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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Neurally Adjusted Ventilatory Assist (NAVA): An Update and Summary of Experiences
C Sinderby,J Beck,Ka Shing +2 more
TL;DR: Results demonstrate that NAVA maintains subject-ventilator synchrony, adapts to altered respiratory demand, and delivers tidal volumes and mean airway pressures that can be considered protective.
Journal ArticleDOI
Accuracy of Invasive and Noninvasive Parameters for Diagnosing Ventilatory Overassistance During Pressure Support Ventilation.
Renata Pletsch-Assuncao,Mayra Caleffi Pereira,Jeferson George Ferreira,Letícia Zumpano Cardenas,André Luis Pereira de Albuquerque,Carlos Roberto Ribeiro de Carvalho,Pedro Caruso +6 more
TL;DR: A respiratory rate of 17 breaths/min is the parameter with the greatest accuracy for diagnosing overassistance in adults under mechanical ventilation under pressure support ventilation.
Journal ArticleDOI
Reverse Trigger Phenotypes in Acute Respiratory Distress Syndrome.
Elias Baedorf Kassis,Henry K Su,Alexander R Graham,Alexander R Graham,Victor Novack,Stephen H. Loring,Daniel Talmor +6 more
TL;DR: Reverse triggering causes variable physiological effects, depending on the phenotype, and differentiation of phenotype effects may be important to understand the clinical impacts of these events.
Journal ArticleDOI
Respiratory support by neurally adjusted ventilatory assist (NAVA) in severe RSV-related bronchiolitis: a case series report.
Jean-Michel Liet,Jean-Marc Dejode,Nicolas Joram,Bénédicte Gaillard-Le Roux,Pierre Bétrémieux,Jean-Christophe Rozé +5 more
TL;DR: The findings highlight the feasibility and benefit of NAVA in children with severe RSV-related bronchiolitis and provide a less aggressive ventilation requiring lower inspiratory pressures with good results for oxygenation and more comfort for the children.
Journal ArticleDOI
Respiratory muscle activity and patient-ventilator asynchrony during different settings of noninvasive ventilation in stable hypercapnic COPD: does high inspiratory pressure lead to respiratory muscle unloading?
TL;DR: High-intensity NIV might provide optimal unloading of respiratory muscles, without undue increases in PVA, in patients on home mechanical ventilation.
References
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