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
Neural Breathing Pattern and Patient-Ventilator Interaction During Neurally Adjusted Ventilatory Assist and Conventional Ventilation in Newborns.
TL;DR: Central apnea, defined as a flat electrical activity of the diaphragm more than 5 seconds, was significantly reduced during neurally adjusted ventilatory assist compared with both SIMV periods, and patient-ventilator interaction appears to be improved with neurallyadjusted ventilator assist.
Journal ArticleDOI
Manual compression of the abdomen to assess expiratory flow limitation during mechanical ventilation
TL;DR: Manual compression of the abdomen provides a simple, rapid, and safe bedside reliable maneuver to detect and quantify EFL during mechanical ventilation.
Journal ArticleDOI
Diagnostic accuracy of simple tools in monitoring patients with chronic hypoventilation treated with non-invasive ventilation; a prospective cross-sectional study
Sigurd Aarrestad,Sigurd Aarrestad,Sigurd Aarrestad,Magnus Qvarfort,Anne Louise Kleiven,Elin Tollefsen,Ole Henning Skjønsberg,Jean-Paul Janssens +7 more
TL;DR: In patients treated with long term NIV, screening test panel,Nocturnal SpO2 and daytime ABG all failed to accurately detect NH, underlining the importance of nocturnal monitoring of CO2.
Journal ArticleDOI
Cycling-off modes during pressure support ventilation: Effects on breathing pattern, patient effort, and comfort
Fabrícia Cristina Hoff,Mauro R. Tucci,Marcelo B. P. Amato,Laura Jurema dos Santos,Josue Almeida Victorino +4 more
TL;DR: When compared with a fixed termination criterion, the use of a variable, real-time-adjusted termination criterion improved some indices of patient-ventilator synchrony, producing better breathing pattern, less discomfort, and slightly lower patient effort during PSV.
Journal ArticleDOI
Monitoring During Mechanical Ventilation
TL;DR: Monitoring during mechanical ventilation is discussed with a focus on the accuracy, ease of use, and effectiveness in preventing harm for each of these monitoring modalities.
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