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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Patient-ventilator asynchronies: types, outcomes and nursing detection skills.
TL;DR: In this paper, a literature review performed on Cochrane Library, Medline and CINAHL databases was performed to identify ventilator asynchrony (PVA), their typologies and classifications, and to investigate the levels of nursing skill in detecting PVAs.
Journal ArticleDOI
Monitoring Asynchrony During Invasive Mechanical Ventilation
José Aquino Esperanza,José Aquino Esperanza,Leonardo Sarlabous,Candelaria de Haro,Candelaria de Haro,Rudys Magrans,Josefina López-Aguilar,Lluis Blanch,Lluis Blanch +8 more
TL;DR: This work states that appropriate handling of asynchrony requires clinical skills, physiological knowledge, and suitable medication management, and that smart alarms and artificial intelligence algorithms based on physiological big data and personalized medicine are changing daily practice.
Journal ArticleDOI
Effect of an automatic triggering and cycling system on comfort and patient-ventilator synchrony during pressure support ventilation.
Renata dos Santos Vasconcelos,Luiz Henrique de P. Melo,Raquel Pinto Sales,Liégina Silveira Marinho,Flávio C. Deulefeu,Ricardo Coelho Reis,Mirizana Alves-de-Almeida,Marcelo Alcântara Holanda +7 more
TL;DR: Use of the Auto-Trak system during PSV showed similar results in comparison to the conventional adjustments with respect to patient-ventilator synchrony and discomfort in simulated conditions of invasive mechanical ventilation.
Journal ArticleDOI
Can proportional ventilation modes facilitate exercise in critically ill patients? A physiological cross-over study
Evangelia Akoumianaki,Nicolas Dousse,Aissam Lyazidi,Jean-Claude Lefebvre,S. Graf,Ricardo Luiz Cordioli,Nathalie Rey,Jean-Christophe M. Richard,Laurent Brochard,Laurent Brochard +9 more
TL;DR: Proportional ventilation during exercise results in higher work efficiency and less increase in VO2 compared to ventilation with PSV, and preliminary findings suggest that proportional ventilation could enhance the training effect and facilitate rehabilitation.
Journal ArticleDOI
Effect of pressure support on end-expiratory lung volume and lung diffusion for carbon monoxide.
Nathalina Pinto Da Costa,Fabiano Di Marco,Aissam Lyazidi,Guillaume Carteaux,Mourad Sarni,Laurent Brochard +5 more
TL;DR: A 5-cm H2O increase in pressure-support ventilation neither affected end-expiratory lung volume nor increased the pulmonary volume participating in gas exchange, but a target tidal volume closer to 6 mL/kg of predicted body weight than to 8mL/kg during pressure- support ventilation was associated with better gas exchange.
References
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Journal ArticleDOI
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Journal ArticleDOI
Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction
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