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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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Dissertation

Osnove mehaničke ventilacijske potpore

Ela Ćurčić
TL;DR: Mehanicka ventilacija postupak je koji omogucuje pružanje umjetne potpore izmjeni plinova u slucajevima kada se spontanim disanjem ne može osigur.
Journal ArticleDOI

Neurally Adjusted Ventilatory Assist: Insufficient Evidence of Broad Clinical Outcomes

Christer Sinderby
- 01 Nov 2013 - 
TL;DR: To the Editor: This is a reply to the editorial by Moss on the study by Delisle et al entitled “Effect of Ventilatory Variability on Occurrence of Central Apneas”.
Journal ArticleDOI

On the Need for Standard Definitions and Education to Optimize Patient-Ventilator Interactions.

TL;DR: In this issue of Respiratory Care, Ramirez et al present the results of their multi-center study, where doctors, nurses, and physiotherapists (akin to a respiratory therapist in Chile) were shown videos of ventilator screens demonstrating different types of asynchrony.
Journal ArticleDOI

Outcomes of ventilatory asynchrony in patients with inspiratory effort

TL;DR: Pat-ventilator asynchrony is a frequent disorder in critically ill patients with inspiratory effort and the patient’s interaction with the ventilator should be optimized to improve hemogasometric parameters and clinical results.
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.
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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.
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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