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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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Journal ArticleDOI

Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit

TL;DR: The monitoring of electrical activity of the diaphragm (EAdi) provides the clinician with better understanding of the ventilatory capacity of patients with acute neuromuscular disease and can play a role in evaluation of extubation readiness.
Journal ArticleDOI

Recognizing, quantifying and managing patient-ventilator asynchrony in invasive and noninvasive ventilation.

TL;DR: This review article describes the different forms of patient–ventilator asynchrony and how they are classified and quantified, and describes the actions that can be undertaken in order to limit the rate of asynchronies during both invasive ventilation and NIV mechanical ventilation.
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Neurally adjusted ventilatory assist.

TL;DR: Several studies nowadays prove the physiological benefits of neurally adjusted ventilatory assist, as opposed to the conventional modes of partial support, whether these advantages translate into improvement of clinical outcomes remains to be determined.
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Multifaceted bench comparative evaluation of latest intensive care unit ventilators

TL;DR: Real heterogeneity of performance amongst the latest generation of intensive care unit ventilators is observed, indicating basic functions, such as delivered VT in ACV and pressurization in PSV, are often less reliable than the values displayed by the device suggest.
Journal ArticleDOI

A Pilot Randomized Trial Comparing Weaning From Mechanical Ventilation on Pressure Support Versus Proportional Assist Ventilation.

TL;DR: This pilot study demonstrates the utility, safety, and feasibility of the weaning protocols, and provides important information to guide the design of a future randomized controlled trial comparing weaning from mechanical ventilation on pressure support ventilation versus proportional assist ventilation.
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.
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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.
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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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