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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

2019 Year in Review: Patient-Ventilator Synchrony.

TL;DR: It is noted that patient-ventilator synchrony research lacks a standardized vocabulary and associated taxonomy, which generates difficulty in communication among students and researchers, as well as in comparison of results.
Journal ArticleDOI

Oxygen administration for patients with ARDS

TL;DR: In this article, the authors evaluated the respiratory drive and effort of patients with acute respiratory distress syndrome (ARDS) and showed that inappropriate assessment of breathing workload potentially has a risk of delaying the timing of shifting from ventilator to ECMO.
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Expiratory flow-limitation in mechanically ventilated patients: A risk for ventilator-induced lung injury?

TL;DR: Expiratory flow limitation (EFL), that is the inability of expiratory flow to increase in spite of an increase of the driving pressure, is a common and unknown occurrence during mechanical ventilation in a variety of intensive care unit conditions.
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Contrôle de la ventilation : physiologie et exploration en réanimation

TL;DR: In this paper, the authors explore the controle de la ventilation in order to assist le diagnostic and ladaptation des therapeutiques. But, their exploration se fonde sur des techniques combinant le recueil de grandeurs ventilatoires en ventilation spontanee and en reponse a des stimulations.
Journal ArticleDOI

Design of a lung simulator for teaching lung mechanics in mechanical ventilation

TL;DR: A readily assembled lung simulator for teaching purposes that is reproducible and interactive and allows the concepts of respiratory mechanics in mechanical ventilation to be taught simply and graphically in that it reproduces the patterns of restriction, obstruction, and the presence of leaks.
References
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Journal ArticleDOI

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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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J R Le Gall, +2 more
- 22 Dec 1993 - 
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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.
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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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