Journal ArticleDOI
Patient-ventilator asynchrony during assisted mechanical ventilation
Reads0
Chats0
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
More filters
Journal ArticleDOI
Patient-Self Inflicted Lung Injury: A Practical Review
Guillaume Carteaux,Guillaume Carteaux,Mélodie Parfait,Margot Combet,Anne-Fleur Haudebourg,Samuel Tuffet,Samuel Tuffet,Armand Mekontso Dessap +7 more
TL;DR: In this article, the main pathophysiological mechanisms by which the patient's respiratory effort could become deleterious: excessive transpulmonary pressure resulting in over-distension; inhomogeneous distribution of transpulo-minimization variations across the lung leading to cyclic opening/closing of nondependent regions and pendelluft phenomenon; increase in the transvascular pressure favoring the aggravation of pulmonary edema.
Journal ArticleDOI
Patient-ventilator interactions: optimizing conventional ventilation modes.
TL;DR: Current ventilation modes have a number of features that can monitor and enhance synchrony, including adjustment of the trigger variable, the use of pressure-targeted versus fixed-flow- targeted breaths, and manipulations of the cycle variable.
Journal ArticleDOI
Patient-Ventilator Asynchrony in a Traumatically Injured Population
Bryce R.H. Robinson,Thomas Blakeman,Peter Toth,Dennis J. Hanseman,Eric W. Mueller,Richard D. Branson +5 more
TL;DR: Ventilator asynchrony is common in trauma patients and may be associated with SIMV with a set breathing frequency of ≥ 10 breaths/min, though not with longer mechanical ventilation, longer stay, or discharge disposition.
Journal ArticleDOI
Measurement of Diaphragmatic Electrical Activity by Surface Electromyography in Intubated Subjects and Its Relationship With Inspiratory Effort
Giacomo Bellani,Alfio Bronco,Stefano Arrigoni Marocco,Matteo Pozzi,Vittoria Sala,Nilde Eronia,Giulia Villa,Giuseppe Foti,Giovanni Tagliabue,Marcus Eger,Antonio Pesenti +10 more
TL;DR: During assisted mechanical ventilation, E Adi can be reliably monitored by both EAdi and surface EMG, and the measurement of Pmus based on the calibration of E adi was also feasible by the use of surface EMg.
Journal ArticleDOI
Mechanical Ventilation Competencies of the Respiratory Therapist in 2015 and Beyond
TL;DR: The evolution of critical care and mechanical ventilation has been dramatic and rapid over the last 10 years and can be expected to continue at this pace into the future, which requires an expanded education in a number of areas.
References
More filters
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.
Jean Louis Vincent,R. Moreno,Jukka Takala,Sheila Willatts,A. de Mendonça,Hajo A. Bruining,C. K. Reinhart,P. M. Suter,L. G. Thijs +8 more
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.
Journal ArticleDOI
A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study
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.
Journal ArticleDOI
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
T. C. Smith,J. J. Marini +1 more
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.
Related Papers (5)
Patient-Ventilator Trigger Asynchrony in Prolonged Mechanical Ventilation
Asynchronies during mechanical ventilation are associated with mortality.
Lluis Blanch,Ana Villagrá,Bernat Sales,Jaume Montanya,Umberto Lucangelo,Manel Luján,Oscar Garcia-Esquirol,Encarna Chacón,Anna Estruga,Joan Carles Oliva,Alberto Hernandez-Abadia,Guillermo M. Albaiceta,Enrique Fernández-Mondéjar,Rafael Fernandez,Josefina López-Aguilar,Jesús Villar,Gastón Murias,Robert M. Kacmarek +17 more