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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

Simple, difficult, or prolonged weaning: the most important factor is the success or failure of the first weaning trial.

Arnaud W. Thille
- 01 May 2011 - 
TL;DR: A recent international consensus conference proposed to categorize ventilated patients into 3 groups, based on the difficulty and duration of the weaning process: “simple weaning” (group 1) includes patients who succeed the first weaning trial and are extubated without
Journal ArticleDOI

Patient–ventilator asynchrony, impact on clinical outcomes and effectiveness of interventions: a systematic review and meta-analysis

TL;DR: In this article, the impact of patient-ventilator asynchrony (PVA) on clinical outcomes has been systematically evaluated and effective interventions (except for closed-loop ventilation) for reducing PVA are not well established.
Journal ArticleDOI

Education on Patient-Ventilator Synchrony, Clinicians’ Knowledge Level, and Duration of Mechanical Ventilation

TL;DR: Clinicians' test scores increased significantly after patient-ventilator synchrony lectures and the mean duration of mechanical ventilation decreased and health evaluation scores were marginally higher after the lectures.
Journal ArticleDOI

Should a Portable Ventilator Be Used in All In-Hospital Transports?

TL;DR: The following pro and con discussion will attempt to address many of the issues by reviewing the current evidence on transport ventilation by looking at the functions of portable ventilators and hyperventilation and hypoventilation.
Journal ArticleDOI

Effects of Propofol on Respiratory Drive and Patient-ventilator Synchrony during Pressure Support Ventilation in Postoperative Patients: A Prospective Study.

TL;DR: Propofol inhibits respiratory drive and deteriorates patient-ventilator synchrony to the extent that varies with the depth of sedation, and has less effect on breathing pattern and has no effect on VT and gas exchange in postoperative patients with PSV.
References
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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.

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

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