of patients, irrespective of pathophysiological disease state, and was not associated with ineffective ventilation as evidenced by gas exchange.
References
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