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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Recruitment maneuvers in acute respiratory distress syndrome: The safe way is the best way.
TL;DR: The effects of different RM strategies - sustained inflation, intermittent sighs, and stepwise increases of positive end-expiratory pressure (PEEP) and/or airway inspiratory pressure - on the following parameters: hemodynamics, oxygenation, barotrauma episodes, and lung recruitability through physiological variables and imaging techniques are discussed.
Journal ArticleDOI
Patient-Ventilator Dyssynchrony: Clinical Significance and Implications for Practice
TL;DR: The factors contributing to PVD ; the manifestations, measurement, types, and causes of PVD; nursing implications; and future directions for improvement, with nursing research questions proposed for consideration are discussed.
Journal ArticleDOI
Closed-loop ventilation: an emerging standard of care?
Marc Wysocki,Josef X. Brunner +1 more
TL;DR: Introducing novel graphical user interfaces and providing data displays that are pertinent, integrative and dynamic will reduce cognitive resources of the clinician and have the potential to make ventilation safer.
Journal ArticleDOI
Patient ventilator asynchrony in critically ill adults: Frequency and types
Karen G. Mellott,Mary Jo Grap,Cindy L. Munro,Curtis N. Sessler,Paul A. Wetzel,Jon O. Nilsestuen,Jessica M. Ketchum +6 more
TL;DR: Previously unidentified waveforms that may indicate that there is a greater range of PVAs than previously reported are uncovered, in particular, PVA combined in one breath, may signify substantial patient distress or poor physiological circumstance that clinicians should investigate.
Journal ArticleDOI
Electrical activity of the diaphragm during extubation readiness testing in critically ill children
TL;DR: Electrical activity of the diaphragm may be a useful adjunct to assess neuromuscular drive in ventilated children and may have a better chance of passing the extubation readiness test as opposed to patients who generate lower daphragmatic activity in relation to tidal volume, indicating diaphagmatic weakness.
References
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