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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

A Novel Method to Evaluate Patient-Ventilator Synchrony during Mechanical Ventilation

TL;DR: A novel synchrony index is established to evaluate the patient-ventilator synchrony which solves the defects of previous evaluation indexes and can be used as the response parameter in the future research of ventilator control algorithms.
Journal ArticleDOI

Intubation rate, duration of noninvasive ventilation and mortality after noninvasive neurally adjusted ventilatory assist (NIV‐NAVA)

TL;DR: Neurally adjusted ventilatory assist has shown to improve patient‐ventilator interaction, but it is unknown whether NIV‐NAVA improves outcomes compared to noninvasive pressure support (NIV‐PS).
Journal ArticleDOI

Reconstructing asynchrony for mechanical ventilation using a hysteresis loop virtual patient model

TL;DR: In this paper , patient-specific lung elastance over a pressure-volume (PV) loop, identified using hysteresis loop analysis (HLA), is used to detect the occurrence of asynchrony and identify its type and pattern.
Dissertation

Contributions to Statistical Signal Processing with Applications in Biomedical Engineering

TL;DR: This PhD thesis investigates the detection of AutoPEEP, a common ventilatory abnormality during mechanical ventilation, and proposes an extension of RDT in the sequential decision framework, namely Sequential RDT.
Journal ArticleDOI

Patient–Ventilator Dyssynchrony in Critically Ill Patients

TL;DR: In this article, the authors define different types of dyssynchrony and discuss the evidence for their relationship with patient outcomes and address their potential management, including trigger dyssynchronous, ineffective efforts, autotriggering, double triggering, and flow dyssync.
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.
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

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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