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
Ineffective triggering predicts increased duration of mechanical ventilation
Marjolein de Wit,Kristin Miller,David A. Green,Henry E. Ostman,Chris Gennings,Scott K. Epstein +5 more
TL;DR: To determine whether high rates of ineffective triggering within the first 24 hrs of mechanical ventilation are associated with longer MV duration and shorter ventilator-free survival, a prospective cohort study at an academic medic hospital is conducted.
Journal ArticleDOI
Reduction of patient-ventilator asynchrony by reducing tidal volume during pressure-support ventilation
TL;DR: Markedly reducing pressure support or inspiratory duration to reach a tidal volume of about 6 ml/kg predicted body weight eliminated ineffective triggering in two-thirds of patients with weaning difficulties and a high percentage of ineffective efforts without inducing excessive work of breathing or modifying patient respiratory rate.
Journal ArticleDOI
Physiologic response to varying levels of pressure support and neurally adjusted ventilatory assist in patients with acute respiratory failure.
Davide Colombo,Gianmaria Cammarota,Valentina Bergamaschi,Marta De Lucia,Francesco Della Corte,Paolo Navalesi +5 more
TL;DR: Compared to PSV, NAVA averted the risk of over-assistance, avoided patient–ventilator asynchrony, and improved patient– ventilator interaction.
Journal ArticleDOI
Neurally adjusted ventilatory assist improves patient–ventilator interaction
Lise Piquilloud,Laurence Vignaux,Emilie Bialais,Jean Roeseler,Thierry Sottiaux,Pierre-François Laterre,Philippe Jolliet,D. Tassaux +7 more
TL;DR: Compared with standard PS, NAVA can improve patient–ventilator synchrony in intubated spontaneously breathing intensive care patients and further studies should aim to determine the clinical impact of this improved synchrony.
Journal ArticleDOI
Fifty Years of Research in ARDS. Spontaneous Breathing during Mechanical Ventilation. Risks, Mechanisms, and Management.
TL;DR: Accumulating evidence indicates that spontaneous breathing in mechanical ventilation may cause—or worsen—acute lung injury, especially if acute respiratory distress syndrome is severe and spontaneous effort is vigorous.
References
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